In Western European welfare states, one of the uses of ICT is the delivery of integrated public services in social security. In order to do this, the deployment of ICT (especially in the back office) requires coordination among various central and local levels of government, and among social insurance executive institutions, welfare authorities, and job centers. Viewing ICT-enabled integration as a technological and managerial “practice,” the authors analyze ICT coordination in various institutional regimes (in a decentralized regime like Denmark, a decentralized unity state like The Netherlands, and in a federal state like Austria). By a comparative case study, the authors investigate whether ICT coordination adapts to the institutional context in which it is shaped (contingency-approach), or whether in various institutional contexts coordination practices more or less resemble each other (convergence-approach). Two methods are used to gather data. First, for each country policy, documents and strategy papers are analyzed by using a structured code list. Second, in each country five key respondents at ministerial level and five respondents at local/regional level are interviewed. The authors reflect on the findings by discussing the role of ICTs in providing coordinated and integrated services in various welfare state regimes.
Clinical audit as a tool to optimize contracted private healthcare provision: Testing the waters in resource-deprived Greece
