Motstridiga mål försvårar kvalitetsarbetet

Styrning Motstridiga mål i olika styrdokument. Mål som inte går att mäta. Mål som ska uppfyllas "inom mandatperioden”. Det är några av de brister som forskaren Pia Nylander vid Linnéuniversitetet har funnit då hon studerat den målstyrning av sjukvården som tillämpas i Region Stockholm.

Motstridiga mål försvårar kvalitetsarbetet
Om mål och mått byts ut regelbundet blir det omöjligt att följa verksamheten långsiktigt menar Pia Nylander. Bilden på nya Karolinska sjukhuset i region Stockholm. Foto Stock Adobe.

Vad och vem styr egentligen styrningen i region Stockholm? Det är frågor som forskaren Pia Nylander ställer i sin nya rapport utan att hitta något riktigt svar.

Någonting är fel

Du är inloggad som prenumerant hos förlaget Pauser Media, men nånting är fel. På din profilsida ser du vilka av våra produkter som du har tillgång till. Skulle uppgifterna inte stämma på din profilsida – vänligen kontakta vår kundtjänst.

Vi kontaktade Pia Nylander som besvarar våra frågor via mejl

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