2016

Experiences of Introducing a Quasi-Market in Swedish Primary Care: Fulfilment of Overall Objectives and Assessment of Provider Activities

Särtryck nr 2016:16

Författare: Anna Häger GlenngårdÅr: 2016 Publikation: Scandinavian Journal of Public Administration Årgång (nr): 1 (1) Sidor: 71–86
Artikeln online (behörighet kan krävas)


Health care as any other public service is subject to many potentially conflicting objectives and many actors. Over time, the traditional goal of health care systems of distributive justice has been accompanied by other objectives and health care reforms have developed accordingly. One type of reform in countries with publicly funded health care has evolved around replacing monopolistic state providers with competition among providers and choice for individuals: quasi-markets have been introduced. This new structure of governance, involving a mix of mechanisms for corrective action, seems to be appropriate for achieving a mix of objectives. New accountability relationships between providers and citizens are appropriate for holding providers to account for new objectives related to accessibility, quality as perceived by patients and responsiveness of services towards individuals. These objectives are visible to individuals at their point of contact with the provider. Such accountability relationships are not enough to achieve all overall objectives. It is necessary to establish and maintain dual accountability relationships with providers. Accountability relationships between providers and governments have to be maintained to achieve traditional objectives related to other aspects of quality, efficient management of resources and equitable distribution of services.


Referens:
Häger Glenngård, Anna (2016), "Experiences of Introducing a Quasi-Market in Swedish Primary Care: Fulfilment of Overall Objectives and Assessment of Provider Activities". Scandinavian Journal of Public Administration 1(1), 71–86.

Månadens forskare

Özge Öner, ekon.dr.

Ämnesområden:

Detaljhandel, infrastruktur, servicenäring, turism, urban och regional ekonomi.

Några av de frågor Özge Öner försöker besvara i sin forskning:

  • Analys av etniska enklaver och segregering på grannskapsnivå.
  • Migration och rörlighet inom och mellan lokala arbetsmarknader bland immigranter och inrikes födda.
  • Hur efterfrågan påverkas av avstånd och marknadstillgång inom olika delar av detaljhandeln och tjänstesektorn.

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