Traditions challenged by trends

A health care industry in metamorphosis

Authors

  • Johan Berlin University West, Trollhättan
  • Eric Carlström Sahlgrenska Academy, University of Gothenburg

DOI:

https://doi.org/10.58235/sjpa.v16i2.16213

Keywords:

Organisation, Health care, Leadership, Teamwork, New Public Management

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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Author Biographies

Johan Berlin, University West, Trollhättan

Johan Berlin, PhD, associate professor in business administration and senior lecturer at University West, Trollhättan. His research has mainly focused on governance, organisation, teamwork, organisational culture and collaboration in public organisations, especially health care.

Eric Carlström, Sahlgrenska Academy, University of Gothenburg

Eric Carlström, PhD, associate professor in public administration and senior lecturer at the Sahlgrenska Academy, University of Gothenburg. His research has mainly focused on leadership, integration, teamwork, triage and collaboration in municipal and county council health and social care.

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Published

2012-06-15

How to Cite

Berlin, J., & Carlström, E. (2012). Traditions challenged by trends: A health care industry in metamorphosis. Scandinavian Journal of Public Administration, 16(2), 3–23. https://doi.org/10.58235/sjpa.v16i2.16213