A Broken Process – The Swedish Health Care System Asks for Expert Advice

Authors

  • Stefan Svallfors Institute for Futures Studies, Stockholm, Sweden
  • Erica Falkenström Institute for Futures Studies, Stockholm; Centre for Research Ethics & Bioethics, Uppsala University, Sweden
  • Anna T. Höglund Centre for Research Ethics & Bioethics, Uppsala University, Sweden

DOI:

https://doi.org/10.58235/sjpa.v27i2.11371

Keywords:

health care, governance, experts, knowledge, commissions, reports, Sweden

Abstract

This paper analyses the process in which expert reports on health care governance are commissioned, produced and received in a Swedish setting. Based on an empirical analysis of interviews with commissioners and producers of such reports, the paper argues that the typical process in which expert reports on health governance come about is fraught with quite deficient ways of producing expert knowledge. The analysis contributes to the literature on the role of expertise in governance and policymaking. In contrast to most other analyses in this field, the paper focuses not on the content of expert reports nor on their political uptake but on the process in which they are produced.

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Author Biographies

Stefan Svallfors, Institute for Futures Studies, Stockholm, Sweden

Stefan Svallfors is professor in sociology at the Institute for Futures Studies, Stockholm, Sweden. His current research deals with public policy governance and with policy professionals, that is, actors in politics who are neither elected politicians nor public administrators. His latest book is Politics for Hire. The World and Work of Policy Professionals (Edward Elgar, 2020).

Erica Falkenström, Institute for Futures Studies, Stockholm; Centre for Research Ethics & Bioethics, Uppsala University, Sweden

Erica Falkenström is a senior researcher at the Institute for Futures Studies, Stockholm, and associated researcher at the Centre for Research Ethics & Bioethics, Uppsala University, Sweden. Her current research concerns organizational ethics in public sector governance. Her latest book is På spaning efter etik. Etisk kompetens och ansvarstagande för ledning och styrning av hälso- och sjukvården [In Search for Ethics. Ethical Competence and Responsibility in Health Care Governance] (Appell, 2018).

Anna T. Höglund, Centre for Research Ethics & Bioethics, Uppsala University, Sweden

Anna T. Höglund is professor of care ethics and gender studies at the Centre for Research Ethics & Bioethics, Uppsala University, Sweden. She has worked extensively on the question of ethical competence for health care practitioners. Related research areas are moral distress in clinical settings and prioritization in health care.  She has also published substantially on the topic of gender and ethics. 

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Published

2023-06-15

How to Cite

Svallfors, S., Falkenström, E., & Höglund, A. T. (2023). A Broken Process – The Swedish Health Care System Asks for Expert Advice. Scandinavian Journal of Public Administration, 27(2), 57–70. https://doi.org/10.58235/sjpa.v27i2.11371

Issue

Vol. 27 No. 2 (2023)

Section

Original Articles

License

Copyright (c) 2023 Stefan Svallfors, Erica Falkenström, Anna T. Höglund

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Authors contributing to Scandinavian Journal of Public Administration agree to publish their articles under a Creative Commons CC BY-NC 4.0 license. This means means articles are free for anybody to read and download, and to copy and disseminate for non-commercial purposes as long as appropriate credit is given, a link is provided to the license, and any changes made are clearly indicated. Authors retain copyright of their work.

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