Lægreid, Per, Ståle Opedal & Inger Marie Stigen (2005):

The Norwegian Hospital Reform- Balancing Political Control and Enterprise Autonomy.

Journal of Health Politics, Policy and Law, Vol. 30, No. 6, December 2005.

Publikasjonstype:

Tidsskriftsartikkel

Fulltekst:

http://jhppl.dukejournals.org/cgi/reprint/30/6/1027

Omtale:

http://jhppl.dukejournals.org/cgi/content/abstract/30/6/1027

Antall sider:

38

Publiseringsspråk:

Engelsk

NSD-referanse:

2524

Disse opplysningene er sist endret:

20/8 2007

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This essay focuses on the balance between governmental control and enterprise autonomy by examining the Norwegian hospital reform. We describe the enterprise model and give a description of the policy instruments that the government, as owner, has for exercising power and control vis-à-vis the health enterprises. How the trade-off between autonomy and control is experienced and practiced is analyzed from an instrumental, an institutional, and an environmental perspective. The database comprises a survey collected from health enterprise executives and illustrative cases. The trade-off can be characterized as ambiguous and unstable and we ask whether it is possible to achieve a strategy to more appropriately balance the goals of control and autonomy.