| 1. |
- Berlin, Johan, 1975, et al.
(författare)
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How do street-level bureaucrats manage high workloads? Collegial mechanisms at the organisational level—experiences from public healthcare organisations
- 2022
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Ingår i: European Management Review. - : Wiley. - 1740-4754 .- 1740-4762. ; 19:2, s. 299-312
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study is to understand and explain how street-level bureaucrats manage high workloads in public healthcare organisations. Data was collected through observations, interviews and documents. The results show that high workloads are reduced through use of collegial mechanisms at the organisation level. The study shows that workloads are reduced in a two-step process, the first is a negotiation between professionals and the second in the meeting with patients. The two-step process explains the limitation problems in more detail and makes an important contribution by explaining how high workloads are reduced in public health services.
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| 2. |
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| 3. |
- Billquist, Leila, 1949, et al.
(författare)
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Care - A Challenge to Healthy organization?
- 2011
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Ingår i: IV International Community, Work and Family Conference: Actors, Structures and Theories, 19-21 May, University of Tampere.
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Konferensbidrag (refereegranskat)
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| 6. |
- Björk, Lisa, 1981, et al.
(författare)
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Measuring capacity to perform across local government services – managers’ perceptions
- 2014
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Ingår i: International Journal of Public Sector Management. - 0951-3558. ; 27:1, s. 26-38
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Tidskriftsartikel (refereegranskat)abstract
- Purpose – This study aims at developing a measure that can be used to evaluate organizational capacity to perform across local government jurisdictions, using operational managers' own assessments. Design/methodology/approach – The “management matters” literature that links organizational capacity to service performance is far from reaching any consensus on how to operationalize organizational capacity. In this study, over 400 operational managers were asked, at two different time points and in thirty different local government departments, about what opportunities they have to fulfill their responsibilities and about their perceptions of service performance. The data are factor analyzed, and the proportion of higher level variance of the resulting capacity measure is explored. Findings – Organizational capacity to perform represents a consistent measure that covers essential aspects of the managerial assignment and is empirically distinct, yet positively related to the managers' perceptions of service performance. Results further show that up to 12 percent of the variance in organizational capacity to perform can be attributed to the organization in which managers work. Practical implications – A service-neutral measure of organizational capacity to perform should be useful to strategic managers in organizations as guidance for resource allocation, and for the design of solid organizational structures and support systems for operational managers. Originality/value – Recent public management research indicates that rationalistic management models are often inadequately grounded in the day-to-day practices of operative managerial work. The construct of organizational capacity to perform presented in this study could be a valuable instrument that can bridge this strategic-operational disconnect and provide an insider perspective of the organizational prerequisites that underpin any public service achievement.
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| 7. |
- Bäck-Wiklund, Margareta, 1944, et al.
(författare)
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Are Health Care Organizations Healthy? Quality of Work and Private Life in Northern and Southern Europe
- 2012
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Ingår i: Work and Family Researchers Network Inaugural Conference, June 14-16, 2012, New York City.
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Konferensbidrag (refereegranskat)abstract
- In this paper we study healthy organization and gender through exploring the dual agenda from the perspective of the human service organization. Looking at employee survey data from public hospitals in eight countries across the Europe (Bulgaria, Finland, Germany, Hungary, Netherlands, Portugal, Sweden and the UK), we analyze the empirical support for concept of the healthy organization. Quantitative and qualitative methods have been used in a mixed methods approach, collected across four types of service sector organizations in each participating country (public hospitals, ITC, retail, and bank/insurance), within the framework of the EU project Quality of Life in a Changing Europe (QUALITY). Two case studies of hospitals are selected: one gender equal in average self-reported health status (Sweden) and one where women share a much lower average (Portugal). We explore the dual agenda from two perspectives – the work-household duality (engagement/work-life balance) and workforce-organization duality (social support/life satisfaction). Three hypotheses are advanced: (1) that human service organizations, and the hospital employee in particular, harbour a latent healthy organizations perception, indicated by an individual consistency of social support, life satisfaction engagement, work-life balance; (2) that due to gendered differences, women in medicine share a stronger such healthy organizations perception, and; (3) gender matters for the healthy organizations perception because of work organizational policy, career paths and home related resources. The findings in large verify these hypotheses. Among employees at the eight hospitals across Europe, there is a significant latent dimension of perceiving the healthy organization measure, based on social support, engagement, satisfaction with life and work-life balance, and this construct is significantly higher among women, mainly because of formal work time flex policies, formal supervisory position combined with low education level, and domestic resources that includes the availability of child care and a stronger social network. These findings are further verified/ explored by in depth analysis of our two case studies.
