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  • 551.
    Ödalen, Jörgen
    Linköping University, Department of Management and Engineering, Political Science. Linköping University, Faculty of Arts and Sciences.
    Kan en stat gå under, men ändå finnas kvar?: Stigande havsnivåer och avterritorialiserade östater2015In: Tidskrift för politisk filosofi, ISSN 1402-2710, no 2, p. 26-43Article in journal (Other academic)
    Abstract [sv]

    Det finns en risk att klimatförändringar i framtiden leder till att hela stater går under. Det är framförallt små östater som är utsatta för detta hot eftersom de är känsliga för höjningar av havsvattennivån. Att befolkningarna på dessa östater kan bli tvungna att i framtiden helt överge sina territorier väcker frågor om vad som händer med dessa staters suveränitet och politiska självbestämmande.

    Vi tänker oss vanligen att det krävs ett territorium för att ett folk ska kunna vara politiskt självbestämmande. Men är detta verkligen nödvändigt? Vissa folkrättsjurister har hävdad att det är möjligt för ett folk att fortsätta utöva självbestämmande även efter att de tvingats överge sitt territorium. De har dessutom föreslagit att detta att tillåta existensen av avterritorialiserade stater kan vara en lösning på problemet att klimatförändringar i framtiden kan komma att undergräva självbestämmandet för vissa östater.

    I denna artikel granskas detta förslag kritiskt. Skulle ett sådant förslag verkligen bevara självbestämmande i någon meningsfull betydelse? Är förslaget moraliskt acceptabelt i betydelsen att det fullgör några av de skyldigheter som det

  • 552.
    Ödalen, Jörgen
    Linköping University, Department of Management and Engineering, Political Science. Linköping University, Faculty of Arts and Sciences.
    The Rights of Climate Change Migrants2014Conference paper (Other academic)
  • 553.
    Ödalen, Jörgen
    Linköping University, Department of Management and Engineering, Political Science. Linköping University, Faculty of Arts and Sciences.
    Underwater self-determination: Sea-level rise and deterritorialized Small Island States2014In: Ethics, Policy & Environment, ISSN 2155-0085, E-ISSN 2155-0093, Vol. 17, no 2, p. 225-237Article in journal (Refereed)
    Abstract [en]

    Global climate change is likely to become a major cause of future migration. Small Island States are particularly vulnerable since territorial destruction caused by sea level rise poses a threat to their entire existence. This raises important issues concerning state sovereignty and self-determination. Is it possible for a state to remain self-determining even if it lacks a stable population residing on a specific territory? It has been suggested that migrants from disappearing Small Island States could continue to exercise sovereign control over their abandoned territory. Such an arrangement would allow them to retain a measure of self-determination. The question posed in this paper is whether this ‘deterritorialized state proposal’ is conceptually plausible and normatively acceptable. It is argued that the proposal is conceptually plausible if we adopt a gradual understanding of ‘self-determination’, but that its normative acceptability is weak even if it is supplemented with compensatory measures.

  • 554.
    Ödalen, Jörgen
    et al.
    Linköping University, Department of Management and Engineering, Political Science. Linköping University, Faculty of Arts and Sciences.
    Bromesson, Douglas
    Department of Political Science, Lund University, Lund, Sweden.
    Erlingsson, Gissur Ó
    Linköping University, Department for Studies of Social Change and Culture, Centre for Municipality Studies – CKS. Linköping University, Faculty of Arts and Sciences.
    Karlsson Schaffer, Johan
    School of Global Studies, University of Gothenburg, Gothenburg, Sweden.
    Fogelgren, Mattias
    Swedish Ministry of Finance, Stockholm, Sweden.
    Teaching university teachers to become better teachers: the effects of pedagogical training courses at six Swedish universities2019In: Higher Education Research and Development, ISSN 0729-4360, E-ISSN 1469-8366, Vol. 38, no 2, p. 339-353Article in journal (Refereed)
    Abstract [en]

    Do pedagogical training courses for university teachers have desirable effects on the participants? We set out to answer this question by following a panel of 183 university teachers from Sweden’s six largest universities, who participated in pedagogical training courses. Our study reveals that the participants’ self-reported confidence in their role as teachers increased slightly, and their self-assessed pedagogical skills increased notably after they had finished their courses. Even though the courses were rather short, we could also observe some changes in fundamental approaches to teaching in some of the subgroups of respondents, both toward more student-centeredness and, perplexingly, toward more teacher-centeredness. Additionally, most respondents (7 out of 10) found the courses useful or very useful. Course satisfaction was most notable among participants with less than three years of teaching experience. Considering the fact that we find the positive effects of pedagogical training courses to be present mainly in the group of participants with less than three years of teaching experience, we discuss whether a policy of making these courses mandatory for all university teachers implies an overestimation of their impact.

