１８５０ 年英国发现利用承包思想作为改善公共管理的一种方法是行不通的。同样的思想现已成为瑞典保健改革的一个主要的构件。注视生产率，忽视保健人员的动机因素。其结果从内部解除福利国家的合法性，散布一种商业精神。本文从劳动过程观点指出三项策略选择。 In 1850, Britain discovered that using contracting ideas as a method to improve public administration would not be feasible. The same idea has now become a major component of Swedish health reforms. Look at productivity and ignore the motivational factors of health workers. As a result, the legitimacy of the welfare state was lifted from the inside and a commercial spirit was dispersed. This article points out three strategic choices from the viewpoint of labor process.