More Knowledge, Better Government? Consequences of Knowledge-Based Decision Making in Swedish Pharmaceutical Benefits
More Knowledge, Better Government
Bibliographic Data
| ID | 6264380 |
|---|---|
| Authors | Åsa Casula Vifell (Södertörn University), Ebba Sjögren (0000-0001-6588-9865, Stockholm School of Economics) |
| Year | 2011 |
| Volume | 24 |
| Issue | 1 |
| Pages | 85-110 |
| Publication date | 2011-01-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Governance (JOURNAL) |
| Journal identifiers | ISSN: 0952-1895 • E-ISSN: 1468-0491 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/j.1468-0491.2010.01510.x |
| OpenAlex | W1897503995 |
| Language | EN |
| Citations received | 7 |
| References cited | 22 |
Using an example from the health-care sector, we illustrate consequences of implementing knowledge-based decision making relating to the exercise of political control. The Swedish Pharmaceutical Benefits Board decides the subsidization status of prescription pharmaceuticals. Building on a study of the agency's work, we explore the effects of institutional arrangements stemming from rationalistic demands for knowledgeable and justifiable outcomes related to political structures for control. Knowledge about the medical and economic effects of pharmaceuticals is routinely ambiguous. This makes it necessary to negotiate "decision-able" knowledge rather than to merely collect it. This touches on matters of broader political consequence, which the formal model for governing the administration does not take into account. This masks decisions as neutral administrative choices. A further conclusion concerns the lack of mechanisms for repoliticizing politically salient issues that have been delegated to administrative bodies
Business · Government (linguistics · Knowledge management · Complex Systems and Decision Making · Computer Science · Management and Organizational Studies · Pharmaceutical Economics and Policy
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Strategies of stratification
Information use in public administration and policy decision‐making
Toward More “Evidence‐Informed” Policy Making
Good conduct in a context of rationing
Governing through Evidence
The Legal Mind of the Internal Market
Governance Matters V
Autonomy and Regulation
Agencies
Bounded Rationality, Ambiguity, and the Engineering of Choice
A behavioral theory of the firm
Agendas, alternatives, and public policies
States and Development
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A Public Management for All Seasons
The quality of government
Science on Stage
What Is Quality of Government? A Theory of Impartial Government Institutions
Political power beyond the State
Where Are the Politics? Perspectives on Democracy and Technology
Institutionalized Organizations
Governing childhood
Governing economic life
| Citations per year | 0.44 |
|---|---|
| Citation span | 2010 - 2023 (14) |
| Highly cited | No |