  • 555.
    Ödalen, Jörgen
    et al.
    Linköping University, Department of Management and Engineering, Political Science. Linköping University, Faculty of Arts and Sciences.
    Heyward, Clare
    University of Warwick.
    A Free Movement Passport for the Territorially Dispossessed2014Conference paper (Other academic)
    Abstract [en]

    There is a significant risk that some Small Island States will become uninhabitable due to sea level rises, driven by anthropogenic climate change. Should this happen, citizens of such states will be forced to migrate but, under the current system of international law, these migrants could become stateless. In this article we propose that migrants from threatened island states (the territorially dispossessed) should be provided with a “Passport for the Territorially Dispossessed” (PTD). A PTD also gives its holder a right to free movement and a right to choose their new nationality. The PTD proposal has an advantage over competing suggestions that states should admit a set proportion of these migrants. Quota schemes will generally fail to appropriately compensate the territorially dispossessed. The principle of free choice, by contrast, allows them to retain a measure of control over their destiny and to migrate with dignity.

  • 556.
    Öhrvall, Richard
    Linköping University, Department of Management and Engineering, Political Science. Linköping University, Faculty of Arts and Sciences. Institutet för Näringslivsforskning (IFN).
    Growing into Voting: Election Turnout among Young People and Habit Formation2018Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    This thesis contains an introduction and four essays that together address the issues of turnout and habitual voting. Although voting is less unequal than other forms of political participation, it is still biased in favour of more socially affluent citizens.  One way to achieve more equal participation is to increase the general turnout. This is the implication of the `law of dispersion', formulated by Tingsten in 1937, which states that as turnout increases, participatory equality also increases. In Essay I, co-written with Mikael Persson and Maria Solevid, we revisit Tingsten's law and find new empirical support for it.

    One possible path to improving general turnout is the formation of voting habits. It is argued by some scholars that voting is a habit formed early on in life, when young people encounter their first elections after coming of age. It is, however, still a matter of debate as to whether voting is an act of habit. Three of the four essays in this thesis tackle this question in various ways. In Essay II, I study voting among young people who encounter their first election in different social contexts depending on their age, and how these differing contexts affect their propensity to vote in their first and second election. In Essay III, I examine whether experiencing a European Parliament election with a low turnout as a first election affects the likelihood of casting a vote in a subsequent national parliamentary election. In Essay IV, co-written with Sven Oskarsson, we study student mock elections, which constitute the first, albeit hypothetical, election experience for many young people.

    The main result is that the first election a young person faces is not as important as has been claimed in previous research. Regardless of whether the initial experience takes place in a context that encourages turnout or the first election encountered is a low-stimulus election that fails to draw crowds to the polls, there is no substantial impact on turnout in subsequent elections. One implication of this finding is that lowering the voting age is not likely to increase voting rates, not even in the longer term.

    List of papers
    1. Voter Turnout and Political Equality: Testing the ‘Law of Dispersion’ in a Swedish Natural Experiment
    Open this publication in new window or tab >>Voter Turnout and Political Equality: Testing the ‘Law of Dispersion’ in a Swedish Natural Experiment
    2013 (English)In: Politics, ISSN 0263-3957, E-ISSN 1467-9256, Vol. 33, no 3, p. 172-184Article in journal (Refereed) Published
    Abstract [en]

    According to the ‘law of dispersion’, the level of inequality in political participation is higher when voter turnout is low. We empirically test this hypothesis by evaluating levels of voter turnout in the 2010 Swedish election to the Västra Götaland county council and in the 2011 re-election for the same county council. The re-election voter turnout was reduced by almost half, from 80.6 per cent to 44.1 per cent. Our results support the law of dispersion: the level of inequality in participation substantially increased between young and old, rich and poor, low and high educated and politically interested and uninterested.