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| 8. |
- Bäck-Wiklund, Margareta, 1944, et al.
(författare)
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Os hospitais são organizações saudáveis? Qualidade de vida no trabalho hospitalar no norte e no sul da Europa : Are healthcare organizations healthy? Quality of life in healthcare work in Northern and Southern Europe
- 2018
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Ingår i: Sociologia, Problemas e Práticas. - 0873-6529. ; 86, s. 45-67
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Forskningsöversikt (refereegranskat)abstract
- From a gender perspective, this article analyses the concept of "healthy organization" through the study of the "dual agenda" of healthcare organizations. Based in the EU funded project "Quality of Life in a Changing Europe", which priviledged a multi-method approach, we analyse data from an extensive survey applied in eight European countries (Germany, Bulgaria, Finland, The Netherlands, Hungary, Portugal, United Kingdom and Sweden) and present two case studies undergone at university public hospitals in Sweden and in Portugal. Results show that the perceptions of what is a healthy organization are developed around the notions of social support, life satisfaction, work engagement and work-life reconciliation. Gender variations are a common feature in each of these dimensions. Organizational policies, professional trajectories and family resources are directly related to these variations.
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| 9. |
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| 10. |
- Johansson, Staffan, 1953, et al.
(författare)
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Power and democratic accountability in strategic coordination bodies - An investigation from Swedish eldercare
- 2017
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Ingår i: Nordic Political Science Association (NOPSA) XVIII Congress. University of Southern Denmark, Odense: 8-11 August 2017.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- The establishment of strategic coordination bodies with members from differernt agencies, belonging to different principals, and are governed by various laws and regulations, can be understood as an answer to the demand for improved coordinated care around citizens with complex needs, e.g frail elderly people. This demand is also an example of the development ‘from government to governance’, but raises important fundamental questions of democratic control and accountability in the modern welfare state. These issues are addressed in current literature on network governance, but are not investigated very much empirically. The overall aim of the paper is to analyze collaboration bodies as a phenomenon in the modern welfare state. The specific aim is to investigate how the members of these governance networks perceive power and accountability, and are held accountable by their principals. The paper is conceptually built on theories of network governance and accountability. The empirical investigation is based on a survey with 981 respondents in 73 different coordination bodies in Sweden. The analysis shows that there seems to be an imbalance between perceived power and perceived demands from different stakeholders to account for the services. It opens up for a discussion of the meaning of the post-liberal state, and new perspectives on accountability and power in the modern welfare state.
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| 11. |
- Kjellberg, Inger, 1959, et al.
(författare)
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Pursuing collaborative advantage in Swedish care for older people: stakeholders' views on trust
- 2020
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Ingår i: Journal of Integrated Care. - 1476-9018. ; 28:3, s. 231-241
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Tidskriftsartikel (refereegranskat)abstract
- Purpose The purpose of this paper is to explore stakeholder views on the policy of integrated health and social care for older people with complex needs in Sweden and the issue of trust in implementing the policy. Design/methodology/approach The study used a qualitative interview design and interviews with nine strategically selected stakeholders. A thematic analysis focused on trust, as defined in the theory of collaborative advantage, was used. Findings This study of health and social care exposed a lack of trust on political, strategic and inter-professional levels. Two opposing lines of argument were identified in the interviews. One advocated a single government authority for health and social care. The other was in accordance with recently implemented national policies, which entailed more collaboration between local government authorities, obliging them to make joint local agreements. The Swedish experience is discussed in an international context, examining the need for collaboration in integrated care services for older people. Research limitations/implications Although the findings are important for the current adjustment in health and social care for older people, the number of interviewees are limited. Future studies will include more regions and longitudinal studies. Originality/value Sweden is currently undergoing an extensive adjustment in line with recent national government policy which involves more primary health care and a corresponding reduction in the number of hospital beds. The restructuring of the care system for older people with complex needs is a paradox, as it simultaneously increases the need for centralisation while also increasing coordination and collaboration on a local basis.
