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Swedish healthcare management practices and quality improvement work - development trends
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Purpose – This study aims at empirically examining developmental trends in management practices and improvement work in healthcare organizations.
Design/methodology/approach – We surveyed the managers of all primary healthcare centers (n = 1031) and clinical hospital departments (n = 1542) nationwide in the spring of 2007. The response rate was 46%. This article compares results from this survey with a study that was made in 2003. A theoretical framework based on organizational inner context, organizational outer context, external environment and outcomes form the base for the analysis. Comparisons were made using an independent two-sample t-test.
Findings – A general aspect, identified empirically, is the tendency toward increased external pressure on the leaders in their improvement work. Higher management decisions, patient pressure and decisions made by policymakers have increasingly influenced and shaped the choices made by health care managers about where to focus efforts of improvement. Three different trends are empirically identified and elaborated upon in the article: Take-control logics; practice-based improvement and patient-centeredness.
NONE
Healthcare Management
English
2013
1-25
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