    Keywords
    voter turnout, voter participation, political equality, law of dispersion, re-elections
    National Category
    Political Science (excluding Public Administration Studies and Globalisation Studies)
    Identifiers
    urn:nbn:se:liu:diva-124361 (URN)10.1111/1467-9256.12012 (DOI)
    Available from: 2016-01-27 Created: 2016-01-27 Last updated: 2018-08-14
    2. Practice makes voters?: Effects of student mock elections on turnout
    Open this publication in new window or tab >>Practice makes voters?: Effects of student mock elections on turnout
    2019 (English)In: Politics, ISSN 0263-3957, E-ISSN 1467-9256, p. 1-7Article in journal (Refereed) Epub ahead of print
    Abstract [en]

    Student mock elections are conducted in schools around the world in an effort to increase political interest and efficacy among students. There is, however, a lack of research on whether mock elections in schools enhance voter turnout in real elections. In this article, we examine whether the propensity to vote in Swedish elections is higher among young people who have previously experienced a student mock election. The analysis is based on unique administrative population-wide data on turnout in the Swedish 2010 parliamentary election and the 2009 European Parliament election. Our results show that having experienced a mock election as a student does not increase the likelihood of voting in subsequent real elections. This result holds when we study both short- and long-term effects, and when we divide our sample into different parts depending on their socio-economic status and study each part separately.

    Place, publisher, year, edition, pages
    Sage Publications, 2019
    Keywords
    education, political inequality, student mock elections, voter turnout
    National Category
    Political Science
    Identifiers
    urn:nbn:se:liu:diva-161089 (URN)10.1177/0263395719875110 (DOI)000491638600001 ()
    Funder
    EU, European Research CouncilSwedish Research Council
    Note

    Funding agencies: Swedish Research CouncilSwedish Research Council; European Research CouncilEuropean Research Council (ERC)

    Available from: 2019-10-21 Created: 2019-10-21 Last updated: 2019-11-05Bibliographically approved
  • 557.
    Öhrvall, Richard
    Linköping University, Department of Management and Engineering, Political Science. Linköping University, Faculty of Arts and Sciences. Statistiska centralbyrån (SCB).
    Svenskt valdeltagande under hundra år2012Report (Other academic)
  • 558.
    Öhrvall, Richard
    Linköping University, Department of Management and Engineering, Political Science. Linköping University, Faculty of Arts and Sciences. Statistiska centralbyrån (SCB).
    Valdeltagande vid omvalen 20112012Report (Other academic)
  • 559.
    Öhrvall, Richard
    Linköping University, Department of Management and Engineering, Political Science. Linköping University, Faculty of Arts and Sciences. Statistiska centralbyrån (SCB).
    Vilka valde att välja?: Deltagandet i valen 20142015Report (Other academic)
  • 560.
    Öhrvall, Richard
    Linköping University, Department of Management and Engineering, Political Science. Linköping University, Faculty of Arts and Sciences. Institutet för Näringslivsforskning (IFN).
    Voter Turnout2015In: Oxford Handbook of Swedish Politics / [ed] Jon Pierre, Oxford: Oxford University Press, 2015, 1, p. 229-245Chapter in book (Other academic)
    Abstract [en]

    For several decades, Sweden has had a relatively high voter turnout, both in relation to the first half of the 20th century and in comparison with other countries. Still, even in this high-turnout context substantial differences in turnout can be found when comparing different population groups. Demographic characteristics and socioeconomic resources are related to the propensity to vote. A more general conclusion is that voter turnout is associated with a higher level of equality in participation. The increase in turnout in recent Swedish elections has led to a more equal participation. 

  • 561.
    Öhrvall, Richard
    et al.
    Linköping University, Department of Management and Engineering, Political Science. Linköping University, Department for Studies of Social Change and Culture, Centre for Municipality Studies – CKS. Linköping University, Faculty of Arts and Sciences. Institutet för Näringslivsforskning (IFN), Stockholm.
    Oskarsson, Sven
    Department of Government, Uppsala Univeristy, Uppsala, Sweden.
    Practice makes voters?: Effects of student mock elections on turnout2019In: Politics, ISSN 0263-3957, E-ISSN 1467-9256, p. 1-7Article in journal (Refereed)
    Abstract [en]

    Student mock elections are conducted in schools around the world in an effort to increase political interest and efficacy among students. There is, however, a lack of research on whether mock elections in schools enhance voter turnout in real elections. In this article, we examine whether the propensity to vote in Swedish elections is higher among young people who have previously experienced a student mock election. The analysis is based on unique administrative population-wide data on turnout in the Swedish 2010 parliamentary election and the 2009 European Parliament election. Our results show that having experienced a mock election as a student does not increase the likelihood of voting in subsequent real elections. This result holds when we study both short- and long-term effects, and when we divide our sample into different parts depending on their socio-economic status and study each part separately.

