The Role of Administrative Traditions in “Special Way” Of Swedish Disease Management
Copyright (c) 2025 Tóth Tibor

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Abstract
The study examines the first phase of government responses to the coronavirus, identified as a pandemic in March 2020, based on the relevant literature as well as primarily expert papers and databases. It relies on the hypothesis that the models adopted by the Nordic countries highlight the crucial role of administrative and policy traditions, as well as the ‘path dependency’ with historical roots in the wake of building strategies and institutions for disease management. This is underlined by the first phase of Swedish disease management, often referred to as “special” in comparison with general European practice, which aimed to keep balance between voluntarism and rigour, relying on the high degree of autonomy of its administrative institutions. The study concludes, that many factors could have an impact on the effectiveness of the different disease management strategies, within which the institutional stability, including the ability to change and adapt, plays a key role.
Keywords:
References
Act on Communicable Diseases (Smittskyddslag) (2004): Socialdepartementet, 2004:168.
DAHLSTRÖM, Carl – LINDVALL, Johannes (2021): Sweden and the COVID-19 Crisis. Working Paper Series, (9), 1–31.
BOUCKAERT, Geert – WERNER, Jann szerk. (2020): European Perspectives for Public Administration. The Way Forward. Leuven University Press. Online: https://doi.org/10.11116/9789461663078
Eurostat [é. n. a]: Real GDP Growth Rate – Volume. Online: https://doi.org/10.2908/TEC00115
Eurostat [é. n. b]: Deaths During the COVID-19 Pandemic. Online: https://ec.europa.eu/eurostat/statistics-explained/index.php?title=Deaths_during_the_COVID-19_pandemic
FOSSE, Elisabeth – HELGESEN, Marit K. (2019): Policies to Address the Social Determinants of Health in the Nordic Countries. Stockholm–Helsinki: Nordic Welfare Centre.
HAJNAL György – VIDA Sarolta (2017): Az ügynökség-típusú közigazgatási szervek populációs dinamikája (1990–2014). Politikatudományi Szemle, 26(3), 23–53.
HESHMATI, Almas – TSIONAS, Mike – RASHIDGHALAM, Masoomeh (2023): An Assessment of the Swedish Health System’s Efficiency During the Covid-19 Pandemic. International Journal of Healthcare Management, 16(3), 336–352. Online: https://doi.org/10.1080/20479700.2022.2102184
HOLMBERG, Sören – ROTHSTEIN, Bo (2017): Trusting other people. Journal of Public Affairs, 17(1–2), e1645. Online: https://doi.org/10.1002/pa.1645
KOMÓCSIN Sándor (2021): Már látszik, sikeres volt-e a laza svéd járványkezelés. Economx.hu, 2021. október 15. Online: https://bit.ly/3DTFChb
KUHLMANN, Sabine – FRANZKE, Jochen (2022): Multi-Level Responses to COVID-19: Crises Coordination in Germany From an International Perspective. Local Government Studies, 48(2), 312–334. Online: https://doi.org/10.1080/03003930.2021.1904398
LÆGREID, Per (2017): Nordic Administrative Traditions. In NEDERGAARD, Peter – WIVEL, Anders (szerk.): The Routledge Handbook of Scandinavian Politics. London: Routledge, 80–91. Online: https://doi.org/10.4324/9781315695716-7
LINDSTRÖM, Martin (2023): The COVID-19 Pandemic and the Timing of Government Response: A Comparison of Four Nordic Countries March-June 2020. Scandinavian Journal of Public Health, 51(5), 754–758. Online: https://doi.org/10.1177/14034948231171201
OECD (2020): The Territorial Impact of COVID-19: Managing the Crisis Across Levels of Government. Online: https://doi.org/10.1787/d3e314e1-en
OECD (2022): First Lessons From Government Evaluations of COVID-19 Responses: A Synthesis. Online: https://doi.org/10.1787/483507d6-en
ORLOWSKI, Eric – GOLDSMITH, David (2020): Four Months Into the COVID-19 Pandemic, Sweden’s Prized Herd Immunity Is Nowhere to Sight. Journal of the Royal Society of Medicine, 113(8), 292–298. Online: https://doi.org/10.1177/0141076820945282
PIERSON, Paul (2000): Increasing Returns, Path Dependence, and the Study of Politics. The American Political Science Review, 94(2), 251–267. Online: https://doi.org/10.2307/2586011
SANDBERG, Siv (2023): The Role of Administrative Tradition in Government Responses to Crises: A Comparative Overview of Five Nordic Countries. In JOHANSSON, Bengt et al. (szerk.): Communicating a Pandemic: Crisis Management and Covid-19 in the Nordic Countries. Göteborg: Nordicom, University of Gothenburg, 31–50. Online: https://doi.org/10.48335/9789188855688-2
SAUNES, Ingrid et al. (2022): Nordic Responses to Covid-19: Governance and Policy Measures in the Early Phases of the Pandemic. Health Policy, 126(5), 418–426. Online:: https://doi.org/10.1016/j.healthpol.2021.08.011
ŠPAČEK, David – NAVRÁTIL, Marek – ŠPALKOVÁ, Dagmar (2023): New Development. Covid 19 and Changes in Public Administration – What Do We Know to Date? Public Money & Management, 43(8), 862–866. Online: https://doi.org/10.1080/09540962.2023.2199545
SZALAI András (2011): Ideák, politika és intézmények: a politikatudomány három “új institucionalizmusa”. Replika, (74), 35–62.
University of Oxford [é. n.]: COVID-19 Government Response Tracker. Online: https://www.bsg.ox.ac.uk/research/covid-19-government-response-tracker
World Health Organization (2020): Coronavirus disease (COVID-19). Situation Report – 162. Online: https://bit.ly/4hZTO60
Worldometer (2024): COVID – Coronavirus Statistics. Online: https://www.worldometers.info/coronavirus/