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Is choice of care compatible with integrated health care? An exploratory study in Sweden

In English

Författare

  • Bengt Ahgren
  • Lars Nordgren

Summary, in English

Competitive and integrative policy actions are simultaneously being promoted in Swedish primary care; citizens' choice of care is launched while primary care is expected to integrate its activities with other providers for the creation of local health care. Competition tends, however, to fragment the provision of services. The aim of this study is, accordingly, to explore whether or not these policies are compatible in practice. For this purpose, strategically designed group interviews were conducted with citizens. When citizens make active choices, they are under the influence of self-perceived conditions: that is, the accessibility of the care, its continuity and the treatment offered by the care provider, conditions which, in turn, have a lot in common with the guiding principles of local health care. On the other hand, citizens who choose passively, because of not being in contact with primary care, have no difficulties in being disloyal to the chosen unit when becoming patients. In doing so, they also contribute to the fragmentation of local health care. Making entirely free choices when it comes to primary care seems to be incompatible with local health care. However, choice of care only partly equals the conditions of free choice. Choice of care and local health care would thus seem to be compatible, in practice, for the majority of patients. Copyright (c) 2012 John Wiley & Sons, Ltd.

Publiceringsår

2012

Språk

Engelska

Sidor

162-172

Publikation/Tidskrift/Serie

International Journal of Health Planning and Management

Volym

27

Issue

3

Dokumenttyp

Artikel i tidskrift

Förlag

Wiley-Blackwell

Ämne

  • Health Care Service and Management, Health Policy and Services and Health Economy

Nyckelord

  • choice of care
  • competition
  • integrated health care
  • group interviews
  • Sweden

Status

Published

ISBN/ISSN/Övrigt

  • ISSN: 1099-1751