Cristin-resultat-ID: 1815247
Sist endret: 19. januar 2021, 10:18
NVI-rapporteringsår: 2020
Resultat
Vitenskapelig artikkel
2020

Associations between structures, processes and outcomes in inter-municipal cooperation in out-of-hours services in Norway: A survey study

Bidragsytere:
  • Bjørnulf Arntsen
  • Dag Olaf Torjesen og
  • Tor-Ivar Karlsen

Tidsskrift

Social Science and Medicine
ISSN 0277-9536
e-ISSN 1873-5347
NVI-nivå 2

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2020
Publisert online: 2020
Trykket: 2020
Volum: 258
Artikkelnummer: 113067
Open Access

Importkilder

Scopus-ID: 2-s2.0-85085943293

Beskrivelse Beskrivelse

Tittel

Associations between structures, processes and outcomes in inter-municipal cooperation in out-of-hours services in Norway: A survey study

Sammendrag

Inter-municipal cooperation (IMC) has gained widespread recognition as a beneficial strategy for improving efficiency and quality in the provision of out-of-hours emergency care services (OOH services). Little attention, however, has been given to the additional costs of cooperation and the relational processes through which benefits and costs are likely to result. Based on survey data from 266 (77%) Norwegian municipalities involved in IMC in OOH services in 2015, this study aimed to investigate how the structure (governance form, complexity and stability) and quality (trust and consensus) of cooperation processes interact to influence the perceived outcomes (benefits and costs) of IMC in OOH services. Using Structural equation modeling, we found trust and consensus fully mediated the association between the structure and outcomes of IMC. More specifically, the results suggest that cooperation structures characterized by centralized governance, stability over time, and reduced complexity were likely to enhance the benefits and reduce the costs of IMC through trust and consensus.

Bidragsytere

Bjørnulf Arntsen

  • Tilknyttet:
    Forfatter
    ved Institutt for helse- og sykepleievitenskap ved Universitetet i Agder

Dag Olaf Torjesen

  • Tilknyttet:
    Forfatter
    ved Institutt for statsvitenskap og ledelsesfag ved Universitetet i Agder

Tor-Ivar Karlsen

  • Tilknyttet:
    Forfatter
    ved Institutt for helse- og sykepleievitenskap ved Universitetet i Agder
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