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More Knowledge, Better Government?: Consequences of Knowledge-Based Decision Making in Swedish Pharmaceutical Benefits
Södertörn University, School of Gender, Culture and History, Institute of Contemporary History.
2011 (English)In: Governance. An International Journal of Policy, Administration and Institutions, ISSN 0952-1895, E-ISSN 1468-0491, Vol. 24, no 1, p. 85-110Article in journal (Refereed) Published
Abstract [en]

Using an example from the health-care sector, we illustrate consequences of implementing knowledge-based decision making relating to the exercise of political control. The Swedish Pharmaceutical Benefits Board decides the subsidization status of prescription pharmaceuticals. Building on a study of the agency's work, we explore the effects of institutional arrangements stemming from rationalistic demands for knowledgeable and justifiable outcomes related to political structures for control. Knowledge about the medical and economic effects of pharmaceuticals is routinely ambiguous. This makes it necessary to negotiate "decision-able" knowledge rather than to merely collect it. This touches on matters of broader political consequence, which the formal model for governing the administration does not take into account. This masks decisions as neutral administrative choices. A further conclusion concerns the lack of mechanisms for repoliticizing politically salient issues that have been delegated to administrative bodies.

Place, publisher, year, edition, pages
2011. Vol. 24, no 1, p. 85-110
National Category
Political Science
Identifiers
URN: urn:nbn:se:sh:diva-14981DOI: 10.1111/j.1468-0491.2010.01510.xISI: 000285761000005Scopus ID: 2-s2.0-78650407024OAI: oai:DiVA.org:sh-14981DiVA, id: diva2:483060
Available from: 2012-01-24 Created: 2012-01-24 Last updated: 2017-12-08Bibliographically approved

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Casula Vifell, Åsa

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Citation style
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  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
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