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  • 1.
    Aage, Hans
    Roskilde University, Denmark.
    25. Economic Instruments: Three Interlinkages Between Ecology and Economics2012In: Rural Development and Land Use / [ed] Lars Rydén and Ingrid Karlsson, Uppsala: Baltic University Press , 2012, 1, p. 280-293Chapter in book (Other (popular science, discussion, etc.))
  • 2.
    Ahlbäck Öberg, Shirin
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Att kontrollera förvaltningen: framväxten av ganskningssamhället2014In: Politik som organisation: Förvaltningspolitikens grundproblem / [ed] Bo Rothstein, Lund: Studentlitteratur AB, 2014, 5, p. 159-183Chapter in book (Other academic)
    Abstract [sv]

    Hur kan vi vara säkra på att rätt saker görs i statlig och kommunal förvaltning? Svaret är förstås att det inte finns några garantier för det, och därför måste någon form av granskning och kontroll till. Det blir särskilt aktuellt i välfärdsstater med ett omfattande offentligt åtagande, eftersom det är svårt för ansvariga politiker och för oss medborgare att själva hålla ett vakande öga över hela den offentliga verksamheten. Att granska genomförandet av offentlig politik handlar ju ytterst om att vi vill förvissa oss om att den i styrelseskicket delegerade makten att bedriva viss politik hanteras på ett ansvarigt sätt. Den typ av granskning som ska diskuteras i detta kapitel rör emellertid inte massmediernas eller det civila samhällets granskning av myndigheternas förehavanden, utan fokus ligger på de procedurer och institutioner för granskning och kontroll av den offentliga förvaltningen som finns inbyggda i det politiska systemet.

  • 3.
    Ahlbäck Öberg, Shirin
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Kunskap och politik - mellan nonchalans och teknokrati2011In: Svensk Juristtidning, ISSN 0039-6591, no 8, p. 764-771Article in journal (Other academic)
    Abstract [sv]

    Förhållandet mellan kunskap och politik är inte okomplicerat. Kun­skapsstyrning kan nämligen utgöra minst två helt olika hot mot cen­trala demokratiska värden. Utredningar kan bli till tomma ritualer som motverkar sitt eget syfte och ger utrymme för kunskapsnonchalans. Men de kan också leda till att öppna diskussioner baserade på poli­tiska värderingar överges för vad som kan beskrivas som ett expert­välde. Kommittéväsendet har historiskt sett placerat sig i en delibe­rativ mittenposition där politiker och experter utifrån sina olika ut­gångspunkter försökt resonera sig fram till en ”bästa lösning”. Frå­gan är dock om de förändrade förutsättningarna för utredningarna riskerar att verksamheten antingen nonchaleras eller att den överlåts åt experter.

  • 4.
    Ahlbäck Öberg, Shirin
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Om den missriktade lojaliteten2013In: Vågar du sticka ut hakan?: Texter om strukturellt betingad feghet inom kultur och utbildning / [ed] Maria Ericson och Stellan Larsson, Hägersten: Nationella Dramaturgiatet , 2013, p. 53-56Chapter in book (Other (popular science, discussion, etc.))
    Abstract [sv]

    Modet att vara besvärlig – när det behövs – är det en medfödd inre beskaffenhet? Är det inte snarare en demokratisk uppgift för var och en av oss? Den ökade politiska och ekonomiska styrningen inom kulturen, i skolan, på universiteten etc. riskerar med sina långtgående krav på snabba resultat att urholka den professionella integriteten och omdömet hos de som skavara de sakkunniga. Det krävs mod av den som ifrågasätter strukturer som anses nödvändiga eller till och med givna. Detta är en samling långa och korta berättelser och reflektioner från individer verksamma inom vitt skilda områden. Initiativtagare är den ideologiskt och religiöst obundna ideella föreningen Nationella Dramaturgiatet.

  • 5.
    Ahlbäck Öberg, Shirin
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Paying Our High Public Officials: Evaluating the Political Justifications of Top Wages in the Public Sector By TEUN J. DEKKER2014In: Public Integrity, ISSN 1099-9922, E-ISSN 1558-0989, Vol. 16, no 2, p. 207-209Article, book review (Refereed)
    Abstract [en]

    In most liberal democratic societies there is a recurring public debate about top wages in the public sector. The remuneration of top officials such as legislators, ministers, senior civil servants and senior judges is, indeed, a topic that can be discussed with great passion in the public debate. The reason that this issue attracts public attention is not only the fact that these groups are paid by public funds, but also that the salaries of high public officials are under political control. The latter definitely addresses ethical issues, such as: What can be considered a fair salary? Is there – or what would be – a tenable argument for a specific salary level for these top officials? In the research literature it has been concluded that the amount of rewards offered to high public officials, the manner in which the benefits are awarded, and the differences in rewards among officials within the same political system tell a great deal about how governments function. Hence, the remuneration of top officials can be seen as an important element of public governance (Brans and Peters, 2012). That said, very few academic commentators have in a systematic and comprehensive manner analyzed the validity and consistency of the arguments of this rather disorganized debate. However, in a recently published book titled Paying Our High Public Officials by Teun J. Dekker, the author sets out to fill this research gap. The purpose of the book is to illuminate the debate concerning the proper remuneration of high public officials by applying philosophical methods to political discourse. 

  • 6.
    Ahlbäck Öberg, Shirin
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Bringselius, Louise
    Ekonomihögskolan, Lunds universitet.
    Forskning om den statliga revisionen i Sverige2017In: Den statliga revisionen i Norden: Forskning, praktik och politik / [ed] Louise Bringselius, Lund: Studentlitteratur AB, 2017, 1, p. 61-68Chapter in book (Other academic)
    Abstract [sv]

    Medborgarnas ögon på makten och en grundpelare i vårt demokratiska styrelseskick. Så beskrivs ibland den statliga revision som bedrivs vid riksrevisioner runt om i världen. Här genomförs oberoende granskningar som ska säkerställa att medborgare och deras företrädare i parlamenten får kunskap om hur statligt finansierade verksamheter använder sina medel.

    Idag står den statliga revisionen inför en rad olika utmaningar i form av digitalisering, medialisering, globalisering, marknadisering och, inte minst, en allmän trängsel på granskningsmarknaden. I flera länder pågår därför en livaktig diskussion kring revisionens roll, inriktning och oberoende, samt kring det värde som den tillför.

    Den här boken utgör ett unikt bidrag till litteraturen om den statliga revisionen. För första gången samlas företrädare för forskning, politik och praktik från de fem största nordiska länderna i en gemensam volym på området. Syftet med boken är att stimulera kunskapsutveckling och dialog samt att inspirera till fortsatt forskning.

  • 7.
    Ahlbäck Öberg, Shirin
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Bull, Thomas
    Högsta förvaltningsdomstolen.
    Hasselberg, Ylva
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Economic History.
    Stenlås, Niklas
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Arts, Department of History.
    Professions under Siege2016In: Statsvetenskaplig Tidskrift, ISSN 0039-0747, Vol. 118, no 1, p. 93-126Article in journal (Refereed)
    Abstract [en]

    The purpose of this article is to analyse the effects of New Public Management (NPM) reforms on three specific professional groups. From this investigation it is clear that the assumptions inherent in the NPM reforms have resulted in a clear breach of what we theoretically refer to as the professional contract between the state and the professions. We show in this analysis that our studied professional groups have lost central aspects of their professional autonomy. We problematize the perception that an ever-increasing demand for steering and control of professionals within the public sector should be perceived as something exclusively good. In addition to the costs of monitoring, the centrally important paradox of accountability should be taken into consideration, i.e. responsible interpretation and application of external accountability demands rest on the cultivation of the virtues that support good administrative judgement, the type of judgement that is threatened by the control-schemes presented in this article.

