Accountability in Health Care

Karsten Vrangbæk; Haldor Byrkjeflot

Accountability in Health Care

6 Citations (Scopus)

Abstract

The debate on accountability within the public sector has been lively in the past decade. Significant progress has been made in developing conceptual frameworks and typologies for characterizing different features and functions of accountability. However, there is a lack of sector specific adjustment of such frameworks. In this article we present a framework for analyzing accountability within health care. The paper makes use of the concept of "accountability regime" to signify the combination of different accountability forms, directions and functions at any given point in time. We show that reforms can introduce new forms of accountability, change existing accountability relations or change the relative importance of different accountability forms. They may also change the dominant direction and shift the balance between different functions of accountability.
We further suggest that developments in accountability regimes are best analyzed with a combination of top-down and bottom up perspectives and that there is a need to develop research strategies to support this aim.

Original language	English
Title of host publication	Oxford Handbook of Health Care Management
Editors	Ewan Ferlie, Kathleen Montgomery, Anne Reff Pedersen
Number of pages	15
Place of Publication	Oxford; New York
Publisher	Oxford University Press
Publication date	2016
Pages	481-495
Chapter	Part IV, chapt. 21
ISBN (Print)	9780198705109
ISBN (Electronic)	9780191015205
Publication status	Published - 2016

Series	Oxford Handbooks

Cite this

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AB - The debate on accountability within the public sector has been lively in the past decade. Significant progress has been made in developing conceptual frameworks and typologies for characterizing different features and functions of accountability. However, there is a lack of sector specific adjustment of such frameworks. In this article we present a framework for analyzing accountability within health care. The paper makes use of the concept of "accountability regime" to signify the combination of different accountability forms, directions and functions at any given point in time. We show that reforms can introduce new forms of accountability, change existing accountability relations or change the relative importance of different accountability forms. They may also change the dominant direction and shift the balance between different functions of accountability. We further suggest that developments in accountability regimes are best analyzed with a combination of top-down and bottom up perspectives and that there is a need to develop research strategies to support this aim.

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