Landsting möter landsting i gränsöverskridande samverkan. Om förändring och beslutsfattande i offentlig verksamhet.
CooperationCounty councilDecision processChangeEnabling and limiting factorsSocial sciencesSamhällsvetenskaperSocial Sciences
A current debate is going on in Sweden about the health-care organization, how it is structured today and how it should be structured in the future. Despite major changes in the county council structures, they still got problems with for instance economy and the providing of staff. As an answer to these problems new solutions are being developed.In this thesis I examine such a solution consisting of cooperation between county councils. The aim of the thesis is to examine how and why the county councils in Sörmland and Västmanland have made a decision regarding cooperation over the administrative border.My contribution is to construct a model over change and decision processes that can be used in other cases as well. The conclusion is partly that the decision to cooperate is built on changing structural factors, such as economy, demography and medical development. In order to explain why cooperation is between just the county councils in Sörmland and Västmanland and why it has been actualized right now, elements closer to the organization such as organizational- and inner factors must be analyzed. In my case these factors are for example similarities between the two county councils, earlier common projects, and active agents that are prime movers of the decision.