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See Latest ArticlesHome care in transition: the complex dynamic of competing drivers of change in Norway
Journal of Health, Organisation and Management , 06/29/09
Vabo M et al. - The findings demonstrate how contractual management is highly influenced by competing drivers of change. Reforms, stressing cost reduction, do not act as a unidirectional reform programme. Instead, they are infused with administrative arguments linked to previous reform ideas aiming to create legitimacy both from "above" and from "below". The dynamic of change often has unintended consequences which in turn prompt further reform efforts.
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