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Hanberger, A. & Lindgren, L. (2019). Evaluation systems in local eldercare governance. Journal of Social Work, 19(2), 233-252
Open this publication in new window or tab >>Evaluation systems in local eldercare governance
2019 (English)In: Journal of Social Work, ISSN 1468-0173, E-ISSN 1741-296X, Vol. 19, no 2, p. 233-252Article in journal (Refereed) Published
Abstract [en]

This article explores how three evaluation systems in eldercare governance, two national and one local, operate and interact at the municipal, administrative, and service levels in a Swedish municipality. The case study focuses on the three systems’ contributions to accountability and to improving eldercare quality. It is based on multiple sources, including 28 interviews with local key actors involved in local eldercare governance, and the results derive from a directed content analysis guided by four research questions.

The study demonstrates that the three evaluation systems support accountability and quality improvement in different ways and have different consequences for local actors. The systems create multiple accountability problems and have multiple constitutive effects, for example, creating different notions of what quality in eldercare means. The systems’ contributions to improving eldercare quality differed: the net effect of the two national systems was negative, whereas the local system has helped improve eldercare quality without any identified negative effects so far.

The article broadens our theoretical understanding and knowledge of regulatory mechanisms in eldercare governance. It has significance for eldercare policy by finding that policymakers and service providers must be aware of and manage multiple evaluation systems and accountability problems. Its implication for eldercare practice is that local actors must build evaluation capacity to manage existing evaluation systems in order to improve their own practices.

