sector in Denmark since 2007, discusses the mechanisms behind the changes and analyses hospital performance after the reform …Denmark implemented a major reform of the administrative and political structure in 2007 when the previous 13 counties … create administrative units that were large enough to support a hospital structure with few acute hospitals in each region …

This paper analyzes how hospital service centralization affects performance, assessed by length of stay and readmission … institutional theory and employ a mixed-methods approach in a natural experiment, in which some hospital services are centralized … change, information from the data management system of the hospital, as well as interviews with key informants. Our …