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Patient choice and health care integration: a review of the consistency between two Swedish policy concepts
Nordic School of Public Health.ORCID iD: 0000-0002-7895-3341
2010 (English)In: International Journal of Integrated Care: Volume 10, 6 December 2010, 2010Conference paper, Oral presentation with published abstract (Other academic)
Abstract [en]

Purpose: Despite of an insignificant track record of quasi market models in Sweden, new models of this kind have recently been introduced in health care; commonly referred to as ‘choice of care’. This time citizens act as purchasers; choosing the primary care centre or family physician they want to be treated by, which, in turn, generates a capitation payment to the chosen unit. Policy makers believe that such systems will be self-remedial, that is, as a result of competition the strong providers survive while unprofitable ones will be eliminated. Because of negative consequences of the fragmented health care delivery, policy makers at the same time also promote different forms of integrated health care arrangements. One example is ‘local health care’, which could be described as an upgraded community-oriented primary care, supported by adaptable hospital services, fitting the needs of a local population. This paper reviews if it is possible to combine this kind of integrated care system with a competition driven model of governance, or if they are incompatible.

Theory: Inter-organisational and interprofessional collaboration, accessibility of services, and provider continuity.

Method: Literature-based review.

Results and conclusions: The findings indicate that some choice of care schemes could hamper the development of integration in local health care. However, geographical monopolies like local health care, enclosed in a non-competitive context, lack the stimulus of competition that possibly improves performance. Thus, it could be argued that if choice of care and local health care should be combined, patients ought to choose between integrated health care arrangements and not among individual health professionals.

Place, publisher, year, edition, pages
2010.
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:hkr:diva-12613OAI: oai:DiVA.org:hkr-12613DiVA: diva2:739022
Conference
The 10th International Conference on Integrated Care. "All Together Now: Exploring the Many Faces and Facets of Integrated Care"
Available from: 2014-08-19 Created: 2014-08-19 Last updated: 2014-08-19Bibliographically approved

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Åhgren, Bengt
Health Care Service and Management, Health Policy and Services and Health Economy

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf