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Arntsen B, Torjesen DO, Karlsen TI. Associations between structures, processes and outcomes in inter-municipal cooperation in out-of-hours services in Norway: A survey study. Soc Sci Med. 2020;258:113067doi: 10.1016/j.socscimed.2020.113067.
Arntsen, 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 & medicine (1982), 258113067. https://doi.org/10.1016/j.socscimed.2020.113067
Arntsen, Bjørnulf, et al. "Associations between structures, processes and outcomes in inter-municipal cooperation in out-of-hours services in Norway: A survey study." Social science & medicine (1982) vol. 258 (2020): 113067. doi: https://doi.org/10.1016/j.socscimed.2020.113067
Arntsen B, Torjesen DO, Karlsen TI. Associations between structures, processes and outcomes in inter-municipal cooperation in out-of-hours services in Norway: A survey study. Soc Sci Med. 2020 Aug;258:113067. doi: 10.1016/j.socscimed.2020.113067. Epub 2020 May 21. PMID: 32521412.
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Soc Sci Med. 2020 Aug;258:113067. doi: 10.1016/j.socscimed.2020.113067. Epub 2020 May 21.

Associations between structures, processes and outcomes in inter-municipal cooperation in out-of-hours services in Norway: A survey study.

Social science & medicine (1982)

Bjørnulf Arntsen, Dag Olaf Torjesen, Tor-Ivar Karlsen

Affiliations

  1. Faculty of Health and Sport Science, Center for Care Research - Southern Norway, University of Agder, Jon Lilletuns vei 13, 4879, Grimstad, Norway. Electronic address: [email protected].
  2. Department of Political Science and Management, University of Agder, Universitetsveien 25, 4630, Kristiansand, Norway.
  3. Faculty of Health and Sport Science, University of Agder, Jon Lilletuns vei 13, 4879, Grimstad, Norway.

PMID: 32521412 DOI: 10.1016/j.socscimed.2020.113067

Abstract

Inter-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.

Copyright © 2020 The Author(s). Published by Elsevier Ltd.. All rights reserved.

Conflict of interest statement

Declaration of competing interest The authors declare they have no competing interests.

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