Inramningar av lömska problem Fallstudier av lokala förvaltningars möte medhållbarhet i sjukvård och under pandemin

• Main Author: Sommar, Carl-Johan
• Format: Dissertation
• Language: Swedish
• Published: ProQuest Dissertations & Theses 01-01-2023
• Subjects: Health care management; Sustainability
• ISBN: 9798382265766
• DOI: 10.3384/9789180754279

Everything should come together, and everything should permeate everything. Trends in governance and policy areas have come to encompass increasingly broader and more diverse issues. For example, sustainable development should guide all parts of government, but there is often little guidance on what this means in practice and how organizations should tackle the diverse issues and challenges of sustainability. Overall, much indicates that the challenges and problems faced by decision-makers in public administration have become increasingly difficult to manage. Some of these problems are particularly challenging and cannot be solved with a short term solution, by a single actor, or by an established method. These problems can only be managed and are referred to as "wicked problems" in the literature.The dissertation focuses on two wicked problems: sustainability and a pandemic. The analysis address how these wicked problems are handled by local public authorities in Sweden. Both problems have an unclear scope, a vague definition, and no definitive solution within reach. The overshadowing argument is that wicked problems need to be framed to be managed through policy mechanisms and implementation processes. The thesis argues that a frame determines and delimits the issue at hand, thus configuring what becomes manageable or not in practice.The dissertation is based on a selection of empirical case studies aimed at observing how governments translate the problems they face by handling both the need to become more sustainable and balancing the needs during a pandemic through changes and modifying the discourse. The study employs an interpretive and constructivist analysis of document studies and interviews with key stakeholders.The overarching conclusions indicate that framing is a central process necessary to move wicked problems forward on the political agenda and make them manageable. In this way, framing helps to delimit the problems; the framing becomes crucial for what becomes manageable and what is left out. Frames have different characteristics, which then influence how the problem is addressed. The conclusions suggest a continued need to make the wickedness of policy problems visible, to consider the larger and more complex aspects of certain political issues, and to strive to identify different mechanisms for managing them. We can see that framing is not just about coping with wicked issues but also about redefining the understanding of wicked problems to align more closely with an organization's limitations and possibilities. Framing offers the possibility to bridge, merge, or even transform our understanding of the wicked problem through the social reality of the organization.