  • 562.
    Örnerheim, Mattias
    Linköping University, Department of Management and Engineering, Political Science. Linköping University, The Institute of Technology.
    Entrepreneurial actors between two systems of norms - Profound and professional quality knowledge in Swedish health care2011Conference paper (Other academic)
  • 563.
    Örnerheim, Mattias
    Linköping University, Department of Management and Engineering, Political Science. Linköping University, The Institute of Technology.
    Kvalitetsbegreppet i lagstiftningen inom den mänskliga sektorn: - en översikt2013Report (Other (popular science, discussion, etc.))
    Abstract [sv]

    Denna undersökning behandlar hur olika kvalitetsaspekter i några utvalda sektorslagar förhåller sig till varandra inom hälso- och sjukvård, polis- och kriminalvård, utbildning samt vissa kommunala lagar. Alla befinner sig i den s.k. mänskliga sektorn av offentlig verksamhet. Den bakomliggande orsaken till detta är att Innovationsrådet vill fördjupa kunskapen om hur begreppet kvalitet definieras och används i svensk lagstiftning och i förarbetena till vissa lagar. Undersökningen strävar inte efter att generera någon legaldefinition av begreppet kvalitet.

    Kvalitetsbegreppet delas in i aspekterna; struktur, process och resultat i en analysmodell i form av en matris som även tar hänsyn till personal och medborgarperspektiv. Strukturkvalitet speglar förutsättningarna för eller inflödet i en verksamhet, processkvalitet belyser de aktiviteter som görs i verksamheten och resultatkvalitet återger prestationerna och effekterna av verksamheten. Med hjälp av analysmodellen skapas ett mönster över vilka aspekter som tydligast framträder i lagarna och förarbeten samt vilket perspektiv som är mest påtagligt i respektive lag. Genom analysmodellen har en överblick över varje sektor kunnat ges.

    Undersökningen är en dokumentstudie och baseras på lagtexter med relaterade propositioner samt statliga utredningar. De utvalda lagarna återfinns i bilaga 1. I analysen av materialet har först kvantitativa sökningar gjort på kvalitet och relaterade begrepp såsom kvalitetssäkring, kvalitetsgranskning, kvalitetskontroll samt kvalitetsutvärdering för att få en bild av om kvalitet är ett återkommande begrepp eller inte. Därefter har en granskning och tolkning gjorts för att utreda ur vilka aspekter som kvalitet beskrivs, samt vilket perspektiv som väger tyngst i skrivningar i lagen och dess förarbeten.

    Varje sektor är resultatredovisad för sig i särskilda avsnitt. Resultaten visar att kvalitetsbegreppet inom hälso- och sjukvården är frekvent förekommande ur aspekterna struktur och resultat, medan resultatkvalitet överlämnats till den autonoma medicinska professionen att definiera. I utbildningssektorn tycks förhållandet vara det motsatta där resultatkvalitet i form av måluppfyllelse är det centrala och betonas starkt även kvalitet i termer av struktur och process förekommer. Även i denna sektor lyfter lagstiftaren fram autonomi och egenkontroll i avseende på utbildning och forskning när det gäller att definiera vad som är god kvalitet i vetenskapliga processer och resultat.

    Inom socialtjänsten pågår ett arbete som syftar till att ta fram kvalitetsindikatorer ur olika aspekter inspirerat av hälso- och sjukvården. Idag är begreppet kvalitet tydligast uttryckt i socialtjänstlagen när det gäller aspekterna struktur och process i ett personalperspektiv. Även inom polis och kriminalvård tycks kvalitetsbegreppet öka i betydelse även i lagtexterna, där struktur- och processaspekter framkommer i kriminalvårdens nya fängelse- och häkteslagstftningen. I polislagen lyser dock begreppet kvalitet med sin frånvaro, vilket i sig inte hindrar att krav ställs på kvalitet genom andra kanaler.

    Undersökningen avslutas med en diskussion utifrån de sektorsvisa resultaten om behov av ständigt återkommande omprövningar av hur begreppet ska användas i lagen och avvägningar om risken för cementering av verksamheter å ena sida och rättsäkerhet samt tydlighet å den andra.

  • 564.
    Örnerheim, Mattias
    Linköping University, Department of Management and Engineering, Political Science. Linköping University, Faculty of Arts and Sciences.
    Mapping via Time-Geography to Elucidate Institutional, Economic and Political Change2012In: Proceedings of 15th Uddevalla Symposium,2012, Entrepreneurship and Innovation Networks / [ed] Iréne Bernhard, Bohus: Ale Tryckteam , 2012, p. 1-10Conference paper (Refereed)
    Abstract [en]

    Change has always been an issue for studies in politics and economics. However, there are few systematic treatments of institutions. This paper exemplifies how institutions (i.e., rules, norms and conventions) relate to the time-geography concepts of constraints, which affect different agents, policy-making, as well as economic performance.This paper seeks to advance the current discussion and sets some groundwork for further elaboration on economic and political change from an ontological perspective based in time-geography. It offers an initial exploration of the analysis of institutional change by a conceptualization of constraints in time-geography.The contribution of this study lies in the fact that insights from a time-geography approach have the ability to make the evolutionary perspective more coherent in empirically-related works when grading and ordering institutions of relevance concerning economic and political evolvement.

