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Multi-level Coordination Bodies of Democratic Networked Governance for Frail Elderly in Sweden

Konferensbidrag (offentliggjort, men ej förlagsutgivet)
Författare Stefan Szücs
Staffan Johansson
Andreas Liljegren
Publicerad i NOPSA XVIII Congress at University of Southern Denmark, Odense : 8-11 August 2017
Publiceringsår 2017
Publicerad vid Institutionen för socialt arbete
Språk en
Länkar https://www.sdu.dk/en/Om_SDU/Instit...
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 policy challenge involving public and private service providers where different authorities must increasingly co-operate through multi-level democratic networked governance. The purpose of this paper is to study the members of such coordination bodies with questions about their 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 handling frail elderly policy 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 performance of the coordination body rests on latent differences in efficiency that are internal and external.

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