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Choice of primary care provider: Results from a population survey in three Swedish counties.

In English

Författare

Summary, in English

Recent reforms in Swedish primary care have involved choice of provider for the population combined with freedom of establishment and privatisation of providers. This study focus to what extent individuals feel they have exercised a choice of provider, why they exercise choice and where they search for information, based on a population survey in three Swedish counties. The design of the study enabled for studying behaviour with respect to differences in time since introduction of the reform and differences in number of alternative providers and establishments of new providers in connection with the reform. About 60% of the population in the three counties felt that they had made a choice of provider in connection with or after the introduction of a reform focusing on choice and privatisation. Establishments of new providers and having enough information increased the likelihood whereas preferences for direct access to a specialist decreased the likelihood of making a choice. The data further suggests that individuals were rather passive in their search for information and tended to choose providers that they previously had been in contact with. This is in line with results from previous studies and poses challenges for county councils governance of reforms.

Publiceringsår

2011

Språk

Engelska

Sidor

31-37

Publikation/Tidskrift/Serie

Health Policy

Volym

103

Issue

1

Dokumenttyp

Artikel i tidskrift

Förlag

Elsevier

Ämne

  • Public Health, Global Health, Social Medicine and Epidemiology

Nyckelord

  • competition
  • Provider
  • Population preferences
  • Sweden
  • Primary health care
  • Choice
  • Privatisation

Status

Published

Projekt

  • Public Management Research

Forskningsgrupp

  • Family Medicine and Community Medicine

ISBN/ISSN/Övrigt

  • ISSN: 1872-6054