| 1. |
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| 2. |
- Aidemark, Lars-Göran, et al.
(author)
-
Ledarskap och mätning i sjukvården
- 2008
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In: Kommunal ekonomi och politik. - 1402-8700. ; 12:1, s. 7-33
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Journal article (peer-reviewed)
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| 3. |
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| 4. |
- Aidemark, Lars-Göran, 1979-, et al.
(author)
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Measurement and health care management
- 2009
-
In: Financial Accountability and Management. - Oxford : Blackwell publishing. - 0267-4424 .- 1468-0408. ; 25:2, s. 253-276
-
Journal article (peer-reviewed)abstract
- Over recent decades many health care organisations have "modernised" their management accounting systems by using the balanced scorecard (BSC). However, public health care involves multi-dimensional goals and resolving conflicts of interest. The question is whether a management control system based on measurements is suitable in a health care context. Light can be shed on this question using a study of the application of a BSC over a ten-year period at Hogland Hospital. The study shows that the BSC and measurements of output and behaviour became a way of approaching unanswered questions about processes and quality development. Medical professionals with management responsibility, in co-operation with medical professionals responsible for different specialities, determined measures and targets and the measurements were integrated into activity processes and affected activities.
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| 5. |
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| 6. |
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| 7. |
- Aidemark, Lars-Göran, et al.
(author)
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The importance of balanced scorecards in hospitals
- 2010
-
In: Performance measurement and management control. - : Emerald Group Publishing Limited. - 9781849507240 ; , s. 363-385
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Book chapter (other academic/artistic)
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| 8. |
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| 9. |
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| 10. |
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| 11. |
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| 12. |
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| 13. |
- Einarsdottir, Berglind Osk, 1979, et al.
(author)
-
A patient-derived xenograft pre-clinical trial reveals treatment responses and a resistance mechanism to karonudib in metastatic melanoma
- 2018
-
In: Cell Death & Disease. - : Springer Science and Business Media LLC. - 2041-4889. ; 9:8
-
Journal article (peer-reviewed)abstract
- Karonudib (TH1579) is a novel compound that exerts anti-tumor activities and has recently entered phase I clinical testing. The aim of this study was to conduct a pre-clinical trial in patient-derived xenografts to identify the possible biomarkers of response or resistance that could guide inclusion of patients suffering from metastatic melanoma in phase II clinical trials. Patient-derived xenografts from 31 melanoma patients with metastatic disease were treated with karonudib or a vehicle for 18 days. Treatment responses were followed by measuring tumor sizes, and the models were categorized in the response groups. Tumors were harvested and processed for RNA sequencing and protein analysis. To investigate the effect of karonudib on T-cell-mediated anti-tumor activities, tumor-infiltrating T cells were injected in mice carrying autologous tumors and the mice treated with karonudib. We show that karonudib has heterogeneous anti-tumor effect on metastatic melanoma. Thus, based on the treatment responses, we could divide the 31 patient-derived xenografts in three treatment groups: progression group (32%), suppression group (42%), and regression group (26%). Furthermore, we show that karonudib has anti-tumor effect, irrespective of major melanoma driver mutations. Also, we identify high expression of ABCB1, which codes for p-gp pumps as a resistance biomarker. Finally, we show that karonudib treatment does not hamper T-cell-mediated anti-tumor responses. These findings can be used to guide future use of karonudib in clinical use with a potential approach as precision medicine.
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| 14. |
- Funck, Elin, 1979, et al.
(author)
-
25 years of studying New Public Management: Accomplishments and limitations
- 2018
-
In: The 22nd Annual International Research Society for Public Management (IRSPM) Conference. Edinburgh, Scotland: 11-13 April.
