Quasi-Marketization’s Effects on Accountability: Lessons from Norwegian Health Care Reforms

Simon Neby

International Journal of Public Administration, 2015, vol. 38, issue 13-14, 997-1008

Abstract: After three decades of reforms introducing market-like arrangements to the Norwegian health care system, health care is still a public-sector matter. Reforms do have consequences for accountability processes and arrangements, however. This article focuses on how three types of market-like arrangements, pricing, choice, and contracts, have influenced accountability: quasi-marketization has led to more narrow, technical approaches to accountability and to an inclusion of broader responsiveness; that accountability has become a more important tool for governmental control due to new organizational solutions, but also that complexity increases rather than decreases as new accountability types are introduced and combine with existing arrangements.

Date: 2015
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DOI: 10.1080/01900692.2015.1069842

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