  • 8.
    Ahlbäck Öberg, Shirin
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Petersson, Olof
    Sverige behöver en oberoende riksrevision1999In: TLM:Thélème, ISSN 1103-8926, no 4, p. 27-33Article in journal (Other (popular science, discussion, etc.))
    Abstract [sv]

    Frågan om Inga-Britt Ahlenius förordnande håller på att hamna i personfixering medan det grundläggande problemet förblir olöst: Sverige har en alltför svag granskningsmakt. Vi behöver en verkligt oberoende riksrevision. Det skriver Olof Petersson professor i statsvetenskap, och fil dr Shirin Ahlbäck expert på statlig revision.

  • 9.
    Ahlbäck Öberg, Shirin
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Widmalm, Sten
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Att göra rätt - även när ingen ser på2016In: Statsvetenskaplig Tidskrift, ISSN 0039-0747, Vol. 118, no 1, p. 7-17Article in journal (Refereed)
  • 10.
    Ahlbäck Öberg, Shirin
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Widmalm, Sten
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    NPM på svenska2013In: Patientens pris: Ett reportage om den svenska sjukvården och marknaden / [ed] Maciej Zaremba, Stockholm: Weyler förlag , 2013, p. 122-153Chapter in book (Other (popular science, discussion, etc.))
  • 11.
    Ahlbäck Öberg, Shirin
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Wockelberg, Helena
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Constitutions and the Application of Public Management Reforms: Formulating a Research Agenda2013Conference paper (Other academic)
    Abstract [en]

    Since constitutional aspects of public management reforms are rarely debated, scholars and politicians alike end up underestimating two fundamental problems in modern democratic political systems. The first concerns the effects that public management policies may have on power allocation within and outside the public sphere. Here the lack of critical analysis and debate concerns the fact that seemingly technical adjustments of the government’s tool box may end up changing the power allocation among actors vertically as well as horizontally. The second perspective, and the one to be discussed in this paper, concerns the reverse relationship, i.e. how constitutions influence public management policy reforms. The last decades have resulted in a global spread of ideas regarding how governments should manage public authorities and the public sector. In this paper we aim at identifying constitutional variables to explain the variation of how specific public management tools are applied in different contexts.

  • 12.
    Ahlbäck Öberg, Shirin
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Wockelberg, Helena
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Government Steering over Two Decades: A Large-N comparison2016In: RC27 Structure and Organization of Government: Panel:  RC27.05 Out of Control or over Controlled? Incentives, Audits and New Public Management, 2016Conference paper (Refereed)
    Abstract [en]

    The post-NPM debate on government control of state authorities is un-decisive in both problem description and in terms of suggested remedies. ‘Wicked problems’ are said to call for re-integration of state executives, and for enhanced government control in order to increase coordination between public organizations. At the same time, excessive (performance) control is accused of posing a threat to professionalism in the public sector and to its problem solving capacity. In this paper we build upon Verhoest et al’s (2004) suggestion that we need to treat autonomy as a multi-dimensional phenomenon and argue the importance of adopting a nuanced analytical perspective on issues of too much or too little control. Using a unique data set containing information on nearly 20 years of governmental steering as this is expressed in yearly appropriation direction documents (N=1330) issued by the Swedish government, we a) map out how the government’s demand for performance information has developed over time, and b) as we treat performance information demands as one out of many policy instruments in a government’s toolbox we also look for specific and stable combinations of different policy instruments (represented by autonomy dimensions). Our findings show that the number of performance information indicators requested from governments in appropriation direction-documents have on a general level decreased over time. From our bivariate and multivariate analyses we have shown that any government’s inclination to e.g. demand less performance information from its state agencies in general comes with a less autonomous management model for the state agency.

  • 13.
    Ahlbäck Öberg, Shirin
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Wockelberg, Helena
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Mature Agencification: A Multi-Dimensional Analysis of Autonomy2015In: Shaping the Future - Re-invention or revolution?, 2015Conference paper (Refereed)
  • 14.
    Ahlbäck Öberg, Shirin
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Wockelberg, Helena
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Nordic Administrative Heritages and Contemporary Institutional Design2016In: Nordic Administrative Reforms - Lessons for Public Management / [ed] Greve, Carsten, Lægreid, Per and Rykkja, Lise H, Basingstoke: Palgrave Macmillan, 2016, 1, p. 57-78Chapter in book (Other academic)
    Abstract [en]

    This chapter addresses the degree of autonomy, politicization and coordination capacity in the Nordic countries looking at variations across Nordic countries as well as between Nordic countries and other European models. The importance of the East Nordic model is addressed, and also the ministry-agency divide. In terms of autonomy, a distinction is made between managerial autonomy and autonomy in policy-making, and policy implementation respectively. The chapter looks at the question of increased politicization, that is, the degree to which politicians accept the professional expertise of senior civil servants. The chapter also looks at coordination capacity, addressing hierarchy and network arrangements as well as the quality of coordinating along the vertical and horizontal dimension.

  • 15.
    Bessonov, Serguei
    et al.
    Veliky Novgorod Peoples University.
    Shvedchikov, Boris
    Veliky Novgorod Peoples University.
    Repkin, Denis
    Veliky Novgorod Peoples University.
    7. Democratic development in Veliky Novgorod2003In: Public Participation and Democracy: Reports from the Superbs project / [ed] Lars Rydén, Uppsala: Baltic University Press , 2003, 1, p. 45-52Chapter in book (Other (popular science, discussion, etc.))
    Abstract [en]

    Two roads to promote the development of a democratic culture in Veliky Novgorod in post-Soviet Russia are described. The development of home owner partnerships in the city means privatisation of apartment houses which previously were state property. This required considerable support from city administration to establish both funding, loan and proper economic and administrative routines. Educational programmes were run to develop the competence needed among those to work in the new partnerships. Responsibility for the houses as well as surrounding territory resulted in considerably improved housing conditions. These included effective sharing of common property, better and cheaper maintenance and services, and a better social situation. Secondly the creation of a folk high school or "Peoples university" in Novgorod, in cooperation with the Swedish city of Örebro, is described. Also here the focus is on democratisation especially in practical life. The subjects studied include new communication technologies, foreign languages, and political education. The promotion of culture is important. The education also has a goal to promote employment, e.g. in public health, services or environmental work.

  • 16.
    Blomqvist, Paula
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Winblad, Ulrika
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Sweden: Continued Marketization within a Universalist System2014In: Health Care Systems in Europe under Austerity: Institutional Reforms and Performance / [ed] Emmanuele Pavolini, Ana M. Guillén, Palgrave Macmillan , 2014, 1, p. 9-30Chapter in book (Refereed)
  • 17.
    Dahlberg, Matz
    et al.
    Uppsala universitet.
    Elinder, Mikael
    Uppsala universitet.
    Isaksson, David
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Jordahl, Henrik
    IFN.
    Lindbom, Anders
    Uppsala universitet.
    Lundqwist, Heléne
    Stockholms universitet.
    Winblad, Ulrika
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Öhrvall, Richard
    Linköpings universitet.
    Slutsaster.2013In: Välfärdstjänster i privat regi.: Framväxt och drivkrafter. / [ed] Henrik Jordahl, Stockholm: SNS förlag , 2013, p. 221-230Chapter in book (Refereed)
  • 18.
    Elm, Viktor
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Statistics.
    Gripencrantz, Sarah
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Statistics.
    Slumpmässig variation och rankning: En empirisk studie på skola och sjukvård2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Det är idag vanligt inom verksamheter som skola och omsorg att använda rankningar för att utvärdera kvalitet och skapa beslutsunderlag, något som är behäftat med stor osäkerhet. Trots det redovisas ofta dessa utan speciellt tagen hänsyn till den närvarande slumpvariationen. Mot bakgrund av det har vi varit speciellt intresserade av sådana data och har för uppsatsen haft tillgång till skoldata samt tre olika sjukvårdsdata. För att identifiera om och när en rankning kan vara meningsfull har vi för samtliga data jämfört länsnivå med lägre nivåer.