  • 565.
    Örnerheim, Mattias
    Linköping University, Department of Management and Engineering, Political Science. Linköping University, The Institute of Technology.
    Marknadsskapande, valfrihet och e-hälsa i sjukvården: Utkast till avhandlingsdesign (lic.)2010Conference paper (Other academic)
  • 566.
    Örnerheim, Mattias
    Linköping University, Department of Management and Engineering, Political Science. Linköping University, Faculty of Arts and Sciences.
    Mellan kunskap och politik: Kvalitetssystem och offentlig kunskapsstyrning i hälso- och sjukvården2016Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The aim with this thesis is to describe the quality development in Swedish healthcare from an institutional perspective, analyse implications of the development concerning the relationship between the medical profession and the public administrative system and discuss consequences for political direction and welfare organization. The study is based on four case studies and one conceptual analysis.

    The main conclusion is that the medical quality systems have been imbedded in the political management alongside the development towards a public knowledge management. The analysis has more specifically uncovered that quality registries in healthcare have been influenced by political ideologies, management ideas and ideas of transparency. It is also clear that open comparisons were an ‘unintended consequence’ of the quality registry development that has enhanced the development towards a public knowledge management.

    The analysis also shows that public knowledge management challenges the ideal of democratic enlightened understanding. The development of public knowledge management in the healthcare sector raises the question of who is governing whom in Swedish healthcare.

    List of papers
    1. Explaining Quality Management in the Danish and Swedish Public Health Sectors: Unintended Learning and Deliberate Co-Optation
    Open this publication in new window or tab >>Explaining Quality Management in the Danish and Swedish Public Health Sectors: Unintended Learning and Deliberate Co-Optation
    2016 (English)In: International Journal of Public Administration, ISSN 0190-0692, E-ISSN 1532-4265, Vol. 39, no 12, p. 963-975Article in journal (Refereed) Published
    Abstract [en]

    This article examines the development of diverse quality systems in the otherwise quite similar Danish and Swedish public health sectors. After decades of numerous piecemeal medical and managerial quality development programs in both countries, a nationwide mandatory accreditation system was introduced in the Danish health services in 2009. Nationwide quality indicator projects are also found in Sweden, but there has been political attempt to introduce a compulsory system. This article seeks to explain this difference. It argues, first, that resistance from the medical professions blocked the introduction of compulsory, nationwide quality systems in both countries for decades. Second, the implementation of the Danish accreditation system was triggered by a combination of unintended policy learning produced by local reforms in two counties and of the Ministry of Health’s carefully orchestrated policy process that served to co-opt critical voices in the medical profession.

    Place, publisher, year, edition, pages
    Routledge, 2016
    Keywords
    Historical institutionalism; path dependency; policy learning; quality managment systems
    National Category
    Public Administration Studies
    Identifiers
    urn:nbn:se:liu:diva-128223 (URN)10.1080/01900692.2015.1064959 (DOI)2-s2.0-84958530409 (Scopus ID)
    Available from: 2016-05-23 Created: 2016-05-23 Last updated: 2017-11-30Bibliographically approved
    2. What frames Quality Registers in Swedish Health Care: an institutional approach
    Open this publication in new window or tab >>What frames Quality Registers in Swedish Health Care: an institutional approach
    2011 (English)In: Proceedings from 14th Uddevalla Symposium, 2011 Entrepreneurial Knowledge, Technology and Transformation of Regions / [ed] Iréne Bernhard, Linköping: Linköping University Electronic Press, 2011, p. 1-19Conference paper, Published paper (Other academic)
    Abstract [en]

    Quality issues strike the classical conflict in a democratic health-care deliverysystem of different interests among the politicians, the medical profession andpublic officials. This cannot be studied as a cut-off whiz. Quality registers havedeveloped over the past 40 years. Therefore, this paper puts the innovation ofquality registers in an institutional perspective. Two things are essential in thispaper. First, this paper reviews the emergence of quality registers in Swedish healthcare as an effect of institutional arrangements. Second, it analyses the interactionof diverse factors in different institutional settings and logics. The relevant data forthe study was collected from official/unofficial policy documents and key actorinterviews.The empirical findings show that three different waves of development can betraced in history that has highly affected the development of quality registers. Italso shows that medical quality is framed and determined by physicians in line withprofessional knowledge and by the primary institutional logic of quality in medicalcare. However, organisational quality in health care is framed by the logic ofpublic equity of access based on a third party payer and the logic of managerialcontrol. These two paths of quality developments are now federating in aninstitutional logic of transparency. The contribution of this paper is importantbecause it produces insights in different institutional logics, which frames the riseof the two quality paths and the problems they have to face in order to merge. It also enhances the existing knowledge that institutions matter.

