Compliance and non-compliance with a superordinate directive document
Journal article, Peer reviewed
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We report a study of how a Norwegian regional health care agency directive document was complied with at the subordinate hospital level. We found tight coupling for the activity and budget requirements and loose coupling and decoupling for the other requirements in the document. Furthermore, rather than pursuing their own self- and group interests the hospital actors held an overall effectiveness logic.
Published version of an article in the journal: Public Organization Review. Also available from the publisher at: http://dx.doi.org/10.1007/s11115-012-0206-7