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The multi-professional team as a post-NPM control regime: Can it integrate competing control regimes in healthcare?
GRI, School of Business, Economics and Law, University of Gothenburg.
University of Skövde, School of Technology and Society.ORCID iD: 0000-0002-1989-2745
2013 (English)In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 16, no 2, p. 45-67Article in journal (Refereed) Published
Abstract [en]

This paper focuses on multi-professional teams (MPT) as a potential post New Public Management (NPM) control regime in order to develop individualistic and holistic care in healthcare in the context of two competing logics: managerialism and professionalism. In a qualitative case study, three outpatient Child and Adolescent Psychiatric (CAP) care units are investigated using interviews, observations and shadowing. The study shows that the MPT has an integrative effect on the two logics when informal alliances are formed between psychologists/psychiatrists and unit managers. We conclude that the MPT may achieve patient care in a resource-effective and professional way but not individualistic and holistic care. An explanation may be that individualistic and holistic care is neither measurable/quantifiable as required by the resource-effectiveness goal nor in focus as a consequence of the logic of professionalism. A theoretical implication is that the negative effect of NPM on the professionals’ autonomy is mitigated by the MPT. Earlier studies may have underestimated the importance of “hard facts” introduced by a strong control regime, in this case, the NPM context. The control regime may take over and create collaboration; nonetheless, the outcome is not entirely the desired one.

Place, publisher, year, edition, pages
Göteborg: Göteborgs universitet , 2013. Vol. 16, no 2, p. 45-67
Keywords [en]
Multi-professional teams, New Public Management, professions, cooperation, healthcare
Keywords [sv]
Multiprofessionella team, New public management, professioner, samarbete, sjukvård
National Category
Business Administration
Research subject
Humanities and Social sciences
Identifiers
URN: urn:nbn:se:his:diva-8391OAI: oai:DiVA.org:his-8391DiVA, id: diva2:639939
Available from: 2013-08-12 Created: 2013-08-12 Last updated: 2023-03-29

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Andersson, Thomas

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