    Uppsatsen behandlar den slumpmässiga variation som framträder i samband med upprättandet av rankningslistor. Då små enheter är mer mottagliga för naturlig variation, förväntas denna har särskild betydelse för placeringen och inte sällan återfinns dessa i toppen eller botten av tabellen. Två i grund olika metoder som båda är konstruerade för att hantera osäkerheten i rankningar testas empiriskt i uppsatsen.

    Uppsatsen finner att det i samtliga fall är förenat med stora svårigheter att skapa meningsfulla och entydiga rankningar. Dels till följd av slumpmässig variation men även för att de skillnader som observeras mellan enheter är alltför små för att kunna göra åtskillnader i kvalitet. Speciellt krävs mycket stora stickprov för att göra en rankning mindre osäker. 

  • 19.
    Erlingsson O, Gissur
    et al.
    Linköpings universitet, CKS.
    Fogelgren, Mattias
    Linköpings universitet, CKS.
    Olsson, Fredrik
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Thomasson, Anna
    Lunds universitet.
    Öhrvall, Richard
    Linköpings universitet, CKS.
    Hur styrs och granskas kommunala bolag?: Erfarenheter och lärdomar från Norrköpings kommun2014Report (Other academic)
  • 20.
    Fogelgren, Mattias
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Arbetsförmedling i omvandling: Om privata aktörer och Arbetsförmedlingen2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 21.
    Fogelgren, Mattias
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Den professionella handläggaren: En studie av personliga handläggare på Försäkringskassan2014Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    De personliga handläggarna på Försäkringskassan har en grundläggande betydelse för hur sjukförsäkringen fungerar eftersom de är ansvariga för att implementera sjukförsäkringens lagar och regler i praktiken. Det finns omfattande regelverk som styr hur sjukförsäkringen ska handläggas men för den enskilda handläggaren finns det alltid ett handlingsutrymme i specifika fall och för sjukförsäkringens legitimitet är det viktigt att handläggaren kan hantera detta handlingsutrymme. Handläggaren måste kunna säkerställa en rättssäker, likvärdig och effektiv process inom ett område där generella regelverk ska appliceras för att bedöma individers förutsättningar, arbetsförmåga och behov av samordning.

     

    Under 2000-talets första decennium blev handläggningsproceduren föremål för ett omfattande förändringsarbete. Huvudambitionen var att öka handläggningens likformighet och undanröja regionala bedömningskulturer som etablerats i den tidigare organisationen. För att uppnå detta har det genererats en ambition om att skapa en organisation som är mer professionell. Det är dock inte helt entydigt vad detta innebär och vad det får för effekter på den konkreta handläggningen. Utan en precisering av vad den professionella ambitionen innebär kan det uppstå en diskrepans mellan vilken professionalism som Försäkringskassan eftersträvar och vilken som i praktiken finns hos enskilda handläggare. Om handläggarna uppfattar sin professionella roll olika är det möjligt att detta får effekter på deras handläggning. Uppsatsens syfte blir således att undersöka huruvida en handläggares uppfattning av sin yrkesroll som personlig handläggare påverkar hur handläggaren agerar inom sjukfallsärenden som denne handlägger. Följande frågeställning är vägledande för genomförandet av studien.

     

    Påverkar personliga handläggares uppfattning av sin professionella roll deras agerande inom sjukförsäkringen?

     

    Det finns huvudsakligen två inflytelserika professionella ideal inom offentlig verksamhet – dessa är yrkesbaserad professionalism och organisatorisk professionalism. Trots att båda har samma begrepp för att beskriva sina respektive metoder för att organisera offentlig verksamhet finns det grundläggande och långtgående skillnader dessa emellan. I denna uppsats appliceras dessa teoretiska utgångspunkter på ett omfattande empiriskt material för att kunna studera syftet.

     

    I studien kombineras en omfattande enkätundersökning med data från de sjukfallsärenden som handläggarna handlägger för att undersöka huruvida det finns ett samband mellan hur handläggarna ser på sin yrkesroll och hur de agerar inom sjukfallsärenden. Utifrån teorin skapas ett index som fungerar som mätinstrument för att klassificera handläggare som antingen yrkesbaserade eller organisatoriska i sin professionella roll.

     

    Utifrån förefaller det rimligt att förvänta sig att organisatoriska handläggare ökar sannolikheten för att någon arbetsförmågeprövning genomförs medan yrkesbaserade handläggare ökar sannolikheten att någon utredning genomförs.

     

    Resultaten visar att yrkesbaserade handläggare ökar sannolikheten för att utredningar och arbetsförmågeprövningar genomförs.  Resultaten indikerar att handläggares professionella roll påverkar deras agerande i sjukfallsärenden de handlägger. Uppsatsens viktigaste resultat sammanfattas enligt följande:

     

    • Handläggares uppfattning av sin yrkesroll påverkar dennes agerande inom sjukfallsärenden de handlägger.

       

    • Handläggare som uppfattar sin yrkesroll som yrkesbaserad ökar sannolikheten att någon arbetsförmågeprövning är genomförd inom 190 dagar.

       

    • Handläggare som uppfattar sin yrkesroll som yrkesbaserad ökar sannolikheten att någon utredning är genomförd inom 190 dagar.

     

    Resultaten visar att åtgärder som genomförs inom sjukfallsärenden inte är helt oberoende av handläggare – en försäkrad som får en yrkesbaserad handläggare har större sannolikhet att få arbetsförmågeprövning och utredning genomförd inom 190 dagar. Denna skillnad kan möjligtvis ha en negativ inverkan på Försäkringskassans legitimitet men vad det innebär för sjukskrivnas möjlighet till rehabilitering och återgång till arbetslivet förefaller mer osäkert.

     

    Resultaten visar även att det finns skillnader mellan vilka åtgärder olika typer av handläggare genomför inom sjukfallsärendena. Eftersom handläggares uppfattning av sin yrkesroll visar sig påverka den konkreta handläggningen är det rimligt att problematisera vilken typ av handläggare Försäkringskassan ämnar skapa och om nuvarande ambitioner får önskad effekt. Samtidigt som resultaten visar att yrkesbaserade handläggare ökar sannolikheten för att arbetsförmågeprövning och utredning genomförs indikerar tidigare forskning att Försäkringskassan utvecklas alltmer åt en organisatorisk professionalism.

     

    En annan slutsats man kan dra av studien är att Försäkringskassan måste öka fokus på att skapa en gemensam värdegrund som omfattar handläggarnas konkreta arbete. Även om det finns betydande instruktioner för hur handläggarna ska agera vid vissa tillfällen i sjukförsäkringsärenden saknas en grundläggande konsensus kring vad det innebär att vara en handläggare inom sjukförsäkringen. Det är problematiskt om Försäkringskassans ledning driver ett ideal medan tusentals handläggare har en annan uppfattning om vad det innebär att vara handläggare inom sjukförsäkringen.

     

    Denna studie kan i ett större sammanhang ses som en del av den diskussion som finns kring professionalism inom offentliga verksamheter. Inom flera områden som exempelvis skolan och hälso- och sjukvården har det framförts krav på att öka professionaliseringen inom verksamheten. Men innebörden av professionalism är inte självklar och det är en betydande skillnad mellan en organisatorisk professionalism och en yrkesbaserad professionalism. Innan förändringar genomförs kan det vara relevant att noga definiera vilken typ av professionalism organisationen eftersträvar. För medarbetare kan vilken typ av professionalism som eftersträvas få omfattande inverkan på deras konkreta arbetssituation.

     

    Nyckelord

    Personlig handläggare, professionalism, Försäkringskassan, sjukförsäkringen.

     

    Tack till

    Pathric Hägglund och Shirin Alhbäck-Öberg för tålmodig, utmanande och ambitiös handledning. Tack även till Per Molander, Nina Granqvist och Stina Simonsson på ISF som har gjort denna uppsats möjlig.

