English, Article edition: The interplay between central and sub-central levels: the development of a systemic standard based programme for governing medical performance in Denmark VRANGBAEK, KARSTEN

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Bookmark: http://trove.nla.gov.au/version/16847
Physical Description
  • article
Language
  • English

Edition details

Title
  • The interplay between central and sub-central levels: the development of a systemic standard based programme for governing medical performance in Denmark
Author
  • VRANGBAEK, KARSTEN
Physical Description
  • article
Notes
  • This paper analyses the introduction of a systemic standards based programme for governing medical performance in Denmark. The programme combines clinical, organisational, and patient related standards and measures, and contains both external evaluation and self-assessment based on standards. The substance of the programme is new compared to the previous decentralised or professionally driven state of affairs that was based on a largely voluntary introduction of clinical standards, combined with a case-by-case evaluation of malpractice incidents. The programme strengthens hierarchy-based forms of governance; these co-exist with salient components of network-based governance as well as some elements of market-based governance. Institutional and contextual factors are important in explaining why a systemic standards based programme emerged as a result of the policy negotiation processes. In particular, the programme reflects stronger governance ambitions from the government in response to claims of a relative decline in the quality of the regional health services. However, the actual design is mediated by institutionalised negotiation processes among the state, decentralised authorities, and health professionals.
  • RePEc:cup:hecopl:v:4:y:2009:i:03:p:305-327_00
Language
  • English
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