Trender som utmanar traditioner. En hälso- och sjukvård i metamorfos

Johan Berlin, Eric Carlström

Abstract


This article reviews the traditions of the health care industry while challenged by trends. Strong professions, ambiguous and contradictory aims, and a lack of resources have contributed to difficulties managing contradictory needs. One way to handle the situation is to introduce systems based on freedom of choice, inter organisational and professional work, and an improved degree of flexibility. The trends are mainly influenced by New Public Management control models. The mixture of new and traditional types of management control has produced organisational hybrids. These organisational hybrids have contributed to organisational tensions from the old as well as the new in an inconsistent but regenerating way.


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Scandinavian Journal of Public Administration

School of Public Administration, Box 712 - SE-405 30 Göteborg

ISSN: 2001-7405, E-ISSN: 2001-7413