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| 18. |
- Liljegren, Andreas, 1970, et al.
(författare)
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The police and ‘the balance’— managing the workload within Swedish investigation units
- 2021
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Ingår i: Journal of Professions and Organizations. - : Oxford University Press (OUP). - 2051-8811 .- 2051-8803. ; 8:1, s. 70-85
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Tidskriftsartikel (refereegranskat)abstract
- Professionals within street-level organizations are essential for the delivery of public services to citizens. However, among a number of difficult dilemmas, they have to deal with an extensive workload. The police can be seen as a good example of this; they are expected to solve most crimes, including the so-called mass crimes and the more spectacular cases that make it into media headlines, and often on a continually decreasing budget. A key regulating mechanism for investigation departments in the Swedish police is the so-called balance. The balance can be described as a basket in which they put the cases that there is a desire and potential to work on but not in the immediate term. The purpose of this article is to analyse the balance as a way of rationing the workload within the Swedish police. Working with the balance consists of two processes: limiting and buffering the workload. Limiting is the practice of reducing the work in a situation. Buffering is the process of putting some work on hold to deal with later, of which the article identifies five kinds; functional, problematic, quasi, progressive, and symbolic buffering. The exploration of ‘the balance’ contributes to our understanding of how street level organizations attempt to defend their professional jurisdictions, their well-being, and their ability to complete their duties.
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| 19. |
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| 21. |
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Local Elites, Political Capital and Democratic Development: Governing Leaders in Seven European Countries
- 2006
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Samlingsverk (redaktörskap) (övrigt vetenskapligt/konstnärligt)abstract
- This book helps to understand in which ways local governing elites are important for the success or failure of national democratic development. Although we know a great deal about the general importance of civil society and social capital for the development of sustainable democracy, we still know little about what specific local governing qualities or political capital that interact with democratic development. The collected data covers time series of surveys from between 15 to 30 political and administrative leaders in over a hundred middle-sized European and Eurasian cities. The study takes us across the 1980s and 1990s, going from cities in Sweden and the Netherlands - through the Baltic cities - to the cities of Belarus and Russia. The findings show the importance of local political capital based on commitments to core democratic values, informal governance networks, and the significance of initially connecting the community to global, non-economic relationships.
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| 22. |
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| 24. |
- McKelvey, Maureen, 1965, et al.
(författare)
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Collaborative Strategies: How and Why Academic Spin-offs Interact with Engineering University Centers
- 2013
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Ingår i: How Entrepreneurs Do What they Do: Case Study of Knowledge Intensive Entrepreneurship / McKelvey, M. and A.H. Lassen (eds.). - Cheltenham, U.K. : Edward Elgar Publishers. - 9781781005491 ; , s. 34-47
-
Bokkapitel (refereegranskat)abstract
- This chapter follows the management and development of two KIE ventures that are academic spin-offs, in relation to collaborative strategies. The perspective is on how and why academic spin-offs continue to engage in collaborative strategies with engineering centers located at the university. The KIE ventures use the centers to access scientific and technological knowledge, as expected, but they also are interested in accessing other resources and networks to help further develop their research, product and market development. The key message is that networks with research centers at the university help shape the venture. Even after the founding phase, these KIE ventures can use collaborative strategies for research to access resources and ideas – involving scientific and technological knowledge but also market and business knowledge. The results of the chapter help us understand in particular how the venture needs to continue to access resources and ideas, even during the management and development phase of the KIE conceptual model. The KIE ventures are academic spin-offs, heavily involved in the development of technologies, and yet they greatly benefit from these university networks to access market knowledge from other, established firms, and to access business knowledge through the recruitment of experienced managers.
