Public management in turbulent times: COVID‐19 as an ecosystem disruptor

Abstract

The decentralisation of Swedish healthcare closer to citizens has been slow. Drawing from empirical material of the reform prior and amidst the COVID-19 pandemic, this paper argues that the pandemic has disrupted the healthcare ecosystem. Consequently, citizencentred collaborations have accelerated integration of resources (such as knowledge and skills) across organisational, hierarchical and professional borders. However, collaborations have been delimited to traditional healthcare providers, neglecting the resources of citizens and other actors to be used to improve service delivery. The pandemic has revealed strengths and weaknesses with the prevailing healthcare ecosystem that post-COVID-19 public management must address, both theoretically and practically. Theoretically, the paper contributes to the development of a public service logic, addressing both strengths and difficulties with the logic in turbulent times. Practically, the empirical descriptions contribute to improved understanding of public service delivery reform and how it is impacted during the pandemic.

Managing health care under heavy stress: Effects of the COVID‐19 pandemic on care unit managers' ability to support the nurses—A mixed‐methods approach

“…However, despite national idiosyncrasies, we argue that the findings of this paper are also relevant outside the context of the Swedish health care system due to the similar nature of the problems (cf. Morse, 1999 ) that the global spread of the COVID‐19 virus caused in various national health care systems (e.g., Babore et al, 2020 ; Eriksson et al, 2021 ; Sheraton et al, 2020 ).…”

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