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dc.contributor.authorArntsen, Bjørnulf
dc.contributor.authorTorjesen, Dag Olaf
dc.contributor.authorKarlsen, Tor-Ivar
dc.date.accessioned2021-03-23T12:38:30Z
dc.date.available2021-03-23T12:38:30Z
dc.date.created2020-06-12T13:35:03Z
dc.date.issued2020
dc.identifier.citationArntsen, B., Torjesen, D. O. & Karlsen, T.-I. (2020). Associations between structures, processes and outcomes in inter-municipal cooperation in out-of-hours services in Norway: A survey study. Social Science and Medicine, 258. doi:en_US
dc.identifier.issn1873-5347
dc.identifier.urihttps://hdl.handle.net/11250/2735116
dc.description.abstractInter-municipal cooperation (IMC) has gained widespread recognition as a beneficial strategy for improving efficiency and quality in the provision of out-of-hours emergency care services (OOH services). Little attention, however, has been given to the additional costs of cooperation and the relational processes through which benefits and costs are likely to result. Based on survey data from 266 (77%) Norwegian municipalities involved in IMC in OOH services in 2015, this study aimed to investigate how the structure (governance form, complexity and stability) and quality (trust and consensus) of cooperation processes interact to influence the perceived outcomes (benefits and costs) of IMC in OOH services. Using Structural equation modeling, we found trust and consensus fully mediated the association between the structure and outcomes of IMC. More specifically, the results suggest that cooperation structures characterized by centralized governance, stability over time, and reduced complexity were likely to enhance the benefits and reduce the costs of IMC through trust and consensus.en_US
dc.language.isoengen_US
dc.publisherElsevieren_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.titleAssociations between structures, processes and outcomes in inter-municipal cooperation in out-of-hours services in Norway: A survey studyen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.description.versionpublishedVersionen_US
dc.rights.holder© 2020 The Author(s).en_US
dc.subject.nsiVDP::Medisinske Fag: 700::Helsefag: 800en_US
dc.subject.nsiVDP::Medisinske Fag: 700::Idrettsmedisinske fag: 850en_US
dc.source.volume258en_US
dc.source.journalSocial Science and Medicineen_US
dc.identifier.doi10.1016/j.socscimed.2020.113067
dc.identifier.cristin1815247
cristin.qualitycode2


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