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| 25. |
- McKelvey, Maureen, 1965, et al.
(författare)
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Conceptualizing evolutionary governance routines: governance at the interface of science and technology with knowledge-intensive innovative entrepreneurship
- 2020
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Ingår i: Journal of Evolutionary Economics. - : Springer Science and Business Media LLC. - 0936-9937 .- 1432-1386. ; 30
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Tidskriftsartikel (refereegranskat)abstract
- © 2019, The Author(s). The two main purposes of this article are: 1) To propose a conceptual model for governance at the interface of science and technology with knowledge-intensive innovative entrepreneurship and 2) To develop propositions and propose a future research agenda on evolutionary governance routines. Our proposed conceptualization of governance depends upon an understanding of how different ways of developing rules and norms to interact and make decisions collectively are created and maintained, including two sub-processes. One process is to develop advanced knowledge and the second process is where entrepreneurs transform that knowledge developed as the public good and privatize it through value creation. We propose that a main task for this type of entrepreneur is to manage their engagement in the overall governance in such a way as to be perceived by others as continuing to contribute to the collective action problem. The article provides definitions and propositions in relation to the conceptualization, as well as interesting trajectories for future research.
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| 26. |
- McKelvey, Maureen, 1965, et al.
(författare)
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Governance of Regional Innovation Systems: An Evolutionary Conceptual Model of How Firms Engage
- 2015
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Ingår i: Academy of Management proceedings, Vancouver, Canada. - 0065-0668. ; 2015:2364, s. 1-25
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Konferensbidrag (refereegranskat)abstract
- This paper draws upon insights from social science, in order to propose a conceptualization of the governance of a regional innovation system. We are specifically interested in ones initiated through public policy and aiming to stimulate the competitiveness of firms through developing new technological knowledge through collaborative research involving different organizations. We are assuming firms choose whether, when and how to collaborate. This paper proposes a conceptual model, which focuses upon the governance processes at the regional level of this translation of knowledge into innovation and entrepreneurship. The underlying argumentation for the model is built from existing research. We interpret that regional innovation governance depends upon capacity building among three heterogeneous organizations – namely university-government-industry. This represents a case of a polycentric, adaptive, complex and self-organizing system, whereby collective action is supported by norms and institutions in order to develop a region resource pool. Hence, our expectation is that our conceptual model will help explain why different outcomes are possible. The concluding section discusses a future research agenda, by going further to explore how to define and analyze the attributes (mechanisms) enabling governance of a regional innovation system as well as to analyze how public policy and firms engage.
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| 27. |
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| 28. |
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| 29. |
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| 30. |
- Strömberg, Lars, 1937, et al.
(författare)
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The Swedish National Report
- 1993
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Ingår i: Democracy and Local Governance: Ten Emprirical Studies. - Honolulu : The Matsunaga Institute for Peace, University of Hawai'i. ; , s. 195-224
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 31. |
- Szücs, Stefan, 1964, et al.
(författare)
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Achieving sustainable governance of horizontal integration of care services: progress and democratic accountability of strategic coordination bodies for older people
- 2022
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Ingår i: Journal of Integrated Care. - 1476-9018. ; 30:5, s. 69-82
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Tidskriftsartikel (refereegranskat)abstract
- Purpose The purpose is to analyse the relationship between democratic accountability and how sustainable governance is achieved by horizontally integrating care services for older people through collaboration in a coordination body of key leaders from across the health and social care system. Design/methodology/approach The data and measures come from two surveys with coordination body members in Sweden (politicians, administrators, professionals) from a sample of 73 bodies in 2015 (n = 549) and the same/corresponding 59 bodies in 2019 (n = 389). Findings The governance of integrating care scale and the accountability scales repeatedly show consistency among individual members. Systematic progress is found among large coordination bodies: the greater the average perception of governance of horizontally integrating care in 2015, the greater it was in 2019 – and regardless of the period, the stronger the internal administrative or political monitoring and reviewing of the coordination body, the greater its governance (while the relationship to the external monitoring and reviewing is weak). However, the growing importance of external accountability is indirect, shown by stronger correlations between the internal political and external monitoring and reviewing, regardless of size. Research limitations/implications The scales are based on self-reported perceptions that cannot be objectively verified, but they can be linked to changes in outcomes and user experiences in the later stages of the research. Originality/value Repeatedly verified scales of internal and external accountability for analysing and evaluating governance of integrating care services horizontally, which is useful for improving strategic coordination of integrated care.
