Professional Autonomy and Pastoral Power: The Transformation of Quality Registers in Swedish Health Care
2011 (English)In: Public Administration, ISSN 0033-3298, E-ISSN 1467-9299, Vol. 89, no 4, 1604-1621 p.Article in journal (Refereed) Published
In the context of the recent transformation of control in Swedish health care, the changing role of quality registers are analyzed as a vivid example of how professional groups become involved in new modes of regulating professional work. Based on a critical appraisal of the main currents in the research on NPM, it is argued that understanding ‘the productive side of power’ is an underexploited theme. The main part of the article is devoted to a detailed analysis of how a seemingly insignificant, but in its consequences important, professional practice was transformed from a resource for clinical research, an entirely professional concern, to a tool for hierarchical control. In the concluding sections, a number of important conditions for the successful use of ‘soft power’ in modern societies are identified and discussed.
Place, publisher, year, edition, pages
2011. Vol. 89, no 4, 1604-1621 p.
quality registers, health care, New Public Management
Research subject Psychology
IdentifiersURN: urn:nbn:se:su:diva-70455DOI: 10.1111/j.1467-9299.2011.01945.xISI: 000298594800022OAI: oai:DiVA.org:su-70455DiVA: diva2:481337
This study has received support from the Swedish Council for Working Life and Social Research (FAS), grant nr 2001–2425, and from the Swedish Governmental Agency for Innovation Systems, VINNOVA, grant nr 2007–02128 for which the authors are grateful.2012-01-202012-01-202012-04-12Bibliographically approved