    Place, publisher, year, edition, pages
    Linköping: Linköping University Electronic Press, 2011
    Series
    Research Reports 2011:05 University West, ISSN 1653-7831 ; 2011:05
    Keywords
    health care, institutional change, quality, innovation
    National Category
    Public Administration Studies
    Identifiers
    urn:nbn:se:liu:diva-88746 (URN)978-91-977943-2-9 (ISBN)
    Conference
    14th Uddevalla Symposium, 2011 Entrepreneurial Knowledge, Technology and Transformation of Regions, June 16-18, Bergamo, Italy
    Available from: 2013-02-19 Created: 2013-02-18 Last updated: 2016-08-31Bibliographically approved
    3. Path Dependence on New Roads. Institutional Development of Quality Registers
    Open this publication in new window or tab >>Path Dependence on New Roads. Institutional Development of Quality Registers
    2014 (English)In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 18, no 2, p. 3-22Article in journal (Refereed) Published
    Abstract [en]

    When explaining social development and changes in public administration, institutional changeis a typical focus. Institutional analysis can combine the analyses of changes on the basis offormal legal and informal arrangements; it commonly shows that institutions lead to inertiawhere changes over time are concerned. Political aims are a guide to how organizations aredesigned and governed. When goals and earlier decisions clearly guide change, path dependenceis a fundamental concept when explaining change. However, this analysis shows how andwhen quality registers appeared as an answer to changes in institutional arrangements in Swedishpublic healthcare. Through three phases, cumulative processes have been visible and theprocesses have been followed by an improved and increased usage of quality registers andother quality systems. This analysis shows that institutional development can be pathdependentin relation to methods and means. Despite changing goals over time, quality registersas a policy tool have been path-dependent and stayed firm. Thus, it is important to see alsoorganisational methods as a development path that can be used to implement even new policyaims.

    Place, publisher, year, edition, pages
    Förlag Göteborgs Universitet, 2014
    Keywords
    Institutional change, quality registers, public governance, path dependence, time
    National Category
    Public Administration Studies
    Identifiers
    urn:nbn:se:liu:diva-114514 (URN)
    Available from: 2015-02-25 Created: 2015-02-25 Last updated: 2018-06-15Bibliographically approved
    4. Policymaking through healthcare registries in Sweden
    Open this publication in new window or tab >>Policymaking through healthcare registries in Sweden
    2018 (English)In: Health Promotion International, ISSN 0957-4824, E-ISSN 1460-2245, Vol. 33, no 2, p. 356-365Article in journal (Refereed) Published
    Abstract [en]

    Healthcare registries, otherwise known in Sweden as national quality registries (NQRs), have progressed from being a patient-focused system supporting medical results to become the basis of a health policy steering instrument called regional comparisons (RCs). This article seeks to explain RCs as an unintended consequence of the NQR development, by utilizing the concepts of policy entrepreneurs and streams of impact: the problem stream (problem perceived), the policy stream (what is valid), and the political stream (governmental objectives). The empirical contribution lies in insights on how the RCs have developed as an unintended consequence of entrepreneurial deliberate action in the process of creating NQRs. These findings are based on documents, interviews, and previous research in the social sciences. The article also argues for a critical understanding of public knowledge management (PKM) related to experiences in the development of NQRs regarding how to use knowledge in healthcare government. This article highlights how knowledge generated in quality systems based on registries could imply a stronger role for authorities in exerting control over the medical profession. It also discusses the potential use of research evidence on NQRs as a base for more efficient policymaking.

    Place, publisher, year, edition, pages
    Oxford University Press, 2018
    Keywords
    quality registries, stream coupling, policy entrepreneurs, public knowledge management
    National Category
    Political Science
    Identifiers
    urn:nbn:se:liu:diva-131037 (URN)10.1093/heapro/daw064 (DOI)000429490000018 ()27594141 (PubMedID)
    Available from: 2016-09-06 Created: 2016-09-06 Last updated: 2018-04-26Bibliographically approved
    5. Public quality – for whom and how?: Integrating public core values with quality management
    Open this publication in new window or tab >>Public quality – for whom and how?: Integrating public core values with quality management
    2017 (English)In: Total quality management and business excellence (Online), ISSN 1478-3363, E-ISSN 1478-3371, Vol. 28, no 3-4, p. 379-389Article in journal (Refereed) Published
    Abstract [en]

