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Healthcare traditions, evidence-based policy & implementation convergence.: Assertive Community Treatment governance in Britain & Sweden
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
2015 (English)Conference paper (Refereed)
Abstract [en]

Arguments advocating evidence-based methods in healthcare promised increased policy precision and effectiveness by adopting specified treatment-methods recommended by rigorous scientific testing. Advocates assumed that evidence-based methods were apolitical and portable between countries, thereby reducing scope for national interpretations and adaptations. Evidence-based methods were attractive to policymakers contending with the enduring “wicked problem” of community care in mental health. Internationally, the efficacy of the Assertive Community Treatment (ACT) methodology of intensive community engagement for mental health service users with severe and complex conditions was well supported by international research and offered policymakers a solution to the problems of community mental health. This article identified a framework for analysing healthcare implementation traditions using dimensions derived from the literature on administrative traditions. The framework is used to analyse the comparative case of Britain and Sweden where policymakers’ adoption of ACT-policies resulted in implementational differences. The main conclusion was that healthcare implementation traditions were influential: even strict evidence-based methods were adapted to conform to underlying administrative cultures and traditions.

Place, publisher, year, edition, pages
Keyword [en]
Administrative Traditions; Governance; Evidence-based policy, Mental Health, Britain, Sweden
National Category
Public Administration Studies
Research subject
Political Science
URN: urn:nbn:se:uu:diva-265096OAI: oai:DiVA.org:uu-265096DiVA: diva2:862463
Swedish Political Science Association Annual Meeting Working group 2: Public Administration & Policy Analysis
Care in the Community or Coercion in the Community
Forte, Swedish Research Council for Health, Working Life and Welfare, 2012-0974
Available from: 2015-10-22 Created: 2015-10-22 Last updated: 2015-10-22Bibliographically approved

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Maycraft Kall, Wendy Katherine
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