This paper describes the implementation of hospital governance under the Norwegian hospital reforms 2001–2008.

Objectives This paper explores the possibilities and limitations of obtaining and interpreting efficiency measurement on the level of the clinical department. We discuss the limitations of case-mix groupings such as the diagnosis related groups on this level.Methods Hospital costs are allocated...

This paper focuses on the transition of governmental management innovations from the national, political level to the local, institutional level. In order to throw some light on the complex process of two-level reforms in public sector financial management, I discuss the case of introducing...

Hospital effectiveness is a topic of great importance in public sector management. This article focuses on group effectiveness in Intensive Care Units (ICUs) in 44 Norwegian hospitals. The effectiveness of ICUs is for many patients a question of life and death, and the staff members should be...

This article examines whether changes in the governance of public hospitals in Norway have affected the perceived practices of operational managers. A study involving a survey of and interviews with clinical managers in Norwegian hospitals has shown that managers considering themselves highly...