The knowledge-management complex: From quality registries to national knowledge-driven management in Swedish health care governance

Falkenström, Erica , Svallfors, Stefan | 2022

Politics & Policy

Abstract

This article analyzes the emergence of the Swedish “national system for knowledge-driven management.” We argue that the system is best understood as a meta-instrument that is underpinned by an “instrument constituency,” a coalition held together by a joint interest in a particular policy solution. Based on interviews and documentary analyses, we show the conflicting interests that are included in the constituency and how the functional effectiveness of the meta-instrument is exposed to a number of risks that follow from its specific implementation and from the heterogeneity among its constituency. In particular, we point to the threats against professional learning, responsibility, and integrity.

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Politics & Policy

Abstract

This article analyzes the emergence of the Swedish “national system for knowledge-driven management.” We argue that the system is best understood as a meta-instrument that is underpinned by an “instrument constituency,” a coalition held together by a joint interest in a particular policy solution. Based on interviews and documentary analyses, we show the conflicting interests that are included in the constituency and how the functional effectiveness of the meta-instrument is exposed to a number of risks that follow from its specific implementation and from the heterogeneity among its constituency. In particular, we point to the threats against professional learning, responsibility, and integrity.

Read the full article