Styringsparadigmers indflydelse på Respirationscenter Øst: Om at finde ind til kernen

Majken Heldarskard-Winnerskjold

Student thesis: Master executive thesis

Abstract

The purpose of this master's thesis was to explore my own organization. It was already recognized that Respirationscenter Øst handled many different cases covering what was known as “hospital treatment at home”. This includes respiratory treatment at home and related round-the-clock monitoring by respiratory assistants. I had an assumption that the cases created complexity for patients, as they have to navigate within and comply with three different regulatory settings, being the Danish Health Care Act, the Danish Working Environment Act as well as the Danish Social Service Law. Patients must, on the one hand, navigate their own disease, including receiving help from home care, as well as having assistants whose workplace was the patient’s home.
I have examined the impact and influence that the different public governance paradigms have had on the evolvement on the system of hospital treatment at home. Furthermore, I have investigated the influence that the hybrid governance paradigms have had on RCØ's core task with the assumption that a clear core task enables an increase of employees' understanding of the organization's goals and
motivation, leading to increasing value creation for the patients.
I have included the theory of public governance paradigms and public service motivation by Le Grand to analyze the cases regarding the influence of governance paradigms on the development of hospital care at home. The theoretical framework of the core task and people management was included in the analysis of the influence of the governance paradigms on the involvement and perception of the core task.
I had a prerequisite of using data from my own organization. Data collection was done by extracting data from RCØ's electronical archive program “Work-Zone” as well as data extracts from our external email via Outlook.
The collected data was categorized based on prior understanding, using documentary method and grounded theory. The number of cases and individual hearings each turned out to be around 1.4 per week on average, the empirical amount of data was assessed to be sufficient and the quality was assessed to be representative in relation to the requested study. The Work-zone cases were categorized in six areas: external framework, rights and privileges, relatives, mothers, working environment and miscellanea.
In relation to the method, my own experience proved to be a parameter to be taken into account and, in relation to the coding, it became a parameter that I in the end had to recognize and thus integrate. Instead of denying my level of understanding, I used it to explain some of the parameters that apply to the cases examined.

EducationsMaster of Public Governance, (Executive Master Programme) Final Thesis
LanguageDanish
Publication date2021
Number of pages51
SupervisorsCarsten Greve