Place, publisher, year, edition, pages
Sage Publications, 2019
Keywords
Social work, case study, evaluation, long-term care, older people, decision making
National Category
Social Sciences Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:umu:diva-145471 (URN)10.1177/1468017318760788 (DOI)000461080600004 ()2-s2.0-85062873699 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2012-0379
Available from: 2018-03-06 Created: 2018-03-06 Last updated: 2019-04-04Bibliographically approved
Hanberger, A., Lindgren, L. & Nygren, L. (2019). Hur kan granskning av äldreomsorg studeras? (1ed.). In: Anders Hanberger och Lena Lindgren (Ed.), Perspektiv på granskning inom  offentlig sektor: med äldreomsorgen som exempel (pp. 39-54). Malmö: Gleerups Utbildning AB
Open this publication in new window or tab >>Hur kan granskning av äldreomsorg studeras?
2019 (Swedish)In: Perspektiv på granskning inom  offentlig sektor: med äldreomsorgen som exempel / [ed] Anders Hanberger och Lena Lindgren, Malmö: Gleerups Utbildning AB, 2019, 1, p. 39-54Chapter in book (Other academic)
Place, publisher, year, edition, pages
Malmö: Gleerups Utbildning AB, 2019 Edition: 1
National Category
Social Work Political Science
Identifiers
urn:nbn:se:umu:diva-153912 (URN)9789151100654 (ISBN)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2012-0379
Available from: 2018-12-07 Created: 2018-12-07 Last updated: 2019-02-27Bibliographically approved
Hanberger, A. & Lindgren, L. (2019). Inledning (1ed.). In: Anders Hanberger och Lena Lindgren (Ed.), Perspektiv på granskning inom offentlig sektor: med äldreomsorgen som exempel (pp. 9-23). Malmö: Gleerups Utbildning AB
Open this publication in new window or tab >>Inledning
2019 (Swedish)In: Perspektiv på granskning inom offentlig sektor: med äldreomsorgen som exempel / [ed] Anders Hanberger och Lena Lindgren, Malmö: Gleerups Utbildning AB, 2019, 1, p. 9-23Chapter in book (Other academic)
Place, publisher, year, edition, pages
Malmö: Gleerups Utbildning AB, 2019 Edition: 1
National Category
Social Work Political Science
Identifiers
urn:nbn:se:umu:diva-153911 (URN)978-91-511-0065-4 (ISBN)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2012-0379
Available from: 2018-12-07 Created: 2018-12-07 Last updated: 2019-02-27Bibliographically approved
Hanberger, A. & Lindgren, L. (Eds.). (2019). Perspektiv på granskning inom offentlig sektor: med äldreomsorgen som exempel (1ed.). Malmö: Gleerups Utbildning AB
Open this publication in new window or tab >>Perspektiv på granskning inom offentlig sektor: med äldreomsorgen som exempel
2019 (Swedish)Collection (editor) (Other academic)
Place, publisher, year, edition, pages
Malmö: Gleerups Utbildning AB, 2019. p. 152 Edition: 1
National Category
Sociology Political Science
Identifiers
urn:nbn:se:umu:diva-153910 (URN)978-91-511-0065-4 (ISBN)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2012-0379
Available from: 2018-12-07 Created: 2018-12-07 Last updated: 2019-02-27Bibliographically approved
Andersson, K., Hanberger, A. & Nygren, L. (2019). Statlig tillsyn. In: Anders Hanberger & Lena Lindgren (Ed.), Perspektiv på granskning inom offentlig sektor: med äldreomsorgen som exempel (pp. 55-70). Malmö: Gleerups Utbildning AB
Open this publication in new window or tab >>Statlig tillsyn
2019 (Swedish)In: Perspektiv på granskning inom offentlig sektor: med äldreomsorgen som exempel / [ed] Anders Hanberger & Lena Lindgren, Malmö: Gleerups Utbildning AB, 2019, p. 55-70Chapter in book (Other academic)
Place, publisher, year, edition, pages
Malmö: Gleerups Utbildning AB, 2019
National Category
Political Science
Research subject
statskunskap
Identifiers
urn:nbn:se:umu:diva-153909 (URN)9789151100654 (ISBN)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare
Available from: 2018-12-07 Created: 2018-12-07 Last updated: 2019-02-27Bibliographically approved
Carlbaum, S. & Hanberger, A. (2019). Utvärdering av Läslyftet: Delrapport 11: Erfarenheter av Läslyftets genomförande och effekter i förskolan 2017/18. Umeå: Umeå Universitet
Open this publication in new window or tab >>Utvärdering av Läslyftet: Delrapport 11: Erfarenheter av Läslyftets genomförande och effekter i förskolan 2017/18
2019 (Swedish)Report (Other academic)
Place, publisher, year, edition, pages
Umeå: Umeå Universitet, 2019. p. 113
Series
Evaluation Reports - UCER, ISSN ISSN 1403-8056
National Category
Pedagogical Work
Identifiers
urn:nbn:se:umu:diva-163537 (URN)978-91-7855-094-4 (ISBN)
Available from: 2019-09-25 Created: 2019-09-25 Last updated: 2019-10-01Bibliographically approved
Hanberger, A. & Lindgren, L. (2019). Utvärderingssystem i lokal äldreomsorg (1ed.). In: Anders Hanberger och Lena Lindgren (Ed.), Perspektiv på granskning inom offentlig sektor: med äldreomsorgen som exempel (pp. 87-102). Malmö: Gleerups Utbildning AB
Open this publication in new window or tab >>Utvärderingssystem i lokal äldreomsorg
2019 (Swedish)In: Perspektiv på granskning inom offentlig sektor: med äldreomsorgen som exempel / [ed] Anders Hanberger och Lena Lindgren, Malmö: Gleerups Utbildning AB, 2019, 1, p. 87-102Chapter in book (Other academic)
Place, publisher, year, edition, pages
Malmö: Gleerups Utbildning AB, 2019 Edition: 1
National Category
Social Work Political Science
Identifiers
urn:nbn:se:umu:diva-153913 (URN)9789151100654 (ISBN)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2012-0379
Available from: 2018-12-07 Created: 2018-12-07 Last updated: 2019-02-27Bibliographically approved
Hanberger, A. & Lindgren, L. (2019). Äldreomsorgsgranskning i förändring (1ed.). In: Anders Hanberger och Lena Lindgren (Ed.), Perspektiv på granskning inom offentlig sektor: med äldreomsorgen som exempel (pp. 137-152). Malmö: Gleerups Utbildning AB
Open this publication in new window or tab >>Äldreomsorgsgranskning i förändring
2019 (Swedish)In: Perspektiv på granskning inom offentlig sektor: med äldreomsorgen som exempel / [ed] Anders Hanberger och Lena Lindgren, Malmö: Gleerups Utbildning AB, 2019, 1, p. 137-152Chapter in book (Other academic)
Place, publisher, year, edition, pages
Malmö: Gleerups Utbildning AB, 2019 Edition: 1
National Category
Social Work Political Science
Identifiers
urn:nbn:se:umu:diva-153914 (URN)9789151100654 (ISBN)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2012-0379
Available from: 2018-12-07 Created: 2018-12-07 Last updated: 2019-02-27Bibliographically approved
Hanberger, A., Nygren, L. & Andersson, K. (2018). Can state supervision improve eldercare?: An analysis of the soundness of the Swedish supervision model. British Journal of Social Work, 48(2), 371-389
Open this publication in new window or tab >>Can state supervision improve eldercare?: An analysis of the soundness of the Swedish supervision model
2018 (English)In: British Journal of Social Work, ISSN 0045-3102, E-ISSN 1468-263X, Vol. 48, no 2, p. 371-389Article in journal (Refereed) Published
Abstract [en]

