Multiprofessional cooperation and accountability pressures. Consequences of a post-new public management concept in a new public management context

• This article examines how multiprofessional healthcare teams, working as a post-New Public Management (post-NPM) reform, respond to accountability pressure resulting from the implementation of NPM reforms. The team members use three strategies to respond to this pressure: responsibility avoiding that results in conflict; responsibility ignoring that results in parallel work and responsibility sharing that results in cooperation. Depending on how the professionals respond to different contextual factors, the choice of strategies can either foster or inhibit cooperation in multiprofessional teams. Achieving holistic patient care is threatened when accountability pressure increases for teams that have not yet developed their internal routines of cooperation.

Ämnesord

SAMHÄLLSVETENSKAP  -- Statsvetenskap -- Studier av offentlig förvaltning (hsv//swe)

SOCIAL SCIENCES  -- Political Science -- Public Administration Studies (hsv//eng)

SAMHÄLLSVETENSKAP  -- Ekonomi och näringsliv (hsv//swe)

SOCIAL SCIENCES  -- Economics and Business (hsv//eng)

Nyckelord

Post-NPM reform

whole-of-government

cooperation

multiprofessional

accountability

health-care

professionals

transparency

patient

framework

autonomy

tyranny

risk

Post-NPM reform

Humanities and Social sciences

Publikations- och innehållstyp

ref (ämneskategori)

art (ämneskategori)