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Coordination Through Contracting: Experience with the Estonian: out-of-hospital emergency medicine

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  • Külli Sarapuu
  • Veiko Lember

Abstract

The article examines the effects of market-type contracting on the capacity of the government to integrate public service stakeholders and to assure coherence in service provision. The study focuses on the case of the Estonian out-of-hospital emergency medical care and analyses it through an analytical framework, concentrating on basic coordination mechanisms, coordination resources and their application in a specific policy field. It is found that effective market-based coordination presumes long-term learning and the use of various coordination resources that go beyond simple bargaining. In addition, contracting for service delivery has a significant influence on the capacity of the government to coordinate both policy-making and the interlinkages of different policies.

Suggested Citation

  • Külli Sarapuu & Veiko Lember, 2015. "Coordination Through Contracting: Experience with the Estonian: out-of-hospital emergency medicine," Public Management Review, Taylor & Francis Journals, vol. 17(7), pages 1021-1039, August.
    • Handle: RePEc:taf:pubmgr:v:17:y:2015:i:7:p:1021-1039
    DOI: 10.1080/14719037.2015.1029350
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