This article examines the assumptions regarding how Swedish state supervision (SSV) ofeldercare is to achieve its intended effects. It explores how SSV is intended to work toensure and improve eldercare quality, and theoretically and empirically assesses the validityof its guiding assumptions with programme theory methodology. The theoreticalassessment suggests that most intended effects are partly achieved, though the qualityenhancingassumption finds little support in caring research. The assumption that thesupervised parties will improve their compliance with laws and regulations has some validity,but this compliance is temporary and confined to the aspects of eldercare beingsupervised. Twenty-four interviews with the chairs of Social Welfare Committees andcare unit managers provide empirical support for all but two intended effects. SSV hasnot increased ‘awareness of national regulative demands in eldercare’ or contributed to‘general quality improvement in eldercare’. Four unintended effects of SSV were also recognisedin the interviews—for example, unsupervised caring activities were less prioritised.The authors conclude that, although SSV does little to improve eldercare quality, itis needed for transparency and accountability as well as to hold local governments andpublic and private service providers to account for compliance with national statutes.

Place, publisher, year, edition, pages
Oxford: Oxford University Press, 2018
Keywords
State supervision, Sweden, eldercare quality, intended effects, unintended effects
National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-135472 (URN)10.1093/bjsw/bcx032 (DOI)000428440800007 ()
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2012-0379
Available from: 2017-05-29 Created: 2017-05-29 Last updated: 2018-08-07Bibliographically approved
Hanberger, A. (2018). Democratic caring evaluation for refugee children in Sweden. In: Merel Visse, Tineke A. Abma (Ed.), Evaluation for a caring society: (pp. 105-124). Charlotte, NC: Information Age Publishing
Open this publication in new window or tab >>Democratic caring evaluation for refugee children in Sweden
2018 (English)In: Evaluation for a caring society / [ed] Merel Visse, Tineke A. Abma, Charlotte, NC: Information Age Publishing, 2018, p. 105-124Chapter in book (Refereed)
Abstract [en]

What is a democratic caring (DC) evaluator and what does it mean to be one, especially in terms of practicing responsibility for the stakeholders one works with in evaluation contexts? This chapter discusses the challenging issue of the responsibilities of evaluators, citing an evaluation of the reception of unaccompanied and separated children (UASC) in Umeå, a northern-Swedish community of over 100,000 residents. DC evaluation does not refer to a new evaluation approach. The notions of DC evaluation and the DC evaluator are used here in discussing what it means to be an evaluator who develops evaluation within a democratic and caring society. The discussion builds on both democratic evaluation and care theory. It is suggested that an enlightened DC evaluator is informed both by democratic evaluation and by research into good care, applying this knowledge reflectively during the evaluation process. This chapter discusses what is involved in developing a DC evaluation with a special focus on the evaluator's respon-sibilities and good care.

The chapter continues with a brief presentation of the case: a democratic evaluation of care for a group of refugee children in Sweden. Subsequently, the theoretical underpinnings of democratic evaluation are presented. The next section discusses what DC awareness means and the responsibilities of a DC evaluator, illustrating this with examples from the case. The chapter concludes by considering what DC evaluation implies for the good care of refugee children.

Place, publisher, year, edition, pages
Charlotte, NC: Information Age Publishing, 2018
Series
Evaluation and society
National Category
Social Sciences Interdisciplinary Sociology
Identifiers
urn:nbn:se:umu:diva-145912 (URN)9781641131636 (ISBN)9781641131643 (ISBN)9781641131650 (ISBN)
Available from: 2018-03-21 Created: 2018-03-21 Last updated: 2018-06-09Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-6255-9991

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