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The double spiral o...
The double spiral of change : experiences of privatization in a Swedish hospital
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- Kullén Engström, Agneta (author)
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Axelsson, R (author)
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(creator_code:org_t)
- 2010-06-10
- 2010
- English.
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In: International Journal of Health Planning and Management. - : John Wiley & Sons Ltd.. - 0749-6753 .- 1099-1751. ; 25:2, s. 156-168
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Subject headings
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- ObjectivesPrivatization is a trend in countries with a public health system. It involves organizational change, a cultural transformation and changes for the employees as well as a more strictly controlled work. The objective of this study is to describe, analyse and interpret how privatization is perceived by the employees of a health care organization in Sweden. Methodology In-depth interviews have been performed with physicians, paramedics, secretaries, nurses, assistant nurses and local managers, in all 14 respondents, after a private entrepreneur had taken over the management of a hospital. The interviews were tape-recorded and have been analysed and interpreted following a grounded theory approach. Findings The transcribed interviews show that trust is a core category and linked with emotions, commitment and security. The analysis shows that employees' experience of privatization within a health care organization differs and is full of nuances and complexities. Conclusion A simultaneous virtuous and a vicious circle of experiences and reactions may describe how employees experience privatization. It can also be concluded that leadership is an important factor in the success of organizational change.
Keyword
- health care
- privatization
- employees' experiences
- qualitative method
Publication and Content Type
- ref (subject category)
- art (subject category)
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