Electronic Resource
Oxford, UK
:
Blackwell Publishing Ltd
Financial accountability and management
12 (1996), S. 0
ISSN:
1468-0408
Source:
Blackwell Publishing Journal Backfiles 1879-2005
Topics:
Economics
Notes:
Organizations that are radically changing their control systems provide interesting arenas for studies of the effects of such systems. Research on public organizations have shown reforms in some cases to have effects but in other cases they have had no effects. The aim of our study is to describe the introduction and effects of a new control system in the Swedish health care sector. Basically a traditional budget system is replaced with a system according to which hospitals are paid for services made. We found that the new system had functional but also some dysfunctional effects. The major functional effect was an increased productivity. This was possible due to an earlier low level of productivity. However, increased productivity demands capacity reductions given a certain production level. Such decisions must be taken by politicians but they are, however, very reluctant to reduce capacity, which may cause serious disturbances in the system and dysfunctional consequences.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1111/j.1468-0408.1996.tb00420.x
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