  • 22.
    Forssell, Anders
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Business Studies.
    Ivarsson Westerberg, Anders
    Samtidshistoriska institutet, Södertörns högskola.
    En flod av styrförsök: oavsedda konsekvenser av styrning i offentliga organisationer2008Conference paper (Other academic)
  • 23.
    Forssell, Anders
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Business Studies.
    Norén, Lars
    (The Difficult Art of) Outsourcing Welfare Services: Experiences from Sweden and New Zeeland2007In: Transcending new public management: the transformation of public sector reforms, Burlington VT: Ashgate , 2007Chapter in book (Other (popular science, discussion, etc.))
  • 24.
    Fredriksson, Magnus
    et al.
    JMG, Göteborgs universitet.
    Pallas, Josef
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Business Studies.
    Den medialiserade myndigheten: En analys av svenska myndigheters anpassningar till medielogiken2014Report (Other academic)
    Abstract [sv]

    I denna rapport visar vi hur svenska myndigheter på olika sätt anpassar sig till medierna genom att utveckla metoder, strategier och förhållningssätt som gör det möjligt för dem att aktivt påverka vilken betydelse medierna ska ha i deras verksamheter. Baserat på två delstudier – en innehållsanalys av myndigheternas styrdokument för mediekontakter, och en observations- och intervjustudie av en myndighets mediearbete – kan vi konstatera att det finns stora skillnader i omfattning och typ av anpassning som myndigheter gör till mediernas preferenser, värderingar, rutiner och arbetssätt. Samtidigt som en majoritet av myndigheterna gör en sådan anpassning, kan vi också se att många myndigheter väljer att bortse från medierna i sina styrdokument eller helt väljer att inte upprätta några styrdokument för sin kommunikationsverksamhet. Våra

    studier visar också att när myndigheter tar till sig idén om att de ska anpassa sin

    verksamhet till mediernas normer, principer och arbetsrutiner så sker det genom en politisk process där olika delar av organisationen är involverad. Våra resultat pekar på att myndigheters nyhetsprodukter (rapporter, presentationer, mediematerial etc.), praktiker (mediekontakter, myndighetsutövning, planering, rådgivning etc.), professioner (hur olika yrkesgrupper förhåller sig till sina arbetsuppgifter särskilt i förhållande till medier) och organisering (myndigheters medieaktiviteter i relation till organisering av verksamheten i övrigt) påverkas olika beroende på förhandlingar och styrkeförhållanden mellan myndigheternas grupper av professionella. Så beroende på vilken fråga (t ex publicering av allmännyttiga forskningsresultat eller information till företag om nya regler kring en ny produktkategori); på vilken nivå frågan hanteras (t ex lokalt eller nationellt); och vilken spridning frågan kan tänkas få i medierna, så kommer olika intressen försöka påverka hur myndigheten ska agera i enskilda situationer. Därmed kommer vi till slutsatsen att dels finns skillnader i hur olika myndigheter förhåller sig till medier, men också att en och samma myndighet hanterar kommunikations- och medierelaterade frågor på olika sätt beroende på vilken del av verksamheten vi tittar på.

  • 25.
    Fredriksson, Maria
    Luleå tekniska universitet, Avd f kvalitets- och miljöledning.
    Opinions by Local Politicians on Community Development Projects – two Swedish studies.2005In: International Journal of Management Practice, ISSN 1477-9064, E-ISSN 1741-8143, ISSN 1477-9064, Vol. 1, no 4, p. 309-329Article in journal (Refereed)
  • 26.
    Fredriksson, Mio
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Between Equity and Local Autonomy: A Governance Dilemma in Swedish Healthcare2012Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Both national equity in healthcare and the county councils’ local autonomy are important values supported by Swedish law. Politically it is a balancing act; how much freedom should the county councils have and to what extent should healthcare be equal throughout the country? The general aim of this dissertation, concerning political governance in Swedish healthcare, is to investigate the tensional values of national equity and local autonomy in the light of current trends in healthcare governance in Sweden. How is this tension manifested? Four studies are included in the dissertation. These studies show that the Swedish state is becoming more active in governing and regulating healthcare, for example by the use of informative governance and legislation, which increasingly rely on monitoring and evaluation of results that are made public. The findings show that the tension between national equity and local autonomy is manifested in increasing emphasis on national equity – or rather national equivalence – which is interpreted in terms of Swedish healthcare being recentralized. Delivery and financing of healthcare are still the responsibilities of the county councils. Planning and arranging – the setting of the regulatory framework – is increasingly taken over by the central state. Although power seems to be transferred from local level to central level, the county councils’ autonomy is only partially restricted, which means Swedish healthcare is still decentralized. However, if the recentralization process proceeds further, the county councils´ autonomy may be seriously challenged. Another challenge is to maintain or strengthen the procedures for democratic legitimacy through citizen participation at the local level. When local autonomy looses ground, it becomes more difficult to tailor healthcare according to local needs and conditions in the county councils, and decisions are taken at greater distance from the citizens.

    List of papers
    1. Consequences of a decentralized healthcare governance model: measuring regional authority support for patient choice in Sweden
    Open this publication in new window or tab >>Consequences of a decentralized healthcare governance model: measuring regional authority support for patient choice in Sweden
    2008 (English)In: Social Science and Medicine, ISSN 0277-9536, E-ISSN 1873-5347, Vol. 67, no 2, p. 271-279Article in journal (Refereed) Published
    Abstract [en]

    What are the implications of a decentralized model of healthcare governance? This case study on patient choice in Sweden is an attempt to shed light on this issue. Due to decentralization and constitutional rights of self-determination, the regional authorities in Sweden, called County Councils (CCs), have far-reaching rights to manage the healthcare sector. The fact that patient choice is considered to be a soft law or a soft governance regulation, opens it up to regional variation. To examine the CCs level of support of patient choice, an index is presented. The Patient Choice Index (PCI) shows that there is extensive variation among the CCs. To explain the causes of these variations, a number of hypotheses are tested. The analyses imply that ideology and economy, and more specifically the CCs' governing majorities and running net profits, are major explanations for the level of support. A number of conclusions can be drawn from the results of this study. In short, the CCs appear to act according to a local point of view, which means that there is no functioning national patient choice standard, and thus patients do not have equal access to healthcare and patients' rights are unevenly distributed. Furthermore, the CCs' financial conditions and governing majorities seem to undermine equivalent reform realization in a national context. In summary, the results of this study emphasize the conflict between regional self-governance and national equality, which is particularly visible in the decentralized Swedish healthcare model.

    Keyword
    Sweden, patient choice, equality, healthcare policy, healthcare politics, soft governance
    National Category
    Medical and Health Sciences
    Research subject
    Health Care Research
    Identifiers
    urn:nbn:se:uu:diva-17537 (URN)10.1016/j.socscimed.2008.03.025 (DOI)000257606400007 ()18450346 (PubMedID)
    Available from: 2008-06-30 Created: 2008-06-30 Last updated: 2017-12-08Bibliographically approved
    2. Conflict and Compliance in Swedish Health Care Governance: Soft Law in the ‘Shadow of Hierarchy’
    Open this publication in new window or tab >>Conflict and Compliance in Swedish Health Care Governance: Soft Law in the ‘Shadow of Hierarchy’
    2012 (English)In: Scandinavian Political Studies, ISSN 0080-6757, E-ISSN 1467-9477, Vol. 35, no 1, p. 48-70Article in journal (Refereed) Published
    Abstract [en]

    Soft law, or non-legislative modes of policy making, is becoming increasingly common today. The Nordic countries have a long tradition soft law, not least in central–local relations, where non-binding agreements are frequently used to coordinate policies. A key question springing from soft law theory is that of compliance. Why do independent actors comply if they are not formally obliged to do so, and what happens if they do not comply? This article addresses the question of how compliance can be achieved during policy conflict between actors at different governing levels by investigating a case of health care reform in Sweden. An important finding in the study is that compliance was reached ‘in the shadow of hierarchy’. The central government resorted to the threat of regular legislation to force the county councils to comply. This finding points to the fact that sanctions and the presence of a hierarchical order may play an important role even in soft law governance. The study also shows that an additional important reason that the voluntary agreement between the county councils and central government was honoured in the end by both parties can be attributed to the efforts of a mediating actor: the organization representing the county councils in their negotiations with the government. Finally, the study also illustrates how various forms of informal social pressures such as shaming, peer pressure and moral responsibility can help enforce local compliance in a case of open policy conflict. Arguably, all these compliance mechanisms also have relevance outside the Nordic setting.

