Coordination Through Contracting: Experience with the Estonian: out-of-hospital emergency medicine

Külli Sarapuu and Veiko Lember

Public Management Review, 2015, vol. 17, issue 7, 1021-1039

Abstract: The article examines the effects of market-type contracting on the capacity of the government to integrate public service stakeholders and to assure coherence in service provision. The study focuses on the case of the Estonian out-of-hospital emergency medical care and analyses it through an analytical framework, concentrating on basic coordination mechanisms, coordination resources and their application in a specific policy field. It is found that effective market-based coordination presumes long-term learning and the use of various coordination resources that go beyond simple bargaining. In addition, contracting for service delivery has a significant influence on the capacity of the government to coordinate both policy-making and the interlinkages of different policies.

Date: 2015
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DOI: 10.1080/14719037.2015.1029350

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