Suchergebnisse

This article argues that quality-improvement reforms in health care are political reforms that aim to reconstruct organizational power relations. The argument is based on a case study of how a small women's clinic in Sweden subjected itself to a Total Quality Management-inspired process organization in order to win a quality award. The quality-improvement activities at the clinic seek to establish a centralized, communitarian organization without mediating powers in the form of professional hierarchies. However, they also stimulate professionalization of formerly subjugated groups in the health-care hierarchy. The analytical perspective of governmentality is used to illustrate how distant authorities and the clinic are related according to a new technology of government within health care, one goal of which is an intrusive form of organizational steering. The case study also shows the limitations of this perspective because the reforms trigger other micro-political activities that are seemingly not derived from the technology of government.

The research project described in this article starts out with the hypothesis that new forms of bureaucracy have arisen within public administration as a consequence New Public Management-related reforms which have swept through the West in recent decades. The main goal of these reforms is to make public administrations more business-like and therefore more effective and customer-oriented. Administrations are thereby coming more to resemble businesses and are becoming decentralized while retaining central management and control. Herein lies the danger that NPM reforms will have the effect of creating bureaucratic expansion within these administrations. This situation is paradoxical since the NPM wave builds on the very economic research which has been critical of the phenomenon of bureaucratization within public administration. Within the framework of ongoing efforts to incorporate public activity, a series of new organizational forms has been created, all with a need to justify their activities upward and outward. The bureaucratization of these secondary functions within the decentralized level of the state is the focus of the research project to be undertaken. The project will involve three case studies of NPM-influenced forms of management in a municipality, a hospital, and a college. Adapted from the source document.

The objective behind this article is to study the proliferation of the politics of information technology (IT) in Sweden, 1994-2003, based on a discourse analysis. The article argues that the Swedish IT political discourse is characterised by a guiding rule according to which there exist an autonomous & inevitable historical path towards the "information society." Swedish citizens are defined as dependent subjects, without any means to influence the advent of this new society. Instead they have to comply with new requirements in terms of swift social adaptation & life-long learning. In addition, the IT-political discourse is distinguished by nationalist optimism, as well as democratic ambitions. This also gives rise to peculiar contradictions within the discourse, for instance in the educational arena where there is a clash between individualist pedagogical doctrines & collective compliance to the information society. The author concludes that Swedish IT politics have hitherto mainly focused on affecting definitions & perceptions through the persuasive use of a model of steering which the author labels "visionary governance," ie, the establishment of an authoritative definition of the future by certain experts or "visionaries." Discursive power within such a model consists in making all actors addressing the political issue unanimously. 24 References. Adapted from the source document.

Abstract. In this article the nation is shown to be a historical subject. As such, it is constructed and constantly reconstructed by discursive practices of power and knowledge. The author argues that the symbiotic interlinkage between nationalism and the organising knowledge principle of historicity, is an example of a power practice in the modern state. Throughout the article, it is shown that this practice is produced by interaction between the institutionally represented, sovereign or objective state and intellectual knowledge and its institutionalisation within the state as an academy, which acquires sovereignty in the production of objective truth. This peculiar discursive representation of making what really is personal interactions and struggles into official institutions has managed to produce the subject of the historical nation. The empirical case of Sweden is briefly discussed. During the age of great power, an exclusivist discourse of noble genealogical distinction of the 'Goths' was established. In modem Sweden, this genealogical myth is transformed to a popular national myth of exclusivity, a myth with great power potentials in the 'national projects' of modem politics.