    Keyword
    health policy, soft law, Sweden
    National Category
    Political Science Health Care Service and Management, Health Policy and Services and Health Economy
    Research subject
    Health Care Research
    Identifiers
    urn:nbn:se:uu:diva-125473 (URN)10.1111/j.1467-9477.2011.00279.x (DOI)000298742700003 ()
    Available from: 2010-05-19 Created: 2010-05-19 Last updated: 2017-12-12Bibliographically approved
    3. Recentralizing healthcare through evidence-based guidelines – striving for national equity in Sweden
    Open this publication in new window or tab >>Recentralizing healthcare through evidence-based guidelines – striving for national equity in Sweden
    2014 (English)In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 14, p. 509-Article in journal (Refereed) Published
    Abstract [en]

    Background: The Swedish government has increasingly begun to rely on so called informative governance when regulating healthcare. The question this article sets out to answer is: considered to be “the backbone” of the Swedish state’s strategy for informative governance in healthcare, what kind of regulatory arrangement is the evidence-based National Guidelines? Together with national medical registries and an extensive system of quality and efficiency indicators, the National Guidelines constitutes Sweden’s quality management system. Methods: A framework for evaluating and comparing regulatory arrangements was used. It asks for instance: what is the purpose of the regulation and are regulation methods oriented towards deterrence or compliance? Results: The Swedish National Guidelines is a regulatory arrangement intended to govern the prioritizations of alldecision makers – politicians and administrators in the self-governing county councils as well as healthcare professionals – through a compliance model backed up by top-down benchmarking and built-in mechanisms for monitoring. It is thus an instrument for the central state to steer local political authorities. The purpose is to achieve equitable and cost-effective healthcare. Conclusions: This article suggests that the use of evidence-based guidelines in Swedish healthcare should be seen in the light of Sweden’s constitutional setting, with several autonomous levels of political authority negotiating the scope for their decision-making power. As decision-making capacity is relocated to the central government – from the democratically elected county councils responsible for financing and provision of healthcare – the Swedish National Guidelines is part of an ongoing process of healthcare recentralization in Sweden, reducing the scope for local decision-making. This represents a new aspect of evidence-based medicine (EBM) and clinical practice guidelines (CPGs).

    Keyword
    EBM, CPG, guidelines, evidence, Sweden, local demcracy, primary care, health policy, citizen, patient
    National Category
    Health Care Service and Management, Health Policy and Services and Health Economy Public Administration Studies
    Research subject
    Health Care Research
    Identifiers
    urn:nbn:se:uu:diva-162604 (URN)10.1186/s12913-014-0509-1 (DOI)000348416600001 ()25370710 (PubMedID)
    Available from: 2011-12-01 Created: 2011-12-01 Last updated: 2017-12-08Bibliographically approved
    4. The trade-off between choice and equity: Swedish policymakers’ arguments when introducing patient choice
    Open this publication in new window or tab >>The trade-off between choice and equity: Swedish policymakers’ arguments when introducing patient choice
    2013 (English)In: Journal of European Social Policy, ISSN 0958-9287, E-ISSN 1461-7269, Vol. 23, no 2, p. 192-209Article in journal (Refereed) Published
    Abstract [en]

    How do policymakers deal with the tension between choice and equity in healthcare? An analysis and critical examination of Swedish policymakers' arguments when introducing legislated choice of primary care provider in 2010 shows that even when deciding on a reform with a potentially great impact on distribution of health resources, implications for equity were not systematically addressed. Effects with regards to current patterns of healthcare consumption in the population as well as existing inequalities in health outcomes were not adequately addressed. Neither was the primary are choice reform, which is based on the values of consumerism and individual choice, problematized in relation to current healthcare legislation such as the Health and Medical Services Act. Given that the values of equity and social solidarity have had such a prominent place in Swedish health policy and discourse in past decades, this is a surprising finding. In conclusion, we argue that because inequalities in health constitute one of the main challenges for public health today, the impact of healthcare reforms on equity should receive more attention in policymaking.

    Keyword
    choice, equity, Sweden, health policy
    National Category
    Health Care Service and Management, Health Policy and Services and Health Economy Public Administration Studies
    Research subject
    Health Care Research
    Identifiers
    urn:nbn:se:uu:diva-162603 (URN)10.1177/0958928712463158 (DOI)000318521200006 ()
    Available from: 2011-12-01 Created: 2011-12-01 Last updated: 2017-12-08Bibliographically approved
  • 27.
    Fredriksson, Mio
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Blomqvist, Paula
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Winblad, Ulrika
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
    The trade-off between choice and equity: Swedish policymakers’ arguments when introducing patient choice2013In: Journal of European Social Policy, ISSN 0958-9287, E-ISSN 1461-7269, Vol. 23, no 2, p. 192-209Article in journal (Refereed)
    Abstract [en]

    How do policymakers deal with the tension between choice and equity in healthcare? An analysis and critical examination of Swedish policymakers' arguments when introducing legislated choice of primary care provider in 2010 shows that even when deciding on a reform with a potentially great impact on distribution of health resources, implications for equity were not systematically addressed. Effects with regards to current patterns of healthcare consumption in the population as well as existing inequalities in health outcomes were not adequately addressed. Neither was the primary are choice reform, which is based on the values of consumerism and individual choice, problematized in relation to current healthcare legislation such as the Health and Medical Services Act. Given that the values of equity and social solidarity have had such a prominent place in Swedish health policy and discourse in past decades, this is a surprising finding. In conclusion, we argue that because inequalities in health constitute one of the main challenges for public health today, the impact of healthcare reforms on equity should receive more attention in policymaking.

  • 28.
    Fredriksson, Mio
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Blomqvist, Paula
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Winblad, Ulrika Spångberg
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Recentralizing healthcare through evidence-based guidelines – striving for national equity in Sweden2014In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 14, p. 509-Article in journal (Refereed)
    Abstract [en]

    Background: The Swedish government has increasingly begun to rely on so called informative governance when regulating healthcare. The question this article sets out to answer is: considered to be “the backbone” of the Swedish state’s strategy for informative governance in healthcare, what kind of regulatory arrangement is the evidence-based National Guidelines? Together with national medical registries and an extensive system of quality and efficiency indicators, the National Guidelines constitutes Sweden’s quality management system. Methods: A framework for evaluating and comparing regulatory arrangements was used. It asks for instance: what is the purpose of the regulation and are regulation methods oriented towards deterrence or compliance? Results: The Swedish National Guidelines is a regulatory arrangement intended to govern the prioritizations of alldecision makers – politicians and administrators in the self-governing county councils as well as healthcare professionals – through a compliance model backed up by top-down benchmarking and built-in mechanisms for monitoring. It is thus an instrument for the central state to steer local political authorities. The purpose is to achieve equitable and cost-effective healthcare. Conclusions: This article suggests that the use of evidence-based guidelines in Swedish healthcare should be seen in the light of Sweden’s constitutional setting, with several autonomous levels of political authority negotiating the scope for their decision-making power. As decision-making capacity is relocated to the central government – from the democratically elected county councils responsible for financing and provision of healthcare – the Swedish National Guidelines is part of an ongoing process of healthcare recentralization in Sweden, reducing the scope for local decision-making. This represents a new aspect of evidence-based medicine (EBM) and clinical practice guidelines (CPGs).

