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The double spiral of change: experiences of privatization in a Swedish hospital
[external].
2010 (English)In: International Journal of Health Planning and Management, ISSN 0749-6753, E-ISSN 1099-1751, ISSN ISSN 0749-6753, EISSN 1099-1751, Vol. 25, no 2, 156-168 p.Article in journal (Refereed) Published
Abstract [en]

ObjectivesPrivatization is a trend in countries with a public health system. It involves organizational change, a cultural transformation and changes for the employees as well as a more strictly controlled work. The objective of this study is to describe, analyse and interpret how privatization is perceived by the employees of a health care organization in Sweden. Methodology In-depth interviews have been performed with physicians, paramedics, secretaries, nurses, assistant nurses and local managers, in all 14 respondents, after a private entrepreneur had taken over the management of a hospital. The interviews were tape-recorded and have been analysed and interpreted following a grounded theory approach. Findings The transcribed interviews show that trust is a core category and linked with emotions, commitment and security. The analysis shows that employees' experience of privatization within a health care organization differs and is full of nuances and complexities. Conclusion A simultaneous virtuous and a vicious circle of experiences and reactions may describe how employees experience privatization. It can also be concluded that leadership is an important factor in the success of organizational change.

Place, publisher, year, edition, pages
John Wiley & Sons Ltd. , 2010. Vol. 25, no 2, 156-168 p.
Keyword [en]
health care, privatization, employees' experiences, qualitative method
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hb:diva-8134DOI: 10.1002/hpm.968Local ID: 2320/9816OAI: oai:DiVA.org:hb-8134DiVA: diva2:889017
Available from: 2015-12-22 Created: 2015-12-22 Last updated: 2016-12-01Bibliographically approved

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Kullén Engström, Agneta
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CiteExportLink to record
Permanent link

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Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
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  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
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  • text
  • asciidoc
  • rtf