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Is Nordic elder care facing a (new) collaborative turn?
Social Policy & Administration ( IF 2.6 ) Pub Date : 2022-02-17 , DOI: 10.1111/spol.12805
Mia Vabø 1 , Minna Zechner 2 , Anneli Stranz 3 , Lea Graff 4 , Sigurveig H. Sigurðardóttir 5
Affiliation  

Nordic countries are known for their service-based welfare states, which include basic health and social care for all older adults who have been formally assessed and found to need additional services. Facing fiscal constraints in the mid-1990s, these countries endeavoured to create more cost-effective care services that incorporated the doctrines of new public management (NPM). Overlapping NPM, steps have been taken to better integrate services and utilise the care capacity of a broader institutional and environmental set of actors. In this study, we draw attention to this call for collaborative and participatory modes of governance beyond NPM. We explore whether and how Nordic eldercare policies fit in to the framework and logic of new public governance (NPG). The data consist of 62 key government documents from five Nordic countries, representing the central features of eldercare policies over the past 10 years. Our content analysis is based on three conceptual lenses associated with NPG: service integration, service co-production and cross-sectoral co-creation. The analysis shows that several policy issues are framed by the logic of NPG in all countries. Further research is needed to assess how these NPG measures are implemented and interacting with institutional arrangements of other public governance paradigms.

中文翻译:

北欧老年护理是否面临(新的)协作转变?

北欧国家以其以服务为基础的福利国家而闻名,其中包括为所有经过正式评估并发现需要额外服务的老年人提供基本健康和社会护理。面对 1990 年代中期的财政紧缩,这些国家努力创造更具成本效益的护理服务,并结合了新公共管理 (NPM) 的学说。与 NPM 重叠,已采取措施更好地整合服务并利用更广泛的机构和环境参与者的护理能力。在这项研究中,我们提请注意这种呼吁在 NPM 之外建立协作和参与的治理模式。我们探讨北欧老年护理政策是否以及如何适应新公共治理 (NPG) 的框架和逻辑。数据包括来自五个北欧国家的 62 份重要政府文件,代表了过去 10 年养老政策的核心特征。我们的内容分析基于与 NPG 相关的三个概念镜头:服务整合、服务联合生产和跨部门共同创造。分析表明,所有国家的 NPG 逻辑都围绕着若干政策问题。需要进一步研究来评估这些 NPG 措施如何实施以及如何与其他公共治理范式的制度安排相互作用。
更新日期:2022-02-17
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