Increased control makes people more sick

Increased control of the workers leads to less effectivity according to an article in SVD.se. This is, according to the article, especially true when we have high expectations. Despite that, the article says, the politicians are caught in the belief that increased control of the citizens would solve important social problems. They really do not explain social problems in the article, but perhaps increased health issues and exclusion are some social problems.

The control and the possibility to affect once job has decreased since the 1990’s. There has been a belief that “maximal effect” can be achived by cutbacks and reorganizations, the SVD article also writes. One control mechanism has been to have written student development plans and health care plans for students and patients.

Well, I happen to agree this far that an increased work load and not being able to effect your own work tasks is an increased stress level on people (work force). However as a patient I would like my doctor to have a plan for my treatment written down and not just in the head. Also in school I would like the teacher to have some kind of yearly plan for teaching, so I as a student may have some kind of quality on my lessons. What will be tought? How will it be taught? When will it be taught? With no plan there is no control of that the students will learn everything within a non planned year. However perhaps the student thing has gone over the board on documentation, however a plan must be made I happen to think. The problem is more how the plan is formed. I think every teacher should plan and construct their own plan. It should however be a plan that anyone should be able to understand. In case the teacher is sick someone else may easily follow the plan and the students wouldn’t miss out. However an individual plan I happen to think is too much, considering what the school looks like.

And regarding health plans for patients I am saying that the focus most be the treatment plan, how long that should be is one question that must be evaluated for each patient. Sicknesses are most likely personal more than a student plan has to be. However sometimes there might be research that has shown that there is a certain outcome if a certain plan is followed, in those cases maybe it is even possible to follow a pre-written plan. In health care I would very much enjoy “support”-systems. In such a system a patient can answer a lot of questions by themselves. These are then integrated with the patient records. These systems already exist to some extent, however they must be further developed. I happen to think that you need to document your plans. But what is documented should be up to the parties involved, but an external party should be able to follow and understand the plan. I am not asking the system to remove quality assurance. I think that is necessary.

Without QA everything is fucked. However I think the workers must work them out to some extent. However an external party can do it also. By having a common documentation system and flow it is better for all parties. However such a system must be modularized so that people can “work as usual”, but adapt it to their way. By forcing people to do things a certain way you do get more effective, even if people might “think” they lose control. In fact they are not. There are ways to do it so they very much feel in control. They will complain but in the end they will be happier and this is what I am good at.

Therefor I do not happen to agree on all the things said in the SVD article. However there is a way to get increased quality (which can be seen as control) without letting go of the peoples “freedom”. I usually do it by giving modules which the work force can choose from. However the “control” lays in that they can only chose from given modules, if they want to add things, they must ask for it and then a person (i.e. the responsible one) looks through the system in use and comes up with a solution that they can use something already available and if no such thing exist they can get the current system adapted to also work for their new perspective. This can be done without losing control and with people still being able to it almost as they have been able to do it before, but with more “control”. However my way leads to people not “loosing” freedom and still maintaining control.

There is a way to do it both ways so to speak. However in my world view we should be giving and taking some from both parties. No documentation leads to less effectivity to.  He is also saying there are ways to give the users “control” over the control. You need some kind of control, but for me there are different kinds of control, to even know you are doing the right thing. I think the negative control is when you i.e. think something is stupid and you have no way of affecting the work tasks and remove the stupid ones. In those cases the control is just bad. I believe that such type of control is just to push the worker down. However, some kind of control is needed, otherwise you will not have any measurement points to even know if you have done it better next time or not. That is just plain stupid.

Source 20130218:

http://www.svd.se/opinion/brannpunkt/okad-kontroll-gor-arbetstagare-sjukare_7922506.svd

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