-
Conference paper (other academic/artistic)abstract
- 25 years ago, Christopher Hood made a substantial contribution to public administration research in his formulation of the concept New Public Management (NPM). In many ways, his article can be understood as an enabler of research focusing on public sector reforms. To this day, numerous articles and books have been published, discussing the concept itself and the empirical phenomenon. In celebration of this anniversary, this article revisits the current knowledge through a systematic literature review of 299 articles published between 1991 and 2016. This approach enables a meta-analysis of research published in five top-ranked international public administration journals. We identify four important themes as emerging from our review; (i) a reform with a vague intention, (ii) the limping concept, (iii) the one- sided perspective and (iv) NPM as the new norm. An important effect of this is that Hoods framework may have been curtailed, leading to a distorted knowledge-base when it comes to future studies.
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| 15. |
- Funck, Elin, et al.
(author)
-
Det medicinska professionella fältet
- 2019. - 1
-
In: Ett professionellt landskap i förvandling. - Lund : Studentlitteratur AB. - 9789144122274 ; , s. 271-306
-
Book chapter (peer-reviewed)
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| 16. |
- Funck, Elin, et al.
(author)
-
Ett års erfarenheter av mobilt team närsjukvård Landskrona -fortsatt positiva tongångar
- 2024
-
Reports (other academic/artistic)abstract
- Föreliggande rapport kan ses som en fortsättning på uppföljningen av nära vård och mobila team som redovisas i KEFU rapporten; Samordnad och personcentrerad vård i hemmet - En fallstudie av Mobilt team Närsjukvård Landskrona” (KEFU rapport 2023:1). Uppföljningen av pilotprojektets första fem månader i Landskrona visade på många positiva effekter. Föreliggande rapports uppföljning efter ett års erfarenheter av verksamheten i Landskrona visar på fortsatta positiva signaler. Det rika empiriska underlagets budskap kan betraktas vara både glädjande och förvånande. Forskningen visar å ena sidan på att samverkan för omställning till nära vård är både eftersträvansvärt och nödvändigt men å andra sidan synnerligen komplicerad och svår att beskriva i effekttermer. För att stödja huvudmännens fortsatta arbete när vårdformen 2024 rullas ut i övriga Skåne skickar författarna med ett antal medskick till berörda huvudmän i rapportens avslutande diskussion. Ett sådant medskick är att inte i för hög grad detaljstyra vårdformens strukturer, processer och rutiner. Förutsättningarna varierar i Skåne och vårdformen behöver sannolikt lokala anpassningar och med ett förtroendebaserat förhållningsätt är professionen vanligtvis väl rustade för att lösa dessa anpassningar på ett klokt sätt.
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| 17. |
- Funck, Elin, et al.
(author)
-
Fyra starka trender efter NPM
- 2019
-
In: Kommunal ekonomi. - 0282-0099. ; :3
-
Journal article (pop. science, debate, etc.)
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| 18. |
- Funck, Elin, et al.
(author)
-
Governance innovation as social imaginaries: challenges of post-NPM
- 2023
-
In: Public Management Review. - 1471-9037 .- 1471-9045.
-
Journal article (peer-reviewed)abstract
- The effects of NPM have been criticized for decades and we are now seeing how alternative, post-NPM, governance innovations emerge. What joins these innovations is the critique against NPM and the ambition to provide new ways of governing public organizations. From a critical stance, we engage in a discussion of governance innovations from the perspective of social imaginaries and analyse post-NPM from dystopian and utopian viewpoints. We argue that the main legitimacy for post-NPM lies in it demonizing NPM, whereas a more fruitful way forward would entail incorporating elements of NPM to create a holistic governance model for the future.
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| 19. |
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| 20. |
- Funck, Elin K., 1979-, et al.
(author)
-
25 years of (studying) New Public Management : trends, accomplishments and dilemmas in top ranked journals
- 2018
-
In: Paper presented at the 22nd Annual IRSPM Conference, Edinburgh, UK, April 11-13, 2018. - : The International Research Society for Public Management (IRSPM). ; , s. 1-43
-
Conference paper (peer-reviewed)abstract
- 25 years ago, Christopher Hood made a substantial contribution to public administration research in his formulation of the concept New Public Management (NPM). In many ways, his article can be understood as an enabler of research focusing on public sector reforms. To this day, numerous articles and books have been published, discussing the concept itself and the empirical phenomenon. In celebration of this anniversary, this article revisits the current knowledge through a systematic literature review of 299 articles published between 1991 and 2016. This approach enables a meta-analysis of research published in five top-ranked international public administration journals. We identify four important themes as emerging from our review; (i) a reform with a vague intention, (ii) the limping concept, (iii) the one-sided perspective and (iv) NPM as the new norm. An important effect of this is that Hoods framework may have been curtailed, leading to a distorted knowledge-base when it comes to future studies.