  • 29.
    Garduño Diaz, Philippe Youssef
    Uppsala University, Disciplinary Domain of Science and Technology, Earth Sciences, Department of Earth Sciences. Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Social Safeguards for REDD+ in Mexico’s Watershed Management Program2012Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Case studies on environmental governance are essential to improve comprehension on howto implement international agreements. This study focuses on seven social safeguards relevant toREDD+. The existence of these social safeguards is examined in Mexico’s watershed managementprogram in La Sierra Madre and La Costa of Chiapas. The watershed management program is anotherPayment for Ecosystem Services (PES) scheme similar to REDD+. Questionnaires and interviews wereused to conduct primary research with participants of the water management program. Upon theexamination of the collected data the safeguards were analysed on their sufficiency for REDD+.REDD+ itself could not be examined as it is still in the stage of preparation at the time of the research.Results varied between each safeguards. A complaint mechanism does exist but is underutilized andgenerally dysfunctional. Local knowledge is considered and used as the watershed managementprogram has a flat hierarchy of decision-making. However this is only the case at the lowestinstitutional level of the Comités de Cuenca. The higher the level the less likely it is that localknowledge will be considered. This is reflected in the social safeguard of full and effectiveparticipation, which is only fulfilled at the lowest level. There are no barriers to participation when itcomes to implementing and evaluating the mechanism on a local scale. However the design of it isdone on institutional levels beyond the reach of locals. The application of free, prior and informedconsent is upheld within the mechanism, as everyone participates by his or her own free choice.Marginalized stakeholders such as women, indigenous people and youth are also free to participate;unfortunately, little is done to encourage them to do so. As a result few to none are present, turning theComités de Cuenca into decision-making bodies for comparably wealthy and influential citizens at thelocal scale. The benefits acquired from the mechanism mostly go to e.g. work-committees where muchof the funds are distributed as income to temporary workers from the local community. According toparticipants of the Comités and managers alike, the decision-making process is equal to the waydecisions were made before the arrival of the mechanism.It could be observed that some social safeguards are in place, however, none of them sufficiently forREDD+. In regards to implementation of REDD+ the most challenging social safeguard will be theconcept of “free, prior and informed consent”. This holds true as long as REDD+ will be implementednationally. If that will be the case the government would have to convince locals across the country toparticipate in REDD+, including those that already announced their opposition in the Declaration ofPatihuitz (Declaration of Patihuitz 2011). Without legitimization there will be little participation andcommitment on the side of local people, which is crucial to make REDD+ work. Hence it isrecommended that the mechanism takes a process-oriented focus in order to legitimize the mechanism.

  • 30.
    Granvik, Madeleine
    Swedish University of Agricultural Sciences.
    1. A strong municipality: On the local economic and planning competence in Uppsala and other Swedish municipalities2002In: Basic patterns of sustainability: Reports from the Superbs project / [ed] Lars Rydén and Madeleine Granvik, Uppsala: Baltic University Press , 2002, 1, p. 4-8Chapter in book (Other (popular science, discussion, etc.))
    Abstract [en]

    Uppsala is described as an example of the typical Nordic strongmunicipality. This includes an extensive self-government andlocal democracy with self-taxation and a planning monopoly. Itis argued that a strong local community is good for approachingsustainability. Madeleine Granvik is a geographer and researchstudent at the Dept of Landscape Planning at the Swedish AgriculturalUniversity. She has worked with development of democracyand environmental awareness in cities in Sweden and Russia.

  • 31.
    Granvik, Madeleine
    et al.
    Swedish University of Agricultural Sciences.
    Christoferson, Inger
    City of Uppsala.
    2. Cultures of municipal administration: From command and control to negotiation and co-operation or a service producing company - two examples of economic and social development in Uppsala2002In: Basic patterns of sustainability: Reports from the Superbs project / [ed] Lars Rydén and Madeleine Granvik, Uppsala: Baltic University Press , 2002, 1, p. 9-16Chapter in book (Other (popular science, discussion, etc.))
    Abstract [en]

    The traditional role of the municipality was to command andcontrol. Sustainable development requires that the municipalityco-operate with other actors, such as companies and NGOs, bothfor reasons of democracy and mounting resources; the new rolecontributes to a new administrative culture.

  • 32.
    Granvik, Madeleine
    et al.
    Swedish University of Agricultural Sciences.
    Forsberg, Mia
    City of Uppsala.
    3. Urban growth and longterm planning: Strategies and vision for the city of Uppsala – public participation in long term planning2002In: Basic patterns of sustainability: Reports from the Superbs project / [ed] Lars Rydén and Madeleine Granvik, Uppsala: Baltic University Press , 2002, 1, p. 17-23Chapter in book (Other (popular science, discussion, etc.))
    Abstract [en]

    Sustainable development is addressed as a new challenge instrategic planning. The Strategies and vision for Uppsala City2012 is one example of a strategic planning document. Thearticle describes the work with the plan, public participation andits main features.

  • 33.
    Grönholm, Björn
    Åbo Akademi University.
    1. Implementing Local Agenda 21 in the Baltic Sea region: The case of Turku and southwest Finland2003In: Public Participation and Democracy: Reports from the Superbs project / [ed] Lars Rydén, Uppsala: Baltic University Press , 2003, 1, p. 4-14Chapter in book (Other (popular science, discussion, etc.))
    Abstract [en]

    The introduction and implementation of Local Agenda 21 (LA21) in municipalities in Finland, Sweden, Norway and Denmark is reviewed. In Sweden all municipalities have a LA21, in Finland many and in Norway almost none, but here many environmental projects serve the same purpose as LA21. The importance of the participatory and informative – democracy building – character of LA21 is underlined with many examples from Turku and Southwest Finland.

  • 34.
    Gustafson, Per
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Institute for Housing and Urban Research.
    Hertting, Nils
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government. Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Institute for Housing and Urban Research.
    Understanding Participatory Governance: An Analysis of Participants' Motives2017In: American Review of Public Administration, ISSN 0275-0740, E-ISSN 1552-3357, Vol. 47, no 5, p. 538-549Article in journal (Refereed)
    Abstract [en]

    Despite the growing body of literature on participatory and collaborative governance, little is known about citizens' motives for participation in such new governance arrangements. The present article argues that knowledge about these motives is essential for understanding the quality and nature of participatory governance and its potential contribution to the overall political and administrative system. Survey data were used to explore participants' motives for participating in a large-scale urban renewal program in Stockholm, Sweden. The program was neighborhood-based, characterized by self-selected and repeated participation, and designed to influence local decisions on the use of public resources. Three types of motives were identified among the participants: (a) Common good motives concerned improving the neighborhood in general and contributing knowledge and competence. (b) Self-interest motives reflected a desire to improve one's own political efficacy and to promote the interest of one's own group or family. (c) Professional competence motives represented a largely apolitical type of motive, often based on a professional role. Different motives were expressed by different categories of participants and were also associated with different perceptions concerning program outcomes. Further analysis suggested that participatory governance may represent both an opportunity for marginalized groups to empower themselves and an opportunity for more privileged groups to act as local citizen representatives and articulate the interests of their neighborhoods. These findings call for a more complex understanding of the role and potential benefits of participatory governance.

