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Multi-level Coordination Bodies of Democratic Nexus Governance for the Frail and Elderly in Sweden

Konferensbidrag (offentliggjort, men ej förlagsutgivet)
Författare Stefan Szücs
Staffan Johansson
Andreas Liljegren
Publicerad i 11th ECPR General Conference. University of Oslo: 6-9 September 2017
Publiceringsår 2017
Publicerad vid Institutionen för socialt arbete
Språk en
Länkar https://ecpr.eu/Events/EventDetails...
https://ecpr.eu/Events/PaperDetails...
Ämnesord Decision Making, Democracy, Governance, Representation, Social Welfare
Ämneskategorier Studier av offentlig förvaltning, Statsvetenskap

Sammanfattning

New policies for the frail elderly, integrating eldercare from local government and health care from regional government, rests on a complex transboundary multi-level governance challenge involving public and private service providers, and where authorities at all levels – local, regional, national and EU – increasingly need to coordinate governance through the nexus of local-regional coordination bodies. The purpose of this paper is to study the members of such coordination bodies’ representation, capacity and accountability in relation to horizontal management theory in the setting of the decentralized Nordic welfare state. Data rests on a survey sent to all members of 73 strategic multi-level coordination bodies for frail elderly policy-making across Sweden. The findings show that representation is multi-level, but divided into a coordination policy system of bodies staffed with either politicians or administrators from different levels of authority or mainly managers/professionals, with networks that are either local deliberative, regional strategic or public/private provider oriented. This horizontal policy coordination system determines the patterns of capacity and accountability, but perceived quality coordination rests on internal and external performance.

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