Hesitation and rapid action: the new public management reforms in the Norwegian hospital sector

Inger Johanne Pettersen

Scandinavian Journal of Management, 2001, vol. 17, issue 1, 19-39

Abstract: This paper focuses on the transition of governmental management innovations from the national, political level to the local, institutional level. In order to throw some light on the complex process of two-level reforms in public sector financial management, I discuss the case of introducing prospective payment systems in Norwegian hospitals during 1987-1999. The empirical studies are based on official documents and statistics at the national level together with surveys and case studies with a view to understand how hospitals adjust to the new payment systems. The main finding can be described in terms of slow adjustments on the institutional level, and slow and rapid action on the political level. These systemic interactions between different logics at the different levels may obstruct the implementation of reforms.

Keywords: New; public; management; reforms; Prospective; payment; systems; Implementation; Hospitals (search for similar items in EconPapers)
Date: 2001
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