No one wants to get stuck with the losing card

Lars Nordgren
2012 The International Journal of Leadership in Public Services  
Problems The rate of turnover of hospital managers has been high in Sweden. Hospitals are regarded to be difficult to manage, which is connected with different discourses and action logics such as politics, medicine, care and management creating complex conditions for hospital management. Purpose To analyse hospital managers' management conditions in conjunction with hospital mergers. Method Two case studies concerning hospital mergers illustrate these management conditions by means of
more » ... how different actions are communicated by politicians, county council directors, and hospital managers. The author's own experiences as a hospital manager have been made use of, as have document studies. In the analysis, conducted with the support of several theoretical perspectives, certain themes emerge which touch upon these management conditions. Conclusions In connection with hospital mergers, leading hospital actor carry out communicative games controlled by different action logics. No one wants to get stuck with the losing card. Implications To clarify under which management conditions the hospital manager acts.
doi:10.1108/17479881211280001 fatcat:ryrtallewzdw3ozpvrftf7nihq