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| 21. |
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| 22. |
- Funck, Elin K., 1979-
(author)
-
Audit as Leviathan : Constructing Quality Registers in Swedish Health Care
- 2015
-
In: Financial Accountability and Management. - : John Wiley & Sons. - 0267-4424 .- 1468-0408. ; 31:4, s. 415-438
-
Journal article (peer-reviewed)abstract
- This paper explores the rise of an audit practice: the national quality registers in Swedish health care. Based on actor-network theory, the study tells the story of an actor-network formed by physicians in the 1970s who mobilized themselves around a common object; to develop the knowledge-base of medical professionals. However, over time more actors became persuaded of the potential of the network and associate themselves with it, resulting in reformed registers. The study shows how the network develops into a macro-actor, a Leviathan in health care, how this macro-actor comes to affect health care practices and how it contributes towards maintaining a new governance regime.
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| 23. |
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| 24. |
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| 25. |
- Funck, Elin K., 1979-
(author)
-
En kur för sjukvården
- 2018
-
In: Nio-fem : tidskrift om arbetsliv & profession. - Stockholm : TAM-Arkiv. - 2001-9688. ; :1, s. 20-23
-
Journal article (pop. science, debate, etc.)
|
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| 26. |
|
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| 27. |
- Funck, Elin K., 1979-, et al.
(author)
-
Fyra starka trender efter NPM
- 2019
-
In: Kommunal Ekonomi. - Vallentuna : Kommunalekonomernas förening. - 0282-0099. ; :3, s. 37-38
-
Journal article (pop. science, debate, etc.)abstract
- I efterdyningarna av New Public Management finns ett behov av att förändra synen på organisering och styrning av den offentliga sektorn. Ett samlingsbegrepp för de nya teorierna kring styrning och organisering av offentlig sektor är post-NPM. I en nyligen publicerad rapport diskuterar Elin K. Funck och Tom S. Karlsson fyra starka trender inom ramen för området.
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| 28. |
- Funck, Elin K., Docent, 1979-, et al.
(author)
-
Handbok för systematiska litteratur- och dokumentstudier inom samhällsvetenskapen
- 2021
-
Reports (other academic/artistic)abstract
- Denna rapport syftar till att inspirera studenter (och forskare) att pröva på att använda systematiska litteratur- och dokumentstudier i sina uppsatser. Rapportens struktur följer en generell arbetsprocess för en uppsats som använder dessa metoder. Faser som planering, genomförande och sammanställning av studier beskrivs och problematiseras. I rapporten exemplifieras och konkretiseras de metodologiska diskussionerna med syften, frågeställningar, teoretiska inramningar, resultatbeskrivningar och analyser hämtade från såväl studenters uppsatser som vår egen forskning. En viktig del i rapporten är synliggörandet av studenters egna röster och åsikter. Tidigare studenter har bjudits in att för att reflektera över sitt arbete med litteratur- eller dokumentstudier. Studenternas reflektioner har vävts in löpande i rapporten, men redovisas också separat i ett eget kapitel.
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| 29. |
- Funck, Elin K., 1979-, et al.
(author)
-
Management control in circular economy : exploring and theorizing how organizations work with and adopt their management control to circular business models
- 2018
-
In: Paper presented at the 14th Asia Pacific Management Accounting Association Annual Conference, Tokyo, Japan, October 29-31, 2018, Asia Pacific Management Accounting Association , 2018. - : Asia Pacific Management Accounting Association.