  • 35.
    Hedmo, Tina
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Business Studies.
    Skapandet av en gemensam folkhälsopolitik i EU: En öppen process i gränslandet mellan offentligt och privat2009In: Mellan offentligt och privat: Om styrning, praktik och intressen i hälso- och sjukvården / [ed] Kajsa Lindberg och Maria Blomgren, Stockholm: Santérus Academic Press , 2009, p. 103-119Chapter in book (Refereed)
  • 36.
    Hedmo, Tina
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Business Studies.
    Jernberg, Signe
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Business Studies.
    Vad är autonomi?: autonomidiskursens många ansikten2017In: Det ostyrda universitetet: perspektiv på styrning, autonomi och reform av svenska lärosäten / [ed] Linda Wedlin, Josef Pallas, Stockholm/Göteborg: Makadam , 2017, p. 64-90Chapter in book (Other academic)
  • 37.
    Hemmungs Wirtén, Eva
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Arts, Department of ALM.
    När rätt blir fel: om upphovsrätt, kreativitet och kulturpolitik2008In: KulturSverige 2009, Sörlins Förlag , 2008, p. 69-73Chapter in book (Other (popular science, discussion, etc.))
  • 38.
    Henry, Adam
    et al.
    University of Arizona.
    Ingold, Karin
    University of Bern.
    Nohrstedt, Daniel
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Weible, Chris
    University of Colorado Denver.
    Policy Change in Comparative Contexts: Applying the Advocacy Coalition Framework Outside of Western Europe and North America2014In: Journal of Comparative Policy Analysis, ISSN 1387-6988, E-ISSN 1572-5448, Vol. 16, no 4, p. 299-312Article in journal (Refereed)
    Abstract [en]

    The advocacy coalition framework (ACF) is one of the most frequently applied theories of the policy process. Most applications have been in Western Europe and North America. This article provides an overview of the ACF, summarizes existing applications outside of Western Europe and North America, and introduces the special issue that features applications of the ACF in the Philippines, China, India, and Kenya. This article concludes with an argument for the continued application of the ACF outside of Western Europe and North America and a research agenda for overcoming challenges in using the ACF in comparative public policy research.

  • 39.
    Hermansson, Helena
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Centralized Disaster Management Collaboration in Turkey2017Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Following unprecedented earthquakes in 1999, highly centralized Turkey initiated reforms that aimed to improve disaster management collaboration and to empower local authorities. In 2011, two earthquakes hit the country anew affecting the city of Van and town of Erciş in Turkey’s southeast.

    In attempts to reduce disaster risk, global disaster risk reduction frameworks and disaster scholars and practitioners advocate collaborative and decentralized disaster management strategies. This thesis investigates how such strategies are received in a centralized and hierarchical national political-administrative system that largely is the anti-thesis of the prescribed solutions. More specifically, this research investigates the barriers and prerequisites for disaster management collaboration between both public and civil society actors in Turkey (during preparedness, response, and recovery) as well as how Turkey’s political-administrative system affects disaster management collaboration and its outcomes. The challenges to decentralization of disaster management are also investigated.

    Based on forty-four interviews with actors ranging from national to village level and NGOs, the findings suggest that the political-administrative system can alter the relative importance, validity, and applicability of previously established enabling or constraining conditions for collaboration. This may in turn challenge previous theoretical assumptions regarding collaboration.

    By adopting a mode of collaboration that fit the wider political-administrative system, collaborative disaster management progress was achieved in Turkey’s national level activities. Although there were exceptions, collaboration spanning sectors and/or administrative levels were generally less forthcoming, partly due to the disjoint character of the political-administrative system. Political divergence between local and central actors made central-local collaboration difficult but these barriers were partly trumped by other prerequisites enabling collaboration like interdependence and pre-existing relations. The findings suggest that the specific attributes of disasters may both help and hinder disaster management collaboration. Such collaboration generally improved disaster response. The findings also indicate that the decentralization attempts may have been premature as the conditions for ensuring a functional decentralization of disaster management are presently lacking. Decentralization attempts are commonly suggested to increase local capacity and local participation but the findings of this dissertation suggest that in Turkey, these commodities may currently have better chances of being increased by refraining from decentralization.

    List of papers
    1. Disaster Management Collaboration in Turkey: Assessing Progress and Challenges of Hybrid Network Governance
    Open this publication in new window or tab >>Disaster Management Collaboration in Turkey: Assessing Progress and Challenges of Hybrid Network Governance
    2016 (English)In: Public Administration, ISSN 0033-3298, E-ISSN 1467-9299, Vol. 94, no 2, p. 333-349Article in journal (Refereed) Published
    Abstract [en]

    Managing disasters generally demands multiorganizational collaboration and collaborative skills. In Turkey, observed shortcomings in disaster management collaboration prompted a reorganization of the disaster management system that led to the emergence of a centralized hybrid network. The network governance literature generally heralds decentralized organization and shared network governance, which facilitate collaboration by maximizing trust and legitimacy and minimizing power imbalances. Through the use of 24 semi-structured interviews, this article's objective is to assess the applicability of prior theoretical assumptions regarding interorganizational collaboration in a political-administrative context different from that in which they were originally developed. The study contributes to the theoretical discussion about how political-administrative system attributes might influence interorganizational disaster management collaboration. The results suggest that ‘tailor-fitting’ interorganizational network designs to the political-administrative culture can be beneficial for collaborative disaster management. Furthermore, results suggest that more effort should be devoted to examining cases where actors manage to overcome barriers to collaboration despite challenging institutional and political-administrative landscapes.

    National Category
    Public Administration Studies
    Identifiers
    urn:nbn:se:uu:diva-272179 (URN)10.1111/padm.12203 (DOI)000378648600004 ()
    External cooperation:
    Available from: 2016-01-12 Created: 2016-01-12 Last updated: 2017-11-30Bibliographically approved
    2. Disaster Response in Turkey: Conditions Promoting Cross-Sectoral Collaboration and Implications for Effectiveness
    Open this publication in new window or tab >>Disaster Response in Turkey: Conditions Promoting Cross-Sectoral Collaboration and Implications for Effectiveness
    (English)In: Administration & Society, ISSN 0095-3997, E-ISSN 1552-3039Article in journal (Refereed) Accepted
    Abstract [en]

    Local and civil society can play decisive roles in disaster response. Yet, the disaster management literature is unclear regarding the conditions that enable cross-sectoral collaboration. Using a collaborative governance framework and 44 semi-structured interviews, this study investigates how trust, pre-existing relations, interdependence, knowledge, and resources affect cross-sectoral collaboration during disaster response in Turkey. The results illustrate how these factors interact with system context factors, like political compatibility, to facilitate or hinder cross-sectoral collaboration. The study concludes that cross-sectoral collaboration is no panacea for successful disaster response but empirical examples suggest that cross-sectoral collaboration can contribute to reducing suboptimal disaster response. 

    Keyword
    cross-sectoral collaboration, collaborative governance, disaster response, local and civil society actors, political compatibility, Turkey
    National Category
    Public Administration Studies
    Research subject
    Political Science
    Identifiers
    urn:nbn:se:uu:diva-310415 (URN)
    Available from: 2016-12-15 Created: 2016-12-15 Last updated: 2017-11-29Bibliographically approved
    3. Challenges to Decentalization of Disaster Management in Turkey
    Open this publication in new window or tab >>Challenges to Decentalization of Disaster Management in Turkey
    (English)In: International Journal of Public Administration, ISSN 0190-0692, E-ISSN 1532-4265Article in journal (Refereed) Submitted
    National Category
    Public Administration Studies
    Identifiers
    urn:nbn:se:uu:diva-318858 (URN)
    Available from: 2017-03-29 Created: 2017-03-29 Last updated: 2017-11-29
  • 40.
    Hermansson, Helena
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Challenges to Decentalization of Disaster Management in TurkeyIn: International Journal of Public Administration, ISSN 0190-0692, E-ISSN 1532-4265Article in journal (Refereed)
  • 41.
    Hermansson, Helena
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government. Swedish Def Univ, Stockholm, Sweden.
    Disaster Management Collaboration in Turkey: Assessing Progress and Challenges of Hybrid Network Governance2016In: Public Administration, ISSN 0033-3298, E-ISSN 1467-9299, Vol. 94, no 2, p. 333-349Article in journal (Refereed)
    Abstract [en]

    Managing disasters generally demands multiorganizational collaboration and collaborative skills. In Turkey, observed shortcomings in disaster management collaboration prompted a reorganization of the disaster management system that led to the emergence of a centralized hybrid network. The network governance literature generally heralds decentralized organization and shared network governance, which facilitate collaboration by maximizing trust and legitimacy and minimizing power imbalances. Through the use of 24 semi-structured interviews, this article's objective is to assess the applicability of prior theoretical assumptions regarding interorganizational collaboration in a political-administrative context different from that in which they were originally developed. The study contributes to the theoretical discussion about how political-administrative system attributes might influence interorganizational disaster management collaboration. The results suggest that ‘tailor-fitting’ interorganizational network designs to the political-administrative culture can be beneficial for collaborative disaster management. Furthermore, results suggest that more effort should be devoted to examining cases where actors manage to overcome barriers to collaboration despite challenging institutional and political-administrative landscapes.

