Associations between structures, processes and outcomes in inter-municipal cooperation in out-of-hours services in Norway
A survey study
Bibliographic Data
| ID | 4588283 |
|---|---|
| Authors | Bjørnulf Arntsen (University of Agder, corresponding author), Dag Olaf Torjesen (0000-0002-0910-934X, University of Agder), Tor-Ivar Karlsen (0000-0001-6050-7901, University of Agder) |
| Year | 2020 |
| Volume | 258 |
| Pages | 113067 |
| Publication date | 2020-08-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Social Science & Medicine (JOURNAL) |
| Journal identifiers | ISSN: 0277-9536 • E-ISSN: 1873-5347 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.socscimed.2020.113067 |
| PMID | 32521412 |
| OpenAlex | W3027745038 |
| Language | EN |
| Citations received | 4 |
| References cited | 39 |
Inter-municipal cooperation (IMC) has gained widespread recognition as a beneficial strategy for improving efficiency and quality in the provision of out-of-hours emergency care services (OOH services). Little attention, however, has been given to the additional costs of cooperation and the relational processes through which benefits and costs are likely to result. Based on survey data from 266 (77%) Norwegian municipalities involved in IMC in OOH services in 2015, this study aimed to investigate how the structure (governance form, complexity and stability) and quality (trust and consensus) of cooperation processes interact to influence the perceived outcomes (benefits and costs) of IMC in OOH services. Using Structural equation modeling, we found trust and consensus fully mediated the association between the structure and outcomes of IMC. More specifically, the results suggest that cooperation structures characterized by centralized governance, stability over time, and reduced complexity were likely to enhance the benefits and reduce the costs of IMC through trust and consensus
Business · Corporate governance · Economics · Environmental economics · Norwegian · Public economics · Quality (philosophy · Structural equation modeling · Survey data collection · Computer Science · Emergency and Acute Care Studies · Healthcare Systems and Technology · Public Policy and Administration Research · Finance
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| Citations per year | 0.8 |
|---|---|
| Citation span | 2021 - 2024 (4) |
| Highly cited | No |