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| 32. |
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| 33. |
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| 34. |
- Szücs, Stefan, 1964, et al.
(författare)
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Conclusion: Democracy needs local political capital
- 2006
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Ingår i: Local Elites, Political Capital and Democratic Development: Governing Leaders in Seven European Countries / Szücs, Stefan, Strömberg, Lars. - Wiesbaden : VS Verlag für Sozialwissenschaften, Springer. - 3531150596 ; , s. 315-333
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 35. |
- Szücs, Stefan, 1964, et al.
(författare)
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Cooperation capacity and quality in ageing: A longitudinal study of integrated care
- 2021
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Ingår i: Nordiska kommunforskarkonferensen NORKOM XXX (30th Nordic Conference on Local and Regional Government) Eilert Sundts Hus, Blindern, ISV, University of Oslo, Nov. 25–26, 2021.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- During the last decade, a significant reduction in most of Sweden’s regions' and cooperating municipalities' quality of integrated care services for older persons has occurred, indicated by increasing proportions of unplanned hospital readmissions. Cooperation scope, size and time, may however, constitute important keys for the significant challenge of making integrated care equal and autonomous enough to generate the local-regional capacity needed to implement quality characterized by lower readmission rates. The purpose is to study the continuity and cooperation between health and care providers, which sustain and improve quality of integrated care services for older people, using readmission rates as a quality indicator. The research question is: How is capacity to cooperate related to quality of integrated care: when, where, how, and why does it succeed? We rely on The Swedish National Board of Health and Welfare's data on the proportion of unplanned hospital readmissions within 30 days among older persons living with multi-morbidity 2010-11 and 2018-19 in all 290 municipalities and 21 regions of Sweden, enabling search for systematic patterns of explanation across 60 cases of cooperation between health and care providers in coordination bodies previously surveyed on cooperation capacity in 17 of the 21 Swedish regions for the 2010-14 and 2014-18 terms of office. The aim is to make cooperation work again, after the 2019 decline in quality and after the pandemic.
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| 36. |
- Szücs, Stefan, 1964, et al.
(författare)
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Coping with Citizens and Stress: Interaction Strategies during Public Service Delivery within Health Care, the Police, and Social Work
- 2019
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Ingår i: 3rd Street-level Bureaucracy Conference, Aalborg University, Copenhagen, June 11-13..
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Previous research and theory suggests that frontline workers adapt to workload-related stress in a number of ways, interacting towards or away from citizens, or even against citizens, but what are the actual practices of coping, and how is coping related to stress? The data comes from a web-survey sent to 990 public sector frontline workers in West Sweden during 2018 within the police, health care psychiatry, and social work organizations. The findings show that there are significant differences in stress: highest average level among social workers, followed by police officers, and heath care psychiatry. Four ways of moving towards citizens – through prioritizing motivated clients, rule bending/breaking, instrumental action, or using personal resources – and three ways of moving away from citizens – through aggression, by rationing, or routinizing – are revealed. Prioritizing and aggression are most common within the police, rule bending/breaking and routinizing in social work, and instrumental action within health care, but only instrumental action does not significantly increase stress, on top of individual characteristics and organizational demands and resources.
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| 37. |
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| 46. |
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| 47. |
- Szücs, Stefan, 1964
(författare)
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En vitaliserad kommunal demokrati?
