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New public management (NPM) reforms have weakened the direct steering capacity within state bureaucracy. This article looks into how supreme audit institutions in three countries (Norway, Denmark, and Germany) assess these types of reforms. The analysis shows that all three SAIs have taken on an evaluative role when judging NPM instruments. At the same time their emphasis on legality and compliance can be at odds with some of the operating principles in NPM. All in all the German SAI seems to be the most radical critic. This may be linked to the lack of openness of the German SAIs results that makes it more internally focused within a mindset of administrative accountability. [ABSTRACT FROM PUBLISHER]

The Cross-Border Patients’ Rights Directive represents an attempt to resolve the unclear situation that had developed due to ‘negative integration’ within the field of healthcare. While the adoption of the directive ends the EU-level decision process, it represents the start of the implementation process, where national institutional structures and interests play a key role. This article investigates the role of resources as a key factor shaping transposition within the member states, with a focus on Poland and Bulgaria. The article shows that a multidimensional perspective of resources is important for understanding transposition of EU directives in member states. While previous research has tended to consider resources at the aggregate, national level, the present study shows that specific concerns about the ‘adjustment costs’ at the sector system level are of key importance. [ABSTRACT FROM PUBLISHER]

Accountability can be conceptualized as institutionalized mechanisms obliging actors to explain their conduct to different forums, which can pose questions and impose sanctions. This article analyses different ‘crises’ in immigration policies in Norway, Denmark and Germany along a descriptive framework of five different accountability types: political, administrative, legal, professional and social accountability. The exchanges of information, debate and their consequences between an actor and a forum are crucial to understanding how political-administrative action is carried out in critical situations. First, accountability dynamics emphasize conventional norms and values regarding policy change and, second, formal political responsibility does not necessarily lead to political consequences such as minister resignations in cases of misbehaviour. Consequences strongly depend on how accountability dynamics take place.Points for practitionersPolitical and administrative leaders as well as civil servants are faced with several demands from the wider public and from internal or external peers. There is a relationship between actors and forums that is important in understanding how public administration works. This relationship can be described as accountability dynamics. In cases of crises, these dynamics can overcome or sustain daily administrative practices and routines. Our accountability framework offers a systematic scheme to recognize five accountability relations which should be considered during reorganization processes or policy changing initiatives. [ABSTRACT FROM PUBLISHER]

The article contributes to the literature on multi-level welfare governance and public accountability in the context of recent European hospital reforms. Focusing on the changing dynamics between regional and central governance of hospitals in Germany, Norway and Denmark, we raise concerns about the reshaping of traditional public accountability mechanisms. We argue that, triggered by growing financial pressures, corporatization and professionalization have increasingly removed decision-making power from regional political bodies in hospital funding and planning. National governments have tightened their control over the overall trajectory of their hospital systems, but have also shifted significant responsibility downwards to the hospital level. This has reshaped public accountability relationships towards more managerial or professional types embedded within multi-level forms of governance.Points for practitionersOur study may be taken to suggest that if reforms are responses to policy pressures, the accompanying changes in accountability relationships and arrangements in turn contribute to altering the pressures and constraints that form the context for administrative, managerial and professional work. As reforms in Norwegian, Danish and German healthcare contribute to corporatization, centralization and economization, there is reason to expect that what officials are held accountable for, and how, is also likely to change and to accentuate the span between policy aims and actual managerial and professional performance. [ABSTRACT FROM PUBLISHER]

Further integration of the public value literature with other strands of literature within Public Administration necessitates a more specific classification of public values. This article applies a typology linked to organizational design principles, because this is useful for empirical public administration studies. Based on an existing typology of modes of governance, we develop a classification and test it empirically, using survey data from a study of the values of 501 public managers. We distinguish among seven value dimensions (the public at large, rule abidance, balancing interests, budget keeping, efficient supply, professionalism, and user focus), and we find systematic differences between organizations at different levels and with different tasks, indicating that the classification is fruitful. Our goal is to enable more precise analyses of value conflicts and improve the integration between the public value literature and other parts of the Public Administration discipline. [ABSTRACT FROM AUTHOR]

This paper investigates the policy process leading to the rapid and somewhat surprising introduction of a major structural reform in Denmark in 2007. The reform reduced the number of regional and local authorities and changed their responsibilities and financing. The research question is why a reform of this magnitude and scope was introduced in a Scandinavian country at this point in time in spite of previous failures and in spite of likely resistance from actors with vested interests in the existing structure? The article explains the initiation of the reform by a rare opening of a window of opportunity due to a number of contextual factors. Once the window was opened the process changed to one of opportunistic pursuit of institutional and personal interests. Skilful management of the reform process by central actors was important for getting the decision through possible resistance points. [ABSTRACT FROM AUTHOR]

The issue of public sector values has been increasingly important in public sector reform debates in Europe in the past decade. While there is much debate over values and normative basis there is limited empirical evidence on value profiles and value changes. This article aims to address such limitations by presenting data from a major survey based study of value orientations at all levels in the Danish public sector. The article investigates the following questions: How do public managers perceive values in the public sector? Can we construct value profiles for the public sector or parts of it? Two related hypotheses are suggested. First that it is possible to identify a set of values that is regarded as important by almost all public managers and second that these value profiles are reflected in value orientations and perceptions regarding staff skills and motivation. [ABSTRACT FROM AUTHOR]