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Governance, Accountability, and Organizational Development: Eldercare Unit Managers' and Local Politicians' Experiences of and Responses to State Supervision of Swedish Eldercare
Umeå University, Faculty of Social Sciences, Department of Social Work. (UCER)
Umeå University, Faculty of Social Sciences, Department of applied educational science, Umeå Centre for Evaluation Research (UCER). (UCER)ORCID iD: 0000-0001-6255-9991
Umeå University, Faculty of Social Sciences, Department of Social Work. (UCER)
2018 (English)In: Journal of Aging & Social Policy, ISSN 0895-9420, E-ISSN 1545-0821, Vol. 30, no 5, p. 419-439Article in journal (Refereed) Published
Abstract [en]

This article explores how local politicians and care unit managers in Swedish eldercare experience and respond to state supervision. Twelve politicians and 12 managers in 15 previously inspected municipalities were interviewed about their experiences of and reactions to state supervision (SSV) in relation to their views of care quality and routines in eldercare practice. The findings indicate that local managers and political chairs perceived SSV in eldercare positively at a superficial level, but were critical of and disappointed with specific aspects of it: in terms of a) governance—chairs and managers said SSV strengthened implementation of national policies via local actors, but were critical of SSV’s narrow focus on control and flaws in eldercare practice; b) accountability—SSV was seen as limited to accountability for finances and systemic performance; and c) organizational development—SSV was seen as limited to improving routines and compliance with legislation, while local definitions of quality are broader than that. In general, local actors regarded SSV as improving administrative aspects and routines in practice but ignoring the relational content of eldercare quality.

Place, publisher, year, edition, pages
Routledge, 2018. Vol. 30, no 5, p. 419-439
Keywords [en]
State supervision, Sweden, eldercare governance, care quality, accountability
National Category
Social Work
Identifiers
URN: urn:nbn:se:umu:diva-145910DOI: 10.1080/08959420.2018.1444890ISI: 000443888600001PubMedID: 29469674OAI: oai:DiVA.org:umu-145910DiVA, id: diva2:1192053
Projects
Granskningars konsekvenser för äldreomsorgens praktik
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2012-0379Available from: 2018-03-21 Created: 2018-03-21 Last updated: 2018-10-25Bibliographically approved

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Andersson, KatarinaHanberger, AndersNygren, Lennart

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