- 2001
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Ingår i: Skilda valdagar och vårval? 1999 års Författningsutredning (SOU 2001:65) Oscarsson, Henrik (red.). - Stockholm : Graphium/Norstedts. - 9138215004 ; , s. 125-157
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 48. |
- Szücs, Stefan, 1964
(författare)
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Explaining Collaborative Performance Success: The Case of Multiple Constituencies’ Coordination Bodies for Frail Elderly Persons in Sweden
- 2018
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Ingår i: EGPA (European Group for Public Administration) Annual Conference in Lausanne, 5-7 September 2018: PSG-GEP 2/4: Performance and Accountability in Public Sector :4. Collaborative Governance and Performance. Time: Thursday, 06/Sep/2018: 4:15pm - 5:45pm Session Chair: Thomas SCHILLEMANS, univ utrecht; t.schillemans@uu.nl (p. 12 in the program).
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Politics of public sector coordination is increasingly carried out in horizontally managed multi-level, multi-issue, and multi-actor coordination bodies for flexible, but sustainable quality coordination of performance. In Sweden, the coordination of public services to frail elderly persons is made by such coordination bodies that include politicians and administrators representing the multiple constituencies of local government’s social services and regional government’s health care, as well as both public and private service providers, and sometimes also representatives of local-regional associations and civic organizations. The research question is: Why do some multiple constituencies’ coordination bodies succeed and others fail? This paper tests hypotheses about how and why the governance through such complex coordination of performance is perceived as successful. The explanatory hypotheses are developed from (1) endogenous theories, seeking to explain success or failure in terms of internal characteristics, processes, and accountability checks made by the body and its members internally, and (2) ecological theories, which emphasize the environment and external accountability checks. The data comes from a survey sent in 2015 to all members in 73 coordination bodies across Sweden (response rate of 63 percent, N=545). The findings show that almost half of the variance in the perception of performance through collaborate quality coordination can be explained by accountability mechanisms stemming from the surrounding internal political and administrative institutions of the coordination body.
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| 49. |
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| 50. |
- Szücs, Stefan, 1964
(författare)
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Explaining Integrated Care Innovation: Highest to Lowest Hospital Readmission Rates among Older Persons by Professional Agency and Awareness-Farness-Fairness in Collaborative Capacity Building
- 2023
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Ingår i: 12th Annual Workshop on Medical Innovation and Healthcare (WOMI) December 13th – 15h, 2023 University of Iceland Reykjavik, Iceland.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Continuity and coordination of care leading to quality are global priorities for reorienting cooperation between health and care providers to meet the needs of people, especially for older persons with chronic or complex conditions. Sweden is particularly interesting from this perspective, with its decentralized non-hierarchical system based on collaboration between service providers operating at the same level, carried out by coordination body representatives sharing the responsibility for local eldercare by 290 municipality councils and regional health care by 21 county councils. This horizontal model–implemented after the Community Care Reform (Ädelreformen), when the governance of eldercare was decentralized from regional to local government level in the early 1990s—is during the last decades increasingly challenged by centralization through vertical network, market, and hierarchy coordination. However, a significant reduction of quality in ageing has occurred during the last decade in all regions–with the unexpected exception of Region Jämtland Härjedalen RJH—clearly indicated by increasing proportions of unplanned hospital readmissions among older persons, followed by the failure to assess and improve integrated care for frail older persons during the COVID19 pandemic. The purpose is to explain how a coordination body like the extreme, unique case of RJH can change and succeed by collaborative capacity building—using readmission rates as a quality in ageing effect indicator. We rely on The Swedish National Board of Health and Welfare's data on the proportion of unplanned hospital readmissions within 30 days among frail older persons living with multimorbidity 2010-11 and 2018-19, enabling the search for systematic patterns of explanation across 52 coordination bodies repeatedly surveyed across 17 regions for the 2011-14, 2015-18, and the 2019-22 terms of office. Interviews were made with five long-lasting local and regional key leaders—administrative, political, professional—representing the only case (collaborating research partner) of improvement—from “worst to best” 2010-2019. They unfold how its public administration’s collaborative capacity building first grew from professional agency awareness to innovation of integrated care, by coping with the region’s geographical-administrative farness and political-economic fairness stemming from civic traditions, and how it is related to the effect of going from unusually high, to unusually low hospital readmission rates among its older frail citizens.
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