Investigating the Norwegian eHealth Governance Model: Document Study DOI Creative Commons
Line Helen Linstad, Hilde Bjørnå, Anne Moen

et al.

Journal of Medical Internet Research, Journal Year: 2024, Volume and Issue: 26, P. e59717 - e59717

Published: Dec. 4, 2024

Background Governments and policy makers struggle to achieve a balance between hierarchical steering horizontal governance in systems characterized by fragmented decision authority multiple interests. To realize its One Citizen–One Journal eHealth vision, the Norwegian government established special board of stakeholders create an inclusive model that aligned stakeholders’ interests with government’s ambitions through coordination consensus. Little empirical knowledge exists on how countries models. Objective This study aims investigate was developed as tool align concerns from January 2012 December 2022. Methods document used thematic analysis based constructivist research approach. We included 16 documents 175 consultation response issued 2022 related implementation process. The themes were constructed deductively review models public theory applied our analytical lens each document. findings interpreted, analyzed, synthesized. Results national process progressed 3 phases, changes stakeholder inclusion perceived influence decision-making characterizing transitions phase phase. Tension 2 contrasting views regarding top-down autonomy. view regional health trusts, municipalities, care professional organizations, industry actors contrasted patient organizations. Governmental insensitivity participation, lack transparency, decreasing trust groups challenged legitimacy model. Conclusions illustrated Norway’s trajectory unfolded across distinct phases. perspectives. Finally, it shaped diminishing National Governance Board faced challenges establishing model, primarily attributed addressing dilemmas. Such dilemmas represent significant obstacles require ongoing governmental vigilance responsiveness entities.

Language: Английский

Symbolic Policy DOI

Laurie Boussaguet,

Florence Faucher

Published: Nov. 30, 2024

Symbols are everywhere in politics. Yet, they tended to be overlooked the study of public policy. This book shows how play an important role policy process, shaping citizens' representations thanks their ability combine meanings and stimulate emotional reactions. We use crisis management as a lens through which we analyse this symbolic dimension, focus on two case studies (governmental responses Covid-19 Europe 2020 terrorist attacks France 2015). show enables leaders claim legitimacy for themselves decisions, foster feelings reassurance, solidarity belonging. All politicians symbolic, whether consciously or otherwise, but what choose do varies is affected by timing, existence national repertoires actions personas leaders.

Language: Английский

Citations

1

Policy Entrepreneurs, Crises, and Policy Change DOI Creative Commons
Evangelia Petridou, Jörgen Sparf, Nikolaos Zahariadis

et al.

Published: Dec. 10, 2024

Increasingly, policymaking takes place while extraordinary events threaten fundamental societal values. During turbulent times, policy entrepreneurs emerge as pivotal figures. They are energetic actors who pursue dynamic change in public and, whereas we know much about how they promote innovation and normal policymaking, less behave crises, even different crises influence entrepreneurial action. This Element focuses on interaction between crises. It analyzes action six case studies – three fast-burning creeping to ascertain entrepreneurs' strategies effectiveness during events. proposes crisis strategies, a framework understand outcomes based type of suggests avenues for further research including implications managers. title is also available Open Access Cambridge Core.

Language: Английский

Citations

1

Public Contracting for Social Outcomes DOI Creative Commons
Clare FitzGerald, James Ruairi Macdonald

Published: Dec. 12, 2024

Governments all over the world have transitioned away from directly providing public services to contracting and collaborating with cross-sectoral networks deliver on their behalf. thus pursued an array of policy instruments improve interorganizational progress towards goals. In recent years, outcomes-based has emerged as a compelling solution service quality shortcomings collective action challenges. Informed by policy, administration, procurement scholarship, this Element details evolution social outcomes in contracting, exploring relationship between how are specified managed well such against It comments possible drawbacks for outcomes, highlighting governments may use excuse avoid actively managing contracts or sidestep accountability outlined law. This title is also available Open Access Cambridge Core.

Language: Английский

Citations

1

Developing a theory of robust democracy DOI
Eva Sørensen, Mark E. Warren

Policy & Politics, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 20

Published: Sept. 4, 2024

While many democratic theorists recognise the necessity of reforming liberal democracies to keep pace with social change, they rarely consider what enables such reform. In this conceptual article, we suggest that are politically robust when able continuously adapt and innovate how operate doing so is necessary continue serve key functions. These functions include securing empowered inclusion those affected, collective agenda setting will formation, making joint decisions. Three current challenges highlight urgency adapting innovating become more robust: an increasingly assertive political culture, digitalisation communication increasing global interdependencies. A theory robustness emphasises need strengthen capacity in response changes, just as it helps frame adaptations innovations times present.

Language: Английский

Citations

0

Frontline Worker Discretion in the For‐Profit Banking Industry: Lessons From Early Pandemic Relief Programming DOI Creative Commons
Anna K. Wood, Terri Friedline

Social Policy and Administration, Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 6, 2024

ABSTRACT In April and May 2020, the United States banking industry approved over $650 billion in federal relief funds as part of Paycheck Protection Program (PPP). Since then, extensive evidence discriminatory lending has been revealed by investigative journalism academic studies. Our study is based on 41 interviews with frontline professionals conducted during days weeks PPP rollout. We find that under crisis conditions pandemic, capped built‐in incentives encouraged certain types loans, employees relied upon professional norms logic for‐profit sector. argue these logics threatened integrity a public programme applying profit‐oriented priorities to resources marked for universal fair distribution. findings offer new directions theorising sector‐level differences street‐level bureaucratic discretion context mixed‐sector collaboration service delivery, particularly urgency.

Language: Английский

Citations

0

Investigating the Norwegian eHealth Governance Model: Document Study DOI Creative Commons
Line Helen Linstad, Hilde Bjørnå, Anne Moen

et al.

Journal of Medical Internet Research, Journal Year: 2024, Volume and Issue: 26, P. e59717 - e59717

Published: Dec. 4, 2024

Background Governments and policy makers struggle to achieve a balance between hierarchical steering horizontal governance in systems characterized by fragmented decision authority multiple interests. To realize its One Citizen–One Journal eHealth vision, the Norwegian government established special board of stakeholders create an inclusive model that aligned stakeholders’ interests with government’s ambitions through coordination consensus. Little empirical knowledge exists on how countries models. Objective This study aims investigate was developed as tool align concerns from January 2012 December 2022. Methods document used thematic analysis based constructivist research approach. We included 16 documents 175 consultation response issued 2022 related implementation process. The themes were constructed deductively review models public theory applied our analytical lens each document. findings interpreted, analyzed, synthesized. Results national process progressed 3 phases, changes stakeholder inclusion perceived influence decision-making characterizing transitions phase phase. Tension 2 contrasting views regarding top-down autonomy. view regional health trusts, municipalities, care professional organizations, industry actors contrasted patient organizations. Governmental insensitivity participation, lack transparency, decreasing trust groups challenged legitimacy model. Conclusions illustrated Norway’s trajectory unfolded across distinct phases. perspectives. Finally, it shaped diminishing National Governance Board faced challenges establishing model, primarily attributed addressing dilemmas. Such dilemmas represent significant obstacles require ongoing governmental vigilance responsiveness entities.

Language: Английский

Citations

0