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Swedish politicians’ view of obstacles when dealing with priority settings in health care
Lunds universitet.
Kristianstad University, Research Platform for Collaboration for Health. Lunds universitet.ORCID iD: 0000-0003-0161-4795
2015 (English)In: Journal of Health Organisation & Management, ISSN 1477-7266, E-ISSN 1758-7247, Vol. 29, no 4, 532-542 p.Article in journal (Refereed) Published
Abstract [en]

Purpose

The purpose of this paper is to identify and describe main obstacles for politicians when dealing with healthcare priority setting.

Design/methodology/approach

The study had an exploratory descriptive design based on interviews with 18 politicians from two different county councils in Sweden. The interviews were analyzed using inductive qualitative content analysis.

Findings

The politicians highlighted the importance of, and difficulties in, communicate political missions; the politicians in this study saw the media as not always being fair watchdogs, implying that possibly important but unpopular prioritizing decisions were not made because of the risks of being badly reported and therefore not re-elected. Breaking up established structures in care practice is difficult and change takes time, partly because of existing higher level financing and rules and the system’s traditional separation of facilities and services. Although the politicians highlighted their limited power to influence and control resource allocation they could give small and “lower profile”, low-prioritized disciplines control of their own budgets and base payments on the results the disciplines accomplished.

Originality/value

This study highlights the difficulties that politicians experience, for example, having to take unpleasant decisions and thereby run the risk of being scrutinized by media, which in turn could influence how effectively tax money is being used.

Place, publisher, year, edition, pages
2015. Vol. 29, no 4, 532-542 p.
Keyword [en]
Decision making, Healthcare politicians, Interviews, Prioritization, Qualitative research
National Category
Nursing
Identifiers
URN: urn:nbn:se:hkr:diva-14768DOI: 10.1108/JHOM-08-2014-0131ISI: 000357394100007PubMedID: 26045194OAI: oai:DiVA.org:hkr-14768DiVA: diva2:856578
Available from: 2015-09-24 Created: 2015-09-24 Last updated: 2017-12-01Bibliographically approved

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Edberg, Anna-Karin

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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