Policymaking through healthcare registries in Sweden
Bibliographic Data
| ID | 22945356 |
|---|---|
| Authors | Mattias Örnerheim (0000-0001-6803-7414, Linköping University, corresponding author) |
| Year | 2016 |
| Volume | 33 |
| Issue | 2 |
| Pages | daw064 |
| Publication date | 2016-09-04 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Promotion International (JOURNAL) |
| Journal identifiers | ISSN: 0957-4824 • E-ISSN: 1460-2245 |
| Publisher | Oxford University Press (OUP) (PUBLISHER) |
| DOI | 10.1093/heapro/daw064 |
| PMID | 27594141 |
| OpenAlex | W2508122928 |
| Language | EN |
| Citations received | 1 |
| References cited | 23 |
Healthcare registries, otherwise known in Sweden as national quality registries (NQRs), have progressed from being a patient-focused system supporting medical results to become the basis of a health policy steering instrument called regional comparisons (RCs). This article seeks to explain RCs as an unintended consequence of the NQR development, by utilizing the concepts of policy entrepreneurs and streams of impact: the problem stream (problem perceived), the policy stream (what is valid), and the political stream (governmental objectives). The empirical contribution lies in insights on how the RCs have developed as an unintended consequence of entrepreneurial deliberate action in the process of creating NQRs. These findings are based on documents, interviews, and previous research in the social sciences. The article also argues for a critical understanding of public knowledge management (PKM) related to experiences in the development of NQRs regarding how to use knowledge in healthcare government. This article highlights how knowledge generated in quality systems based on registries could imply a stronger role for authorities in exerting control over the medical profession. It also discusses the potential use of research evidence on NQRs as a base for more efficient policymaking.
Business · Control (management) · Economics · Government (linguistics) · Health care · Healthcare system · Knowledge base · Management · Political science · Politics · Process (computing) · Public policy · Public relations · Quality (philosophy) · Unintended consequences · Computer Science · Evaluation and Performance Assessment · Health Policy Implementation Science · Health Systems, Economic Evaluations, Quality of Life · Public Administration
New directions in evidence-based policy research
Qualitative content analysis in nursing research
Transformations of the Swedish Welfare State
Window of opportunity for intersectoral health policy in Sweden open, half-open or half-shut?
Healthy public in all policies
An exploration of the theoretical concepts policy windows and policy entrepreneurs at the Swedish public health arena
Social Science Methodology
Transparency
Incorporating evidence and politics in health policy
Four Waves of Evaluation Diffusion
The Transformation of the Swedish Health Care System, or the Hasty Rejection of the Rational Planning Model
Policy Entrepreneurship and Policy Change
Resource dependency, doctors and the state
Toward a Theory of the Political Entrepreneur
| Citations per year | 1 |
|---|---|
| Citation span | 2025 - 2025 (1) |
| Highly cited | No |