-
Conference paper (peer-reviewed)abstract
- A growing body of literature argues than an organizations management control needs to adapt as an organization changes business model or strategy in order for the management control to be consistent with the organizations objectives and strategies. Nevertheless, scepticism has been raised about the role of management controls in practice to promote sustainability or circular economy within organizations. Based on the management control framework of Malmi and Brown (2008), this paper explores empirically how organizations work with circular economy and how management control adapts to the business model. The results show that circular economy can be practiced in different ways and that adaptation and the application of circular economy affect the whole management control package. The paper identify the importance of cultural control and long range planning for communicating circular values and spreading a culture based on circular principles. However, irrespectively of what circular strategies that are used, circular work tends to steer the attention to the early phases of the product life cycle. For management controls this means that action plans, cost accounting, and investment appraisals must reflect a higher level of detail and a longer time horizon. The paper highlights how this is associated with challenges for traditional management controls.
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| 30. |
- Funck, Elin K., 1979-
(author)
-
Ordination Balanced Scorecard : översättning av ett styrinstrument inom hälso- och sjukvården
- 2009
-
Doctoral thesis (other academic/artistic)abstract
- This study examines the implementation of Balanced Scorecard (BSC) in health care organisations. BSC, a management control model based on measurements in different perspectives, has become one of the most popular performance measurement models during the last two decades and widely adopted in practice. However, studies have noticed that models are rarely used in the same way in different settings. From the perspective of Scandinavian institutionalism, a model that is moved from one place to another has been "translated." Translation is a process in which an abstract idea is transferred into an object, developed into practical use, and stabilised into an institution. The purpose of this study is to contribute to the understanding of how a management control model influences and is influenced by the medical professional context. The ambition is to investigate how BSC has been translated in the Swedish and the Canadian health care contexts. Furthermore the purpose is to develop our understanding of measurements in professional organisations and to develop our understanding of the translation process. The study shows that the main purpose of implementing BSC in the health care organisations is to support improvements in the quality of care. Whereas a free translation process in the Swedish case allowed actors to interpret and reinterpret the model and to create specific performance measurements for reporting professional performance, a controlled translation process in the Canadian case resulted in medical professionals being unable to reinterpret the model. Instead, BSC came to represent the private company's way of acting, declaring disciplinary accountability and shifting interest from public administration and towards the business firm. Based on the findings, this study stresses that a model can materialize both in the forms of practical use and talk, and that different translations can result in disputes and negotiations among actors with different interests. This study also analyses and develops the concept of transparency, and suggests that actors will use different performance measurements depending on what type of transparency (openness, visibility or hyaline) is requested. Finally, it is suggested that disciplinary accountability may result in actors focusing on finding the perfect measurements, whereas socializing form of accountability may create a greater focus on reciprocal accountability for improvements.
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| 31. |
- Funck, Elin K., 1979-, et al.
(author)
-
Post-NPM, vad är det? : Trender och empiriska iakttagelser kring alternativa idéer för den offentliga sektorn
- 2018
-
Reports (other academic/artistic)abstract
- I den här texten diskuterar vi det begrepp som kommit att dyka upp mer och mer i såväl litteratur som i debatt: post-NPM. Vi vet av litteraturen att det handlar om något distinkt annorlunda från NPM, men det är ofta mer otydligt vad detta ’annorlunda’ egentligen är. Vi genomför en litteraturöversikt där vi beskriver fyra starka trender inom ramen för post-NPM: (1) New Public Governance, (2) Public Service Logic, (3) Public Value Management och (4) Digital-Era Governance. Syftet är att beskriva och analysera vad post-NPM är för något, hur det är annorlunda från NPM samt hur (eller om) det kommit att ta sig empiriskt uttryck i en svensk kontext.Med förankring i såväl internationell litteratur som svensk empirisk kontext, drar vi slutsatserna att post-NPM erbjuder nya sätt att se på och förstå hur den offentliga välfärdsproduktionen ska erbjudas, vad som ska erbjudas och varför välfärdsproduktionen ska erbjudas på detta sätt. Även om post-NPM erbjuder många nya perspektiv, visar vi i den här texten på hur dessa kommit att vara starkt färgade av de dominerande NPM-uttrycken. Vi menar att där post-NPM kommit att erbjuda sådana nya perspektiv så har de i första hand handlat om en samhällsövergripande nivå, där diskussionen kommit att handla om organisering i första hand. När det istället handlar om styrning av verksamheter återfinner vi idéer som är tydligt sprungna ur NPM-reformer.En slutsats kring detta är att är att NPM och post-NPM fokuserar på delvis olika nivåer och därför med fördel kan förstås som kompletterande snarare än konkurrerande begrepp. I likhet med annan litteratur på området, menar vi att NPM och post-NPM skulle kunna kombineras för att skapa en tydligare struktur för organisering av välfärdstjänster, samtidigt som vi vidmakthåller behovet och förmågan till styrning och ansvarsutkrävande. En sådan kombination skulle kunna medföra en mer inkluderande offentlig sektor, där offentliga resurser och kollektiva nyttigheter används smart och effektivt.