    Quality management (QM) plays an important role in public organisations’ efforts to create better access to, and effectiveness of, specific services. When transferring QM models from market-based firms to public services provided by public organisations, several basic contrasts and even contradictions must be addressed. Core values of the public sector differ from those of the private sector, but what are the consequences of this distinction? In this article we discuss the importance of four central arguments on public services: rights and access have to be considered; equality is an important facet of public services; coerciveness is a unique feature of public services; and legitimacy can be improved by high-quality services. These arguments have not been discussed explicitly in the context of QM. Adding these central aspects of public services to the QM field could generate more sustainable ways for developing quality and QM in public services in particular and the public sector in general.

    Place, publisher, year, edition, pages
    Routledge, 2017
    Keywords
    public sector; customer; citizen; quality management
    National Category
    Public Administration Studies
    Identifiers
    urn:nbn:se:liu:diva-128224 (URN)10.1080/14783363.2015.1087841 (DOI)000397039800010 ()2-s2.0-84945236799 (Scopus ID)
    Available from: 2016-05-23 Created: 2016-05-23 Last updated: 2018-06-15Bibliographically approved
  • 567.
    Örnerheim, Mattias
    Linköping University, Department of Management and Engineering, Political Science. Linköping University, Faculty of Arts and Sciences.
    Policymaking through healthcare registries in Sweden2018In: Health Promotion International, ISSN 0957-4824, E-ISSN 1460-2245, Vol. 33, no 2, p. 356-365Article in journal (Refereed)
    Abstract [en]

    Healthcare registries, otherwise known in Sweden as national quality registries (NQRs), have progressed from being a patient-focused system supporting medical results to become the basis of a health policy steering instrument called regional comparisons (RCs). This article seeks to explain RCs as an unintended consequence of the NQR development, by utilizing the concepts of policy entrepreneurs and streams of impact: the problem stream (problem perceived), the policy stream (what is valid), and the political stream (governmental objectives). The empirical contribution lies in insights on how the RCs have developed as an unintended consequence of entrepreneurial deliberate action in the process of creating NQRs. These findings are based on documents, interviews, and previous research in the social sciences. The article also argues for a critical understanding of public knowledge management (PKM) related to experiences in the development of NQRs regarding how to use knowledge in healthcare government. This article highlights how knowledge generated in quality systems based on registries could imply a stronger role for authorities in exerting control over the medical profession. It also discusses the potential use of research evidence on NQRs as a base for more efficient policymaking.

  • 568.
    Örnerheim, Mattias
    Linköping University, Department of Management and Engineering, Political Science. Linköping University, Faculty of Arts and Sciences.
    What frames Quality Registers in Swedish Health Care: an institutional approach2011In: Proceedings from 14th Uddevalla Symposium, 2011 Entrepreneurial Knowledge, Technology and Transformation of Regions / [ed] Iréne Bernhard, Linköping: Linköping University Electronic Press, 2011, p. 1-19Conference paper (Other academic)
    Abstract [en]

    Quality issues strike the classical conflict in a democratic health-care deliverysystem of different interests among the politicians, the medical profession andpublic officials. This cannot be studied as a cut-off whiz. Quality registers havedeveloped over the past 40 years. Therefore, this paper puts the innovation ofquality registers in an institutional perspective. Two things are essential in thispaper. First, this paper reviews the emergence of quality registers in Swedish healthcare as an effect of institutional arrangements. Second, it analyses the interactionof diverse factors in different institutional settings and logics. The relevant data forthe study was collected from official/unofficial policy documents and key actorinterviews.The empirical findings show that three different waves of development can betraced in history that has highly affected the development of quality registers. Italso shows that medical quality is framed and determined by physicians in line withprofessional knowledge and by the primary institutional logic of quality in medicalcare. However, organisational quality in health care is framed by the logic ofpublic equity of access based on a third party payer and the logic of managerialcontrol. These two paths of quality developments are now federating in aninstitutional logic of transparency. The contribution of this paper is importantbecause it produces insights in different institutional logics, which frames the riseof the two quality paths and the problems they have to face in order to merge. It also enhances the existing knowledge that institutions matter.

