How Can Authorities Support Distributed Improvisation During Major Crises? A Study of Decision Bottlenecks Arising During Local COVID-19 Vaccine Roll-Out

Author:

Phillips Ross Owen1ORCID,Baharmand Hossein2,Vandaele Nico3,Decouttere Catherine3,Boey Lise3

Affiliation:

1. Norwegian Centre for Transport Research (TØI), Oslo, Norway

2. University of Agder, Grimstad, Norway

3. Access-to-Medicines Research Center, KU Leuven, Leuven, Belgium

Abstract

Despite the increased importance attributed to distributed improvisation in major crises, few studies investigate how central authorities can promote a harmonic, coordinated national response while allowing for distributed autonomy and improvisation. One idea implicit in the literature is that central authorities could help track and tackle common decision bottlenecks as they emerge across “improvising” local authorities as a result of shared, dynamic external constraints. To explore this idea we map central functions needed to roll-out vaccines to local populations and identify and classify bottlenecks to decision-making by local authorities managing COVID-19 vaccine roll-out in Norway. We found five bottlenecks which emerged as vaccine roll-out progressed, three of which could feasibly have been addressed by changing the local authorities’ external constraints as the crisis developed. While the national crisis response strategy clearly allowed for distributed improvisation, our overall findings suggest that there is potential for central authorities to address external constraints in order to ease common bottlenecks as they emerge across local authorities responding to the crisis. More research is to explore alternative centralized response strategies and assess how well they effectively balance centralized and distributed control. The study contributes to the growing literature examining the interaction between local and centralized response in crisis management.

Funder

Norges Forskningsråd

Publisher

SAGE Publications

Subject

Applied Psychology,Engineering (miscellaneous),Computer Science Applications,Human Factors and Ergonomics

Reference61 articles.

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3. The Transboundary Crisis: Why we are unprepared and the road ahead

4. Communication and coordination across event phases: A multi‐team system emergency response

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