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Against all odds? Understanding the emergence of accreditation of the Danish hospitals

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  • Triantafillou, Peter

Abstract

Despite intense critique from various parts of the medical professions, Danish hospitals have been subjected to a mandatory accreditation system known as the Danish Quality Model (Den Danske Kvalitetsmodel, DDKM) since 2009. The notion of government assemblage is employed to understand how and why, in the face of these obstacles, DDKM was ultimately implemented. It is argued that DDKM is the result of the emergence of hospital quality management assemblage in 1980s and 1990s made up by new methods of categorizing disease treatments, computerization of such treatments, concerns over cost-effectiveness, complaint registration, the availability of international hospital quality assessment systems, the mobilization of organized medical interest groups, and a tradition of consultative policymaking procedures. This assemblage was crucial for identifying quality as a problem in need of administrative intervention and for shaping the political struggle over how best to assure the quality of hospital services.

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  • Triantafillou, Peter, 2014. "Against all odds? Understanding the emergence of accreditation of the Danish hospitals," Social Science & Medicine, Elsevier, vol. 101(C), pages 78-85.
    • Handle: RePEc:eee:socmed:v:101:y:2014:i:c:p:78-85
    DOI: 10.1016/j.socscimed.2013.11.009
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    References listed on IDEAS

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    1. Mike Dent, 2006. "Patient choice and medicine in health care," Public Management Review, Taylor & Francis Journals, vol. 8(3), pages 449-462, September.
    2. Light, Donald W., 2001. "Managed competition, governmentality and institutional response in the United Kingdom," Social Science & Medicine, Elsevier, vol. 52(8), pages 1167-1181, April.
    3. Barry M. Mitnick, 2011. "Capturing ‘Capture’: Definition and Mechanisms," Chapters, in: David Levi-Faur (ed.), Handbook on the Politics of Regulation, chapter 3, Edward Elgar Publishing.
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    Cited by:

    1. Ernst, Jette, 2019. "The curse of bureaucratisation or the blessings of professionalisation? Nurses’ engaged adoption of quality management in hybrid managerial positions," Scandinavian Journal of Management, Elsevier, vol. 35(3).

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