  • 569.
    Örnerheim, Mattias
    et al.
    Linköping University, Department of Management and Engineering, Political Science. Linköping University, Faculty of Arts and Sciences.
    Elg, Mattias
    Linköping University, Department of Management and Engineering, Logistics & Quality Management. Linköping University, Faculty of Science & Engineering.
    Implementering i vården: En kunskapsöversikt om beslutsnivåer och professionsperspektiv2018Report (Other academic)
    Abstract [sv]

    Hälso- och sjukvården liksom socialtjänsten är under ständig förändring – medicinska framsteg skapar nya möjligheter till behandling samtidigt som behoven av hälso- och sjukvård och socialtjänst ökar i takt med att allt fler lever längre med kroniska sjukdomar. Socialtjänsten kommer att behöva stödja fler med långvariga och komplexa behov, vilket band annat kommer att ställa krav på ändrade arbetssätt. En fortsatt utveckling i vården och omsorgen är viktigt för att i dag och i framtiden kunna tillhandahålla en god vård och omsorg som patienter och brukare känner förtroende för.Samtidigt finns tecken på att utvecklingen och lärandet inte sker i den omfattning som behövs. I olika analyser har Vårdanalys genom åren visat att lärandet mellan olika verksamheter och huvudmän är begränsat. Orsakerna bakom det är flera.Hösten 2017 initierade vi ett forskningsuppdrag med ambitionen att utifrån litteraturen identifiera övergripande utmaningar när det gäller implementering i hälso- och sjukvården och socialtjänsten. Vi gav professor Mattias Elg och postdoktor Mattias Örnerheim vid institutionen för ekonomisk och industriell utveckling (IEI), Linköpings universitet, uppdraget att presentera en kunskapsöversikt på detta tema.Deras översikt har varit ett värdefullt bidrag till Vårdanalys arbeten under 2017 och 2018 som på olika sätt analyserat utvecklingsarbete och deras förutsättningar att bidra till långsiktig utveckling. Det är vår förhoppning att den här promemorian kan tjäna som ett kunskapsunderlag i den fortsatta diskussionen om hur vi kan skapa bättre förutsättningar till lärande och utveckling i vården och omsorgen.Den här promemorian är författarnas redovisning av forskningsuppdraget i sin helhet och de står själva för innehållet.

  • 570.
    Örnerheim, Mattias
    et al.
    Linköping University, Department of Management and Engineering, Political Science. Linköping University, Faculty of Arts and Sciences.
    Triantafilloub, Peter
    Department of Society and Globalisation, Roskilde University,Roskilde, Denmark.
    Explaining Quality Management in the Danish and Swedish Public Health Sectors: Unintended Learning and Deliberate Co-Optation2016In: International Journal of Public Administration, ISSN 0190-0692, E-ISSN 1532-4265, Vol. 39, no 12, p. 963-975Article in journal (Refereed)
    Abstract [en]

    This article examines the development of diverse quality systems in the otherwise quite similar Danish and Swedish public health sectors. After decades of numerous piecemeal medical and managerial quality development programs in both countries, a nationwide mandatory accreditation system was introduced in the Danish health services in 2009. Nationwide quality indicator projects are also found in Sweden, but there has been political attempt to introduce a compulsory system. This article seeks to explain this difference. It argues, first, that resistance from the medical professions blocked the introduction of compulsory, nationwide quality systems in both countries for decades. Second, the implementation of the Danish accreditation system was triggered by a combination of unintended policy learning produced by local reforms in two counties and of the Ministry of Health’s carefully orchestrated policy process that served to co-opt critical voices in the medical profession.

  • 571.
    Örnerheim, Mattias
    et al.
    Linköping University, Department of Management and Engineering, Political Science. Linköping University, Faculty of Arts and Sciences.
    Wihlborg, Elin
    Linköping University, Department of Management and Engineering, Political Science. Linköping University, Faculty of Arts and Sciences.
    Path Dependence on New Roads. Institutional Development of Quality Registers2014In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 18, no 2, p. 3-22Article in journal (Refereed)
    Abstract [en]

    When explaining social development and changes in public administration, institutional changeis a typical focus. Institutional analysis can combine the analyses of changes on the basis offormal legal and informal arrangements; it commonly shows that institutions lead to inertiawhere changes over time are concerned. Political aims are a guide to how organizations aredesigned and governed. When goals and earlier decisions clearly guide change, path dependenceis a fundamental concept when explaining change. However, this analysis shows how andwhen quality registers appeared as an answer to changes in institutional arrangements in Swedishpublic healthcare. Through three phases, cumulative processes have been visible and theprocesses have been followed by an improved and increased usage of quality registers andother quality systems. This analysis shows that institutional development can be pathdependentin relation to methods and means. Despite changing goals over time, quality registersas a policy tool have been path-dependent and stayed firm. Thus, it is important to see alsoorganisational methods as a development path that can be used to implement even new policyaims.

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