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Framing quality (management systems): private providers and the promotion of self-serving evaluations in Swedish eldercare

PMR pp. 1-26 2026-04-18

Original

Framing quality (management systems): private providers and the promotion of self-serving evaluations in Swedish eldercare

Peter Edlund

Abstract

I examine how private service providers deploy framing processes to influence the activities of public sector regulators. Studying Swedish eldercare, my findings indicate private providers launched three frame types in response to regulations requiring that all providers devise quality management systems (QMSs) for evaluation purposes. Over and above regulations, private providers promoted their own QMSs by self-servingly framing them as tools emphasizing problems with current quality measurements, offering solutions to inaccurate measurements, and outlining actions through specific measurements. These findings advance management scholarship by highlighting how private providers deploy framing processes as largely self-serving responses to influence regulators’ activities.

中文

框定质量(管理系统):瑞典老年照护中的私人提供者与自利性评估的推广

Peter Edlund

摘要

我考察私人服务提供者如何运用框定过程来影响公共部门监管者的活动。通过对瑞典老年照护的研究,我的发现表明,面对要求所有提供者设计质量管理系统(QMSs)以供评估之用的法规,私人提供者推出了三种框架类型。除法规要求之外,私人提供者还推广其自身的QMSs,其方式是自利性地将它们框定为:强调当前质量测量问题的工具、为不准确测量提供解决方案的工具,以及通过具体测量来规划行动的工具。这些发现推进了管理学研究,因为它凸显了私人提供者如何运用框定过程,将其作为影响监管者活动、且在很大程度上具有自利性的回应。

关键词

框定过程、质量管理系统、私人提供者、瑞典老年照护、监管者、自利性评估