Theory and Practice in Sweden: A Case Study of Setting Quantified Road Safety Targets

Belin, Matts-Åke; Tillgren, Per; Vedung, Evert · 2010 · Crossref

DOI: 10.4172/2157-7420.1000101

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Summary

This retrospective case study examines the Swedish government’s practice of setting quantified, time-bounded road safety targets between 1972 and 2007. The research addresses the tension between theoretical best practices in public health policy—specifically the SMART criteria (Specific, Measurable, Achievable, Realistic, and Time-bounded)—and the political realities of target adoption. While international bodies like the WHO and OECD recommend such targets to improve resource allocation and performance, there is concern that overly ambitious goals may undermine credibility if unachieved. The authors investigate whether Swedish targets met these criteria and explore the political rationality behind adopting targets that might be difficult to realize. The methodology involved a systematic review of 23 key policy documents identified through a snowball technique, focusing on targets formally adopted by the Swedish Government and Parliament. The analysis evaluated three specific targets adopted in 1989, 1996, and 1998 against the SMART framework. To assess "realism," the authors established a baseline historical trend of road safety improvements, calculating an average annual reduction of 2.7% in fatalities from 1972 to 2007. Targets requiring reductions significantly exceeding this historical average were classified as unrealistic. The results indicate that while all three targets were specific, measurable, time-bounded, and theoretically achievable through known countermeasures, they varied in realism. The 1989 target (maximum 600 fatalities by 2000) required a 2.5% annual reduction, aligning with historical trends and proving realistic; it was ultimately achieved with 565 fatalities in 2000. Conversely, the 1996 target (maximum 400 fatalities by 2000) and the 1998 target (maximum 270 fatalities by 2007) required annual reductions of 5.0% and 6.8%, respectively. These were deemed unrealistic relative to the historical trend. The 1998 target was not met, resulting in 478 fatalities in 2007. The study concludes that politicians may intentionally adopt unrealistic targets as a strategic management tool rather than a literal performance benchmark. Unrealistic goals can serve to increase the visibility of road safety issues, pressure stakeholders to exert greater effort, and signal political will to voters. The authors suggest that the political risk of failing to meet such targets is mitigated by attributing failure to individual driver behavior, shared responsibility among multiple agencies, and the prioritization of economic development over safety. Thus, while these targets may fail the "realistic" criterion of SMART, they may fulfill a symbolic or motivational function in public policy.

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