Skip to main content

Reconfiguring the Relation Between Primary and Secondary Healthcare Through Policy Instruments

  • Chapter
  • First Online:

Abstract

In Chapter 7, Araujo, La Rocca and Hoholm examine the role of public policy interventions in reconfiguring the relationship between primary and secondary care sectors and the means through which these interventions take place. Drawing from the “governmentality” school of thought (e.g. Miller and Rose 1990) the focus of this chapter is on how these interventions mobilize different forms of expertise in an attempt to both reconfigure agencies as well as the relations these agencies enter into. The authors suggest that the ability of policy instruments to work depends on the ability of the subjects of government to use the spaces of discretion afforded by their incompleteness, to embed them in existing practices without creating much disruption.

This is a preview of subscription content, log in via an institution.

Notes

  1. 1.

    The study was approved by the Data Protection Official for Research of the Hospital (ref. no. 14-022) and cleared with the Regional Committees for Health Research Ethics.

References

  • Barry, A. (2002). The anti-political economy. Economy and Society, 31(2), 268–284.

    Article  Google Scholar 

  • Beckert, J., & Musselin, C. (Eds.) (2013). Constructing quality. The classification of goods in markets. New York: Oxford University Press.

    Book  Google Scholar 

  • Boltanski, L., & Thévenot, L. (2006). On justification: Economies of worth. Princeton: Princeton University Press.

    Google Scholar 

  • Broer, T., Nieboer, A. P., & Bal, R. (2012). Governing mental health care: How power is exerted in and through a quality improvement collaborative. Public Administration, 90(3), 800–815.

    Google Scholar 

  • Callon, M., Lascoumes, P., & Barthe, Y. (2009). Acting in an uncertain world: An essay on technical democracy. Cambridge: MIT Press.

    Google Scholar 

  • Dix, G. (2014a). Expressing concerns about the incentive as a public policy device. In Susi Geiger et al. (Eds.), Concerned markets: Economic ordering for multiple values (pp. 19–45). Cheltenham: Edward Elgar.

    Google Scholar 

  • Dix, G. (2014b). Governing by carrot and stick. A genealogy of the incentive. PhD Dissertation. Amsterdam: Amsterdam University.

    Google Scholar 

  • Dix, G. (2016). A genealogy of the incentive. Economic Sociology: The European Electronic Newsletter, 17(2), 24–31.

    Google Scholar 

  • Ferlie, E., & McGivern, G. (2013). Bringing Anglo-governmentality into Public Management Scholarship: The case of evidence-based Medicine in UK health care. Journal of Public Administration Research and Theory, 24(1), 59–83.

    Article  Google Scholar 

  • Foucault, M. (1982). The subject and power. Critical Inquiry, 8(4), 777–795.

    Article  Google Scholar 

  • Gardner, K., Banfield, M., McRae, I., Gillespie, J, & Yen, L. (2014). Improving coordination through information continuity: A framework for translational research. BMC Health Service Research, 14, 590–595.

    Article  Google Scholar 

  • Hacking, I. (1986). Making up people. In T. Heller, M. Sosna and D. Wellberry (Eds.) Reconstructing individualism (pp. 222–236). Stanford, CA: Stanford University Press.

    Google Scholar 

  • Hunter, D. J. (2009). The case against choice and competition. Health Economics, Policy and Law, 4(04), 489–501.

    Google Scholar 

  • Krafve, J. L. (2014). Marketization by the (rule) book: Concern for market and public values in primary care. In Geiger et al. (red) (Eds.), Concerned markets: Economic ordering for multiple values (pp. 46–71). Cheltenham: Edward Elgar Publishing.

    Google Scholar 

  • Kurunmaki, L., & Miller, P. (2008). Counting the costs: The risks of regulating and accounting for healthcare provision. Health, Risk & Society, 10(1), 9–21.

    Article  Google Scholar 

  • Laffont, J.-J., & Martimort, D. (2009). The theory of incentives: The principal-agent model. Princeton: Princeton University Press.

    Google Scholar 

  • La Rocca, A., & Hoholm, T. (2017). Coordination between primary and secondary care: The role of ICT based communication and incentive system. BMC Health Service Research, 17, 149–163.

    Article  Google Scholar 

  • La Rocca, A., Hvidsten, A., & Hoholm, T. (2016). Making innovation work locally: The role of creativity. In M. Skerlavaj, A. Dysvik, A. Carlsen and M. Cerne (Eds.), Capitalizing on creativity at work: Fostering the implementation of creative ideas in organizations (pp. 258–269). Cheltenham: Edward Elgar.