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| 32. |
- Funck, Elin K., 1979-
(author)
-
Professional archetype change : The effects of restricted professional autonomy
- 2012
-
In: Professions & Professionalism. - : Hoegskolen i Oslo og Akershus. - 1893-1049. ; 2:2, s. 1-18
-
Journal article (peer-reviewed)abstract
- One of the points on which researchers agree is the centrality of autonomy to professionalism. Moreover, a common conclusion in the studies of professions is that the profound changes in society over the last fifty years have threatened the autonomy and changed the archetype of professionalism. This paper contributes to the research on changes and continuities, challenges and opportunities for professionalism by discussing advantages and disadvantages of restricted professional autonomy. By describing the historical development in the Swedish and Canadian healthcare context, two major findings are discussed. First, although medical professionals have been subjected to certain constraints, they still appear to maintain a relatively high level of autonomy concerning the technical content of the work. Second, restricting professional autonomy is not negative merely due to the preservation of the professional archetype; rather, a «reasonable» limitation can be positive if professional autonomy is understood as a contract based on public trust.
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| 33. |
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| 34. |
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| 35. |
- Funck, Elin K.
(author)
-
The balanced scorecard equates interests in healthcare organizations
- 2007
-
In: Journal of Accounting & Organizational Change. - : Emerald, Bradford. - 1832-5912. ; 3:2, s. 88-103
-
Journal article (peer-reviewed)abstract
- Abstract:Purpose – This paper investigates how the balanced scorecard (BSC) has been translated to fit the public healthcare environment. The paper discusses how the context, consisting of politicians, administrators, and medical professionals has influenced the design and function of the BSC.Design/methodology/approach – A qualitative case study approach involving semi-structured interviews were conducted with key informants on the political, administrative, and medical professional levels of a Swedish county council.Findings – The study indicates that different interests are made visible within the perspectives of the BSC without giving priority to one interest over another. Thus, the BSC plays an important role in the formation of an equal relationship between organizational interests.Originality/value – This paper contributes to the accounting change literature by identifying a function of the BSC that has not been observed previously within the public healthcare context.
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| 36. |
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| 37. |
- Funck, Elin K., 1979-
(author)
-
The expert in health care
- 2012
-
In: 7th International conference on accounting, auditing and management in public sector reforms, Milan, september 4-6, 2012..
-
Conference paper (peer-reviewed)
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| 38. |
|
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| 39. |
- Funck, Elin K., Docent, 1979-, et al.
(author)
-
The persuation of performative technologies : constructing calculating selves in universities
- 2020
-
In: Presented at the 80th Annual Meeting of the Academy of Management, Virtual, August 7-11, 2020. - : Academy of Management.
