Principal objectives and sub-goals
The aim of the project is to develop relevant knowledge, durable
partnerships and modules for education and research that may assist the
health institutions in their efforts to improve service delivery and create
more innovative structures for organization and management.
- Generate research on the preconditions for change in health care by
the means of comparative research
- General Competence development in organization and management of
- Develop a forum for research on organization and management of health
enterprises, in cooperation with Health Bergen, as well as a Nordic and
International research group and network
The responsibility for the Norwegian public hospitals has been
transferred from the counties to central government. Five regional health
enterprises have been established, and there has been a reform in the rights
of patients, and in the way hospital departments are to be managed. The aim
of this project is to study such processes of reform and change within the
Norwegian health care sector, make comparisons with Sweden, Denmark and
other countries, and estimate the consequences for quality, cost efficiency
and legitimacy. Three research areas are focussed:
- The ambition to establish autonomous organizational units, with a
focus on the health enterprise.
- The dynamics involved in the strive for transparency, exemplified by
the introduction of still more detailed instruments for monitoring of
performance and quality, as well as patient’s rights to be informed.
- Management and leadership. To establish a more professional and
distinct managerial role at all levels is a major ambition for most of
the recent reform programs.
A comparative research design is employed - regional, cross-national and
global - in order to analyze the relationship between reform activities,
organizational changes and service provision.