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Lecture 1

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This is a summary of lecture 1 of the course Governance and Strategy.

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Lecture 1
Governance and Strategy

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In the first lecture, we set the scene for Governance & Strategy. We sketch contemporary
challenges for healthcare managers in their ‘inner’ and ‘outer’ context, and introduce
theoretical concepts to come to grips with these challenges. The ‘inner context’ refers to
the direct hospital environment in which day-to-day organizational actions take place to
provide good quality care. The outer context encapsulates a wide range of actors that
directly or indirectly influence the healthcare organization and provision of care, like the
municipality, the health insurer, the inspectorate, and the state. After a brief introduction
to the course, Iris Wallenburg will reflect on contemporary governance challenges in
healthcare.
Targets for this meeting
 Students are able to describe contemporary challenges in healthcare governance.
 Students are able to explain how the (national) institutional context matters for
goals and challenges in healthcare governance and strategy.




Macro level: healthcare systems
- Health policies
- Role of patients and citizens
- View on care and health
- Role of professional and patient associations

Meso level: healthcare organizations
- Health policies travel downwards and shape:
o The everyday reality of care organizations
o Role of managers
o Professionals
o Patients
o Municipalities
o Social care etc



1

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April 16, 2020
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