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Performative policy: The Case of Swedish Healthcare reforms
Örebro University, Örebro University School of Business. (CEROC)ORCID iD: 0000-0002-0298-896X
Örebro University, Örebro University School of Business. Department of Psychology, Stockholm University, Stockholm, Sweden. (CEROC)ORCID iD: 0000-0003-1233-6268
2016 (English)In: Critical Policy Studies, ISSN 1946-0171, E-ISSN 1946-018XArticle in journal (Refereed) Epub ahead of print
Abstract [en]

In this article we analyze public sector change as a profoundly constructed phenomenon – as performative reforms. Public sector reforms, of which policy processes are an integral part, are constituted and realized through long chains of interventions.Communicative–discursive interventions posit and constitute problemsas real and important, while technocratic interventions, such as plans, analyses, and schemes construct new imagined worlds for possible and attractive instrumental solutions. Our empirical results display circular movements of three modes ofchange, making up a continuous policy cycle in the transformation of Swedish health, reiterated on different levels of the system, indifferent scales, and with different actors involved.

The continuity of the reforms is to a large extent the result of a successful institutionalization of the policy cycle and its content. It is stabilized as a set of discourse and social technologies, distributed throughout the entire healthcare system and almost impossibleto question.

Place, publisher, year, edition, pages
Routledge, 2016.
Keyword [en]
Performative policy, governmentality, healthcare, institutional transformation, policy cycle
National Category
Political Science
Research subject
Political Science
Identifiers
URN: urn:nbn:se:oru:diva-50528DOI: 10.1080/19460171.2016.1166973OAI: oai:DiVA.org:oru-50528DiVA: diva2:932311
Funder
Riksbankens Jubileumsfond
Available from: 2016-06-01 Created: 2016-06-01 Last updated: 2017-10-17Bibliographically approved

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Hasselbladh, HansBejerot, Eva
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CiteExportLink to record
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Citation style
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