000			01872nam a2200169 4500
999			_c510221 _d510221
008			190807b ||||| |||| 00| 0 eng d
100			_aSmith, Christopher J. _97826
245			_aStill 'skiing their own race' on new public management implementation? patient choice and policy change in the Finnish and Swedish health-care systems
260			_c2019
300			_ap.62-79.
520			_aThis article applies an agenda-setting approach to the impact of New Public Management on health-care reform in Sweden and Finland (1993–2016). A system-level view of agenda setting and New Public Management implementation is used to order the historical data derived from literature reviews of each health reform process. New Public Management is viewed as a hybrid concept rooted in the search for efficiency gains and cost containment but, here, generating system preservation and system change strategies, characterised as ‘public competition’ and ‘choice and marketisation’. Sweden and Finland are viewed as ‘pragmatic modernisers’ in the public management literature. Health-care system reform in each country was based on similar problems and similar policy ‘solutions’, and was promoted by similar actors, while the implementation of choice and marketisation again saw windows of opportunity open in a similar manner in each. Policy divergence nevertheless occurred. We identify three key reasons for this, relating to the site and pervasiveness of conflict, the impact of party systems, and administrative openness to outside ideas. Sweden’s conflictual politics produced stalemate while consensual Finland produced radical policy change. - Reproduced.
650			_aNew public management _97827
700			_aRauhut, Daniel _97828
773			_aInternational Review of Administrative Sciences
906			_aHealth care - Sweden
942			_2ddc _cAR