-
Conference paper (peer-reviewed)abstract
- In recent decades there has been an avalanche of numbers in public life and academia is no exception. Among Business Schools the competition for status has forced them to apply for various accreditations. While the number of studies pointing to the fact that increased reliance on performative technologies (PT) tends to challenge the academic ethos is quite large, less attention has been paid to the process of how the technologies becomes so powerful that they starts to appeal to the inner mentalities of the professionals. This paper address this by casting lights on an AACSB accreditation process at a Swedish university and how it takes on different roles as it (un)consciously lure people to internalise the underlying logics and construct calculating selves. By applying the CMIS-framework (Englund & Gerdin, 2019) the purpose is to explore the different roles and psychological mechanisms that the PT play and appeal to. The results demonstrate how different roles and psychological mechanisms appear in different stages of the construction process. Early on the PT allows individuals to realise themselves; thereby persuading them to conduct different forms of subjectivising work upon themselves. However, as the PT is put into practice the repressive and coercive forces become more perceptible."
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| 40. |
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| 41. |
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| 42. |
- Funck, Elin K., 1979-, et al.
(author)
-
Twenty-five years of studying new public management in public administration: Accomplishments and limitations
- 2020
-
In: Financial Accountability and Management. - : Wiley. - 0267-4424 .- 1468-0408. ; 36:4, s. 347-375
-
Journal article (peer-reviewed)abstract
- In 1991, Christopher Hood made a substantial contribution to pub- lic administration research when he formulated the concept of new public management (NPM). His article can in many ways be understood as an enabler of research focused on public sector reforms. To this day, numerous articles and books have been published, discussing the concept itself and the empirical phenomenon. In celebration of the 25-year period since the concept of NPM was introduced, this article revisits the current knowledge through a systematic literature review of 299 articles published between 1991 and 2016. This approach enables a meta-analysis of research published in five topranked international public administration journals. We identify four important themes as emerging from our review: (a) a reform with a vague intention, (b) the limping concept, (c) the one-sided perspective, and (d) NPM as the new norm. An important effect of this is that Hood’s framework may have been curtailed, leading to a distorted knowledge base when it comes to future studies.
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| 43. |
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| 44. |
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| 45. |
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| 46. |
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| 47. |
- Funck, Elin, et al.
(author)
-
The persuasion of performative technologies : constructing calculating selves in universities
- 2024
-
In: Journal of Accouting & Organizational Change. - : Emerald Group Publishing Limited. - 1832-5912 .- 1839-5473.
-
Journal article (peer-reviewed)abstract
- PurposeThis paper aims to investigate the process by which performative technologies (PTs), in this case accreditation work in a business school, take form and how humans engage in making up such practices. It studies how academics come to accept and even identify with the quantitative representations of themselves in a translation process.Design/methodology/approachThe research involved a longitudinal, self-ethnographic case study that followed the accreditation process of one Nordic business school from 2015 to 2021.FindingsThe findings show how the PT pushed for different engagements in various phases of the translation process. Early in the translation process, the PT promoted engagement because of self-realization and the ability for academics to proactively influence the prospective competitive milieu. However, as academic qualities became fabricated into numbers, the PT was able to request compliance, but also to induce self-reflection and self-discipline by forcing academics to compare themselves to set qualities and measures.Originality/valueThe paper advances the field by linking five phases of the translation process, problematization, fabrication, materialization, commensuration and stabilization, to a discussion of why academics come to accept and identify with the quantitative representations of themselves. The results highlight that the materialization phase appears to be the critical point at which calculative practices become persuasive and start influencing academics' thoughts and actions.
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| 48. |
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| 49. |
- Johnsson, Eva, 1954-, et al.
(author)
-
Den professionella blicken-bedömningar i socialt arbete.
- 2008
-
In: När den professionella autonomin blir ett problem. - Växjö : Växjö University Press. - 1404-4307. - 9789176366363 ; Acta Wexionensia 161, s. 85-99
-
Reports (other academic/artistic)
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| 50. |
- Jonnergård, Karin, et al.
(author)
-
När professionell heteronomi blir ett problem
- 2008
-
In: När den professionella autonomin blir ett problem. - Växjö : Växjö University Press. - 9789176366363
-
Book chapter (other academic/artistic)
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