  • 42.
    Hermansson, Helena
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Disaster Response in Turkey: Conditions Promoting Cross-Sectoral Collaboration and Implications for EffectivenessIn: Administration & Society, ISSN 0095-3997, E-ISSN 1552-3039Article in journal (Refereed)
    Abstract [en]

    Local and civil society can play decisive roles in disaster response. Yet, the disaster management literature is unclear regarding the conditions that enable cross-sectoral collaboration. Using a collaborative governance framework and 44 semi-structured interviews, this study investigates how trust, pre-existing relations, interdependence, knowledge, and resources affect cross-sectoral collaboration during disaster response in Turkey. The results illustrate how these factors interact with system context factors, like political compatibility, to facilitate or hinder cross-sectoral collaboration. The study concludes that cross-sectoral collaboration is no panacea for successful disaster response but empirical examples suggest that cross-sectoral collaboration can contribute to reducing suboptimal disaster response. 

  • 43.
    Hertting, Nils
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Institute for Housing and Urban Research. Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Dahlberg, Matz
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Institute for Housing and Urban Research.
    Heimer, Maria
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Stenbacka, Susanne
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Social and Economic Geography.
    Kvalitetsbedömning av effektivitetsrevisionens granskningsrapporter 20162016Report (Other (popular science, discussion, etc.))
  • 44.
    Hertting, Nils
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Jungerhem, Sven
    Sjöblom, Arne
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Business Studies.
    Stenbacka, Susanne
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Social and Economic Geography.
    Kvalitetsbedömning av effektivitetsrevisionens granskningsrapporter 20152015Report (Other academic)
  • 45.
    Hägerdal, Erik
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Statistics.
    Sjögren, Joakim
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Statistics.
    Finns det blockpolitiska skillnader i kommunal skattepolitik?2011Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Med denna uppsats har vi försökt modellera sannolikheten för förändringar i den kommunala skattenivån i svenska kommuner givet deras politiska styre, som är kodade enligt definition av Sveriges Kommuner och Landsting (SKL). Genom att göra det försöker vi få svar på frågan om det finns blockpolitiska skillnader i kommunal skattepolitik. Genom att kombinera SKL:s klassificering av kommunala politiska styren 2002-2006 med 2006-2010 har vi skapat så kallade maktskifteskategorier, som vi sedan använder som kategoriska variabler när vi modellerar sannolikheten för olika förändringar i de kommunala skattenivåerna. För att i viss mån renodla politikens inflytande och skilja det från andra strukturer som kan tänkas påverka skattenivån har vi skapat variabler som vi kallar för kontrollvariabler. Dessa försöker spegla strukturella förutsättningar för den kommunala ekonomin. Två av dessa är förändring i befolkningstäthet samt andelen av den kommunala totalbefolkningen som är förvärvsarbetande. För att ge läsaren en beskrivande bild av vårt datamaterial har vi i den deskriptiva delen av uppsatsen använt oss av så kallade markovkedjor för att ge en initial bild av sannolikheten för höjd, sänkt respektive oförändrad skattenivå givet förändringar i det politiska styret före och efter valet 2006. Sannolikheterna för de tre möjliga utfallen höjd, sänkt respektive oförändrad skatt modelleras med två multinominala logistiska regressioner – först utan kontrollvariabler och sedan med.

    För att tydligare kunna se politikens påverkan har vi valt att utesluta 30 kommuner enligt vissa avgränsningskriterier. Vi har uteslutit kommuner som haft ”hoppande” majoriteter mellan valen. I slutet av resultatdelen provar vi även att estimera en multinominal logistisk modell där vi uteslutit minoritetsstyren.

    Inom vissa politiska maktskifteskategorier hade vi för få observationer för att kunna modelera sannolikheten för sänkt skatt; data saknas data för att kunna göra en stabil modell med signifikanta parametrar.

    Efter estimationen av våra modeller jämför vi de koefficienter som blivit signifikanta på 5%-nivån, och jämföra koefficientestimatens värde för att rangordna maktskiften efter vilken påverkan de har på sannolikheten för höjd skatt.  Vi utvärderar sen vårt resultat och vilka faktorer och egenskaper i den kommunala skattepolitiken under 2006-2010 som kan ha påverkat det. Vårt resultat visar att flera typer av maktskiften har en signifikant inverkan på sannolikhetsfördelningen för höjd skatt, och samtidigt som vi inte kan dra några slutsatser om sannolikheten för sänkt skatt hjälper estimationerna ändå oss att analysera blockpolitikens påverkan på den kommunala skattepolitiken.

  • 46.
    Hård af Segerstad, Peder
    Uppsala University, Humanistisk-samhällsvetenskapliga vetenskapsområdet, Faculty of Social Sciences, Department of Information Science. MKV.
    Chef i statsförvaltningen: 18 röster om att leda i statens tjänst2006Book (Other (popular scientific, debate etc.))
  • 47.
    Iordanoglou, Dimitrios
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Languages, Department of Linguistics and Philology.
    Ursprungsglöd och värmedöd: om de nationella kulturpolitiska målen i den lokala kulturpolitiken2005Book (Other (popular science, discussion, etc.))
  • 48.
    Jenkins-Smith, Hank C.
    et al.
    University of Oklahoma.
    Nohrstedt, Daniel
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Weible, Christopher M.
    University of Colorado Denver.
    Sabatier, Paul A.
    University of California Davis.
    The Advocacy Coalition Framework: Foundations, Evolution and Future Challenges2014In: Theories of the Policy Process / [ed] Paul Sabatier & Chris Weible, Boulder: Westview Press, 2014, 3, p. 183-223Chapter in book (Refereed)
  • 49.
    Joel, Viegård
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    På uppdrag av regeringen: En studie av regeringens styrning genom myndigheternas uppdrag2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Denna studie ämnar beskriva förändringen i formell styrning av förvaltningsmyndigheterna under tidsperioden 2006 till och med 2012. Av intresse för studien har varit styrutredningens (SOU 2007:75) kritik mot regeringens styrning av förvaltningen samt regeringens budgetproposition och förvaltningspolitiska proposition för år 2009. Studiens avsikt är således att beskriva förändringen över tid sedan styrutredningen presenterades. Centralt i studien är de av regeringen utfärdade uppdragen i regleringsbreven. I analysen presenteras ett antal mätbara variabler: antal uppdrag, storlek på uppdragen och antal återrapporteringskrav. I de fall som uppdragsdelen har förändrats eller stått oförändrad, utforskar studien dess innebörd för den sammantagna styrningen av förvaltningen.

  • 50. Johansson, Kerstin
    et al.
    Denvall, Verner
    Evert, Vedung
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Institute for Housing and Urban Research.
    After the NPM Wave: Evidence-Based Practice and the Vanishing Client2015In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 19, no 2, p. 69-88Article in journal (Refereed)
    Abstract [en]

    Over the last two decades, a movement for Evidence-Based Management (EBM) has surfaced across the Atlantic world with pretensions of being a successor of New Public Management (NPM). In this paper, we focus on Swedish social welfare as an arena where persistent government attempts have been made to implement locally new evidence-based ideas, specifically evidence-based practice (EBP). In Swedish discourse, the meaning of “evidence-based” is contested. One interpretation maintains that best (and only acceptable) evidence comes from the use of randomized controlled trials (RCTs). Another interpretation maintains that evidence from research constitutes only one leg of a multi-factorial definition; that is, this view contends that RCT evidence should be considered along with experience of practitioners and clients (users). Although client participation was an important tenet in the incipient attempts to implement EBP, by using translation theory this article will show that later attempts have tended to ignore the client’s perspective. From this foundation, we address why client views and outlooks have been ignored in EBP implementation.

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