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Standardisation of professional work is a major policy concern to ensure quality and efficiency of services and a number of hospitals are now focusing on the use of clinical pathways as an important tool to standardise their work. This study sheds light on the processes set in motion when notions of standardisation meet local practice. In order to gain insight into what clinical pathways mean for professional work in mental health care, the focus of the study was to explore the contexts in which standardisation by "rule production" takes place. Two empirical cases from Norwegian mental health care show how dedicated professionals are in charge of carrying out the standardisation work, strongly influenced by a steering framework of defined governmental policies where employee involvement and responsibility ensured loyalty to the idea. Along with a "package" of ideas, new bodies and techniques, clinical pathways contribute to the institutionalisation of prima facie knowledge in demonstrating that evidence basing is linked to steering and control of employees. Thus, professional autonomy is threatened in an insidious way: through the institutionalisation of evidence-based knowledge as 'prima facie' knowledge in combination with professionals who standardise and control their own work. The thesis therefore concludes that the control of professional work has now become a complex and sophisticated process where professional work is "controlled by knowledge".

"The book discusses various challenges and solutions related to the coordination of health and welfare services. Coordination is central to creating integrated services for users with complex needs. In order to understand the challenges and opportunities associated with creating such services, one needs knowledge related to organizations and the organizational context. The book's chapters takes on an organizational perspective where patterns and explanations are sought in formal and informal structures, processes and culture.

The users' need for services often cross established boundaries, both organizational and professional. The authors highlight the possibilities and limitations of some selected solutions that will help to cut across or break down such boundaries. Examples of such solutions are user involvement, interdisciplinary collaboration, team organizations, coordinators, standardization and patient pathways, digitization and decision-making tools for employees who work in the services. One chapter summarizes three different theoretical research approaches for analyzing coordination and collaboration.

The target group is researchers, university and college employees and students of the health and welfare sector. The book also will be of interest for user organizations as well as administrative and professional decision-makers in public and private businesses." - I denne boka drøfter forfatterne ulike utfordringer og løsninger knyttet til samordning av helse- og velferdstjenestene. Samordning er sentralt for å skape et helhetlig helse- og velferdstilbud til både eldre og yngre brukere med komplekse behov. For å forstå hvilke utfordringer og muligheter som finnes, trenger man kunnskap om organisasjon og organisatorisk kontekst. Boken inntar et organisasjonsperspektiv hvor mønstre og forklaringer søkes i formelle og uformelle strukturer, prosesser og organisasjonskulturer.

Brukernes behov for tjenester går ofte på tvers av organisasjoners og profesjoners etablerte grenser. Forfatterne belyser muligheter og begrensninger ved noen utvalgte løsninger som skal bidra til å overskride eller bryte ned slike grenser. Eksempler på slike løsninger er brukermedvirkning, tverrfaglig samarbeid, teamorganisering, koordinator, standardisering og behandlingslinjer, digitalisering samt beslutningsverktøy for tidlig innsats blant barn og unge (BTI). Et bidrag sammenfatter ulike forskningstilnærminger for å analysere samordning og samarbeid.

Målgruppen for boken er forskere, universitets- og høyskoleansatte, studenter og ansatte, særlig innenfor helse- og velferdssektoren. Den kan også være interessant og nyttig for brukerorganisasjoner og faglige og administrative beslutningstakere i offentlig og privat virksomhet.