Health policy ideas fashionable in the Nordic countries

Scandinavian policy studies have a long tradition of seeking inspiration from organizational theory. This has spurred an interest in concepts and solutions that become “fashionable” and travel across policy fields. They become “standard recipes” that policy makers and managers in health systems turn to, although the actual translation may differ across organizational settings. So what are some of the fashionable policy ideas in the Nordic regions

Coordination between primary and secondary healthcare in Denmark and Sweden

Introduction: Insights into effective policy strategies for improved coordination of care is needed. In this study we describe and compare the policy strategies chosen in Denmark and Sweden, and discuss them in relation to interorganisational network theory. Policy practice: The policy initiatives to improve collaboration between primary and secondary healthcare in Denmark and Sweden include legislation and agreements aiming at clarifying areas of responsibility and defining requirements, creation of links across organisational boarders. In Denmark many initiatives have been centrally induced, while development of local solutions is more prominent in Sweden. Many Danish initiatives target the administrative level, while in Sweden initiatives are also directed at the operational level. In both countries economic incentives for collaboration are weak or lacking, and use of sanctions as a regulatory mean is limited. Discussion and conclusion: Despite a variety of policy initiatives, lacking or poorly developed structures to support implementation function as barriers for coordination. The two cases illustrate that even in two relatively coherent health systems, with regional management of both the hospital and general practice sector, there are issues to resolve in regard to administrative and operational coordination. The interorganisational network literature can provide useful tools and concepts for interpreting such issues

Retirement trajectories in the 21st century: A scoping review of the changing nature of retirement in Europe

There are important transformations taking place regarding the ways to transition from work-life to retirement. The timing and pathways are changing and many individuals undergo long periods of being in-between working and retirement life. Yet, our cultural understandings of retirement tend to maintain a clear distinction between pre- and post-retirement life. While the changes in retirement trajectories is not new, the trend seems to have accelerated in recent decades. We focus on what is known from the literature about the tendencies in alternative retirement trajectories of healthy seniors in Europe since 2000. We review some conceptual and political transitions in the societal understandings of retirement, followed by a scoping review in three sections: 1) Employment after retirement, 2) Self-employment, and 3) Unretirement. We conclude that while 21st century retirement trajectories are complex and understudied, there are some clear tendencies regarding who engages in such practices and why