Managing the gap between policy and practice through Intermediaries for Quality Improvement

Authors

  • Truls Neubeck Jönköping Academy for Improvement of Health and Welfare, School of Health Sciences, Jönköping University, and Famna – The Swedish Association for Non‐profit Health and Social Services Providers
  • Mattias Elg Division of Quality Technology and Management, Department of Management and Engineering, Linköping University, and Jönköping Academy for Improvement of Health and Welfare, School of Health Sciences, Jönköping
  • Thomas Schneider Bräcke Diakoni and Jönköping Academy for Improvement of Health and Welfare, School of Health Sciences, Jönköping University

DOI:

https://doi.org/10.58235/sjpa.v18i4.15655

Keywords:

Intermediaries, Quality, Policy, Implementation, Improvement

Abstract

A gap exists between policymaking for quality improvement and the realization of these policies in practice. Using previous research on intermediaries, a conceptual model of an Intermediary for Quality Improvement (IQI) is developed. The model highlights the characteristics of structural positions, mediating approaches, and duration as a way to describe an IQI. The conceptual model is used to examine two cases in which Famna, the Swedish Association for Non-profit Health and Social Service Providers, has supported both policymaking and the implementation of policies at a provider level. The cases are the national strategy for quality improvement by open comparisons in health care and social services and a new regulation on quality management systems in health care and social services. Using the concept of an IQI deepens the understanding of how top-down and bottom-up perspectives may be managed to realize good quality of services.

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Author Biographies

Truls Neubeck, Jönköping Academy for Improvement of Health and Welfare, School of Health Sciences, Jönköping University, and Famna – The Swedish Association for Non‐profit Health and Social Services Providers

Truls Neubeck, MSc. PhD student at the Jönköping Academy for Improvement of Health and Welfare, School of Health Sciences, Jönköping University, Sweden and Quality Officer at Famna – The Swedish Association for Non-profit Health and Social Services Providers.

Mattias Elg, Division of Quality Technology and Management, Department of Management and Engineering, Linköping University, and Jönköping Academy for Improvement of Health and Welfare, School of Health Sciences, Jönköping

Mattias Elg, PhD. Professor at the Division of Quality Technology and Management, Department of Management and Engineering, Linköping University, Sweden and Professor at the Jönköping Academy for Improvement of Health and Welfare, School of Health Sciences, Jönköping University, Sweden.

Thomas Schneider, Bräcke Diakoni and Jönköping Academy for Improvement of Health and Welfare, School of Health Sciences, Jönköping University

Thomas Schneider, PhD. Quality Officer at Bräcke Diakoni and Senior Lecturer at the Jönköping Academy for Improvement of Health and Welfare, School of Health Sciences, Jönköping University, Sweden

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Published

2014-12-15

How to Cite

Neubeck, T., Elg, M., & Schneider, T. (2014). Managing the gap between policy and practice through Intermediaries for Quality Improvement. Scandinavian Journal of Public Administration, 18(4), 73–89. https://doi.org/10.58235/sjpa.v18i4.15655

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