    Google Scholar 

  • Lascoumes, P., & Le Galès, P. (Eds.) (2004). Gouverner par les Instruments. Paris: Presses de Sciences Po.

    Google Scholar 

  • Lascoumes, P., & Le Galés, P. (2007). From the nature of instruments to the sociology of public policy instrumentation. Governance, Understanding Public Policy through Its Instruments, 20(1), 1–21.

    Google Scholar 

  • Lincoln, Y., & Guba, E. (1985). Naturalistic inquiry. Thousand Oaks: Sage Publications.

    Google Scholar 

  • McDonald, K. M., Sundaram, V., Bravata, D. M., Lewis, R., Lin, N., Kraft, S., McKinnon, M., Paguntalan, H., & Owens, D. K. (2007). Care coordination. In K. G. Shojania, K. M. McDonald, R. M. Wachter, D. K. Owens (Eds.), Closing the quality gap: A critical analysis of quality improvement strategies. Rockville (MD): Agency for Healthcare Research and Quality (Technical Review 9). Retrieved from http://www.ahrq.gov/research/findings/evidence-based-reports/caregap.pdf.

  • McKinlay, A., & Pezet, E. (2010). Accounting for Foucault. Critical Perspectives on Accounting, 21(6), 486–495.

    Google Scholar 

  • Miller, P., & Power, M. (2013). Accounting, organizing, and economizing: Connecting accounting research and organization theory. The Academy of Management Annals, 7(1), 557–560.

    Article  Google Scholar 

  • Miller, P., & Rose, N. (1990). Governing economic life. Economy and Society, 19(1), 1–31.

    Article  Google Scholar 

  • Miller, P., & Rose, N. (2008). Governing the present: Administering economic, social and personal life. London: Polity.

    Google Scholar 

  • Ramsdal, H. (2012). From hierarchical steering to dialogic governance? An analysis of four welfare state reforms in Norway. In J. Barroso and L. M. Carvalho (Eds.), Knowledge and regulatory processes in health and education policies (pp. 89–131). Lisbon: EDUCA.

    Google Scholar 

  • Report no. 47. The Coordination Reform. Proper treatment – at the right place and right time, Norwegian Ministry of Health and Care Services; (2008–2009). Retrieved from http://www.regjeringen.no.

  • Romøren, T. I., Torjesen, D. O., & Landmark, B. (2011). Promoting coordination in Norwegian Health Care. International Journal of Integrated Care, 11, 1–8.

    Article  Google Scholar 

  • Rose, N., & Miller, P. (1992). Political power beyond the State: Problematics of government. British Journal of Sociology, 43(2),173–205.

    Article  Google Scholar 

  • Samhandlingsstatistikk. 2013–2014. Helsedirektoratet. Retrived from https://helsedirektoratet.no/Lists/Publikasjoner/Attachments/798/Samhandlingsstatistikk-2013-2014-IS-2245.pdf. Accessed March 2015.

  • Sandel, M. J. (2012). What money can’t buy: The moral limits of markets. London: Macmillan.

    Google Scholar 

  • Scott, A., & Le Galés, P. (2010). A British bureaucratic revolution? Autonomy without control, or “Freer Markets, More Rules”. Revue française de sociologie 2010/5, 51, 117–143.

    Google Scholar 

  • Vabø, M. (2012). Norwegian home care in transition – Heading for accountability, off-loading responsibilities. Health and Social Care, 20(3), 283–291.

    Article  Google Scholar 

  • Venturini, T. (2010). Diving in magma: How to explore controversies with actor-network theory. Public Understanding of Science, 19(3), 258–273.

    Article  Google Scholar 

  • Voß, J. P. (2016). Realizing instruments: Performativity in emissions trading and citizen panels, In J. P. Voß and R. Freeman (2016), Introduction: Knowing governance. In knowing governance (pp. 127–154). UK: Palgrave Macmillan.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Antonella La Rocca .

Editor information

Editors and Affiliations

Copyright information

© 2018 The Author(s)

About this chapter

Cite this chapter

Araujo, L., La Rocca, A., Hoholm, T. (2018). Reconfiguring the Relation Between Primary and Secondary Healthcare Through Policy Instruments. In: Hoholm, T., La Rocca, A., Aanestad, M. (eds) Controversies in Healthcare Innovation. Palgrave Macmillan, London. https://doi.org/10.1057/978-1-137-55780-3_7

Download citation

Publish with us

Policies and ethics