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Qualitative Health Research
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The Significance of Control Models: Intentional and Unintentional Effects

Björn Brorström

University of Gothenburg, Sweden

Bo Hallin

Gustaf Kastberg

Organization and control research has largely focused on the reform work and changes in the public sector. Many studies have focused on the reasons for reforms rather than on their significance. In this article, the authors deal with a control model applied in maternity health and based on remuneration for performance. At the end of the article, the authors note that formal control models are significant. Staff members have adapted to the model, but the model has also been adjusted to suit reality. This change has meant intentional effects, in the sense that the work has been adapted to suit the conditions given, but also unintentional effects in the form of attempts to outwit the system.

Key Words: management control • institutions • remuneration for performance • adaptation • adjustment • change

Qualitative Health Research, Vol. 14, No. 7, 889-904 (2004)
DOI: 10.1177/1049732304266752


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