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A participatory process in all aspects? Negotiating agreements within Swedish healthcare

David Feltenius & Jessika Wide

Regional and Federal Studies2025https://doi.org/10.1080/13597566.2025.2450361article
AJG 1
Weight
0.44

What the paper says

This article deals with agreements within healthcare in Sweden, a unitary state where responsibility for healthcare is decentralized to 21 regions with self-rule. The agreements are concluded by the central government and the Swedish Association of Local Authorities and Regions (SALAR). The literature categorizes agreements as a ‘soft’ policy instrument with participation as a crucial aspect. We investigate the process behind the agreements and focus on the participation of SALAR. Our material consists of interviews with respondents of SALAR and the Ministry of Health and Social Affairs. The findings suggest that the process is participatory, but not in all aspects. Differences are noticed during various phases. A conclusion is that the power relationship between the central government and SALAR is unequal. The results contribute to a more nuanced understanding of central–local relations in the era of multi-level governance, highlighting a power hierarchy.

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https://doi.org/https://doi.org/10.1080/13597566.2025.2450361

Or copy a formatted citation

@article{david2025,
  title        = {{A participatory process in all aspects? Negotiating agreements within Swedish healthcare}},
  author       = {David Feltenius & Jessika Wide},
  journal      = {Regional and Federal Studies},
  year         = {2025},
  doi          = {https://doi.org/https://doi.org/10.1080/13597566.2025.2450361},
}

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A participatory process in all aspects? Negotiating agreements within Swedish healthcare

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Evidence weight

0.44

Balanced mode · F 0.40 / M 0.15 / V 0.05 / R 0.40

F · citation impact0.32 × 0.4 = 0.13
M · momentum0.57 × 0.15 = 0.09
V · venue signal0.50 × 0.05 = 0.03
R · text relevance †0.50 × 0.4 = 0.20

† Text relevance is estimated at 0.50 on the detail page — for your query’s actual relevance score, open this paper from a search result.