The Municipality as Negotiator in Multilevel Governance of Health Care

Q3 Social Sciences

World Political Science Pub Date : 2015-01-01 DOI:10.1515/wps-2015-1003

G. S. Hanssen, M. Helgesen, Ann Karin Tennås Holmen

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引用次数: 2

Abstract

Abstract This article focuses on the new role of municipalities–as negotiators in multilevel governance of health services. The 2012 health care coordination reform in Norway involves a partnership between health services at the national and municipal levels. Negotiations in these regional partnerships result in regionally different solutions concerning the provision of health services. What does this new role of municipalities require with regards to political steering and administrative management? From interviews in nine municipalities and two regional health authorities, the authors find that the formal cooperation agreements have affected the interaction between municipalities and regional health authorities, with a shift from professional deliberation to strategic negotiations. The new negotiating role of the municipalities requires political will to clarify the room of maneuver for the negotiating actors and support the negotiating solutions when these are within the defined frames. The negotiations stimulate integration between management and professionals, in order to inform the chief executive officer, who is often the negotiator. The negotiators assume an essential role as bridge-builders between the political and professional world in the municipalities, and the professional world of the hospitals and regional health authorities.

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市政当局作为卫生保健多层次治理的谈判者

摘要本文关注市政当局的新角色——作为卫生服务多层次治理的谈判者。挪威2012年的保健协调改革涉及国家和市一级保健服务之间的伙伴关系。这些区域伙伴关系的谈判导致在提供保健服务方面产生区域不同的解决办法。市政当局的这种新角色在政治指导和行政管理方面需要什么?通过对九个城市和两个地区卫生当局的采访，作者发现，正式合作协议影响了城市和地区卫生当局之间的互动，从专业审议转向战略谈判。市政当局新的谈判作用需要政治意愿，以便为谈判行动者澄清行动空间，并在确定的框架内支持谈判解决办法。谈判促进了管理层和专业人士之间的融合，以便向首席执行官(通常是谈判代表)提供信息。谈判人员在市政当局的政界和专业人士以及医院和地区卫生当局的专业人士之间发挥着桥梁建设者的重要作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

World Political Science Social Sciences-Political Science and International Relations

CiteScore

0.70

自引率

0.00%

发文量

期刊介绍： World Political Science (WPS) publishes translations of prize-winning articles nominated by prominent national political science associations and journals around the world. Scholars in a field as international as political science need to know about important political research produced outside the English-speaking world. Sponsored by the International Political Science Association (IPSA), the premiere global political science organization with membership from national assoications 50 countries worldwide WPS gathers together and translates an ever-increasing number of countries'' best political science articles, bridging the language barriers that have made this cutting-edge research inaccessible up to now. Articles in the World Political Science cover a wide range of subjects of interest to readers concerned with the systematic analysis of political issues facing national, sub-national and international governments and societies. Fields include Comparative Politics, International Relations, Political Sociology, Political Theory, Political Economy, and Public Administration and Policy. Anyone interested in the central issues of the day, whether they are students, policy makers, or other citizens, will benefit from greater familiarity with debates about the nature and solutions to social, economic and political problems carried on in non-English language forums.