Effektiv ekonomistyrning inom den offentliga sjukvården - en studie av Habiliterings- och rehabiliteringskliniken på Blekingesjukhuset

The purpose with our study is to investigate in which way a public field of action has succeeded to make the economic management more effective and also find out which factors/activities that have contributed to get the result of the budget in balance. We also want to find out in which degree the balanced scorecard (BSC) has contributed to the positive result of the budget. Method: We had started out from the qualitative method theory which is based on the hermeneutic theory, because we will interpret and understand. With this starting point we have chosen to use a case study with semi-standardised interviews supplemented with information from different documents, and to get the theoretic connection we have studied literature in the subject field. The analyse and even the theoretic connection have then started from, for this study, a special analyse model. Results: Througt systematic and target-concentrated management and through cooperated factors, with stress on a leadership that is both professional, visionary and un-combined, and there the staff´s is seen as a important resource, and there it is a clear strategy and objective to keep the cost of the activity within assigned budgetframe, has a public field of action, as the clinic of hab./rehab. been able to get an effective management of economy. Important condition is however a reasonable budgetframe in relation to a clear ande realistic commission, and an appropriate organising with "good" co-workers. Other studied factors also have sense, and have importance for the effective management of economy, and can furthermore sees as indicators at which degree the leadership and the condition for the activity, promote the effective management of economy.

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