The significance of control models: intentional and unintentional effects.
Organization and control research has largely focused on the reform work and changes in the public sector. Many studies have focused on the reasons for reforms rather than on their significance. In this article, the authors deal with a control model applied in maternity health and based on remuneration for performance. At the end of the article, the authors note that formal control models are significant. Staff members have adapted to the model, but the model has also been adjusted to suit reality. This change has meant intentional effects, in the sense that the work has been adapted to suit the conditions given, but also unintentional effects in the form of attempts to outwit the system.
University of Gothenburg, Sweden.
Björn
B
Brorström
Bo
B
Hallin
Gustaf
G
Kastberg
D005260:Female; D018166:Health Care Reform / Q000458:organization & administration; D006302:Health Services Research / Q000379:methods*; D006801:Humans; D008427:Maternal Health Services / Q000191:economics / Q000458:organization & administration*; D017146:Models, Organizational; D009313:National Health Programs / Q000191:economics / Q000458:organization & administration; D011247:Pregnancy; D012052:Reimbursement, Incentive / Q000458:organization & administration; D013548:Sweden