The decentralisation of Swedish healthcare closer to citizens has been slow. Drawing from empirical material of the reform prior and amidst the COVID-19 pandemic, this paper argues that the pandemic has disrupted the healthcare ecosystem. Consequently, citizen-centred collaborations have accelerated integration of resources (such as knowledge and skills) across organisational, hierarchical and professional borders. However, collaborations have been delimited to traditional healthcare providers, neglecting the resources of citizens and other actors to be used to improve service delivery. The pandemic has revealed strengths and weaknesses with the prevailing healthcare ecosystem that post-COVID-19 public management must address, both theoretically and practically. Theoretically, the paper contributes to the development of a public service logic, addressing both strengths and difficulties with the logic in turbulent times. Practically, the empirical descriptions contribute to improved understanding of public service delivery reform and how it is impacted during the pandemic.

中文翻译：

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动荡时期的公共管理：作为生态系统破坏者的 COVID-19

瑞典医疗保健更接近公民的权力下放一直很缓慢。本文借鉴 COVID-19 大流行之前和之中的改革经验材料，认为大流行已经扰乱了医疗保健生态系统。因此，以公民为中心的合作加速了跨组织、等级和专业边界的资源（如知识和技能）整合。然而，合作仅限于传统的医疗保健提供者，而忽略了公民和其他参与者用于改善服务交付的资源。大流行揭示了流行的医疗保健生态系统的优势和劣势，这是 COVID-19 后公共管理在理论上和实践上必须解决的问题。从理论上讲，该论文有助于公共服务逻辑的发展，在动荡时期用逻辑解决优势和困难。实际上，实证描述有助于加深对公共服务提供改革的理解，以及在大流行期间它是如何受到影响的。