Background: We could say that external inspections support improvement of healthcare services, but we know little about how. The aim of this study was to increase knowledge about how county governors, as external inspectorates of healthcare services, support and contribute to improvement through external inspections. Methods: This is a comparative case study where data is based on qualitative interviews and analysis of government documents. Ten semi-structured interviews were conducted with inspectors representing two different county governors in Norway. Data analysis was based on systematic text condensation.
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