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Table 8 Results Q-2

From: Important challenges for coordination and inter-municipal cooperation in health care services: a Delphi study

Theme Abstraction Statement
Coopetition Challenges concerning wanting to cooperate, but in the same time acting as competitors. It could become prestigious to localize the project in own district and closer to the clients. As a result, the choice of municipality to localize services is subject to political debate.
Complex leadership Challenges concerning more demanding tasks on a political level. Political leadership and management of inter-municipal work are demanding (require more than only organizing the municipal services).
Resistance to change Challenges concerning resistance to change, “what we have works fine”. It is challenging to establish inter-municipal cooperation as it is often more tempting to solve problems alone since this is more flexible, it creates synergy, and expertise that can be applied across the municipality.