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Choice and participation in the health services : A survey of preferences among Swedish residents

Anell, Anders LU ; Rosén, Per LU and Hjortsberg, Catharina LU (1997) In Health Policy 40(2). p.157-168
Abstract

Extending the possibilities for health-service consumers to choose among providers has been an important objective on the political agenda in Sweden and elsewhere. Little is known, however, about individual and group preferences concerning the demand for choices. It is often implicitly assumed that individuals can be treated as a group with similar values and demands, but is this true? To what extent do individuals want more options in health care? Do preferences vary depending on age, education and place of living? This article explores these questions, starting from a survey of 2000 residents in four Swedish counties. The results of the survey point to many similarities, but also indicate important differences among residents. In... (More)

Extending the possibilities for health-service consumers to choose among providers has been an important objective on the political agenda in Sweden and elsewhere. Little is known, however, about individual and group preferences concerning the demand for choices. It is often implicitly assumed that individuals can be treated as a group with similar values and demands, but is this true? To what extent do individuals want more options in health care? Do preferences vary depending on age, education and place of living? This article explores these questions, starting from a survey of 2000 residents in four Swedish counties. The results of the survey point to many similarities, but also indicate important differences among residents. In particular, preferences seem to vary significantly depending on age and level of education. On the one hand, older people are more favourably inclined towards the free choice of physician. On the other hand, members of the younger generation, as well as well-educated residents, demand a more active part in the process of medical decision making. These differences, as well as expectations from younger generations, pose a great challenge to the future management of health services.

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author
; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Choice, Participation, Patient-physician relation, Preferences, Swedish health services
in
Health Policy
volume
40
issue
2
pages
12 pages
publisher
Elsevier
external identifiers
  • pmid:10167069
  • scopus:0031004260
ISSN
0168-8510
DOI
10.1016/S0168-8510(96)00891-3
language
English
LU publication?
no
id
b8958880-7425-4395-9230-3fd2ff905062
date added to LUP
2020-09-02 13:23:05
date last changed
2024-05-16 18:32:26
@article{b8958880-7425-4395-9230-3fd2ff905062,
  abstract     = {{<p>Extending the possibilities for health-service consumers to choose among providers has been an important objective on the political agenda in Sweden and elsewhere. Little is known, however, about individual and group preferences concerning the demand for choices. It is often implicitly assumed that individuals can be treated as a group with similar values and demands, but is this true? To what extent do individuals want more options in health care? Do preferences vary depending on age, education and place of living? This article explores these questions, starting from a survey of 2000 residents in four Swedish counties. The results of the survey point to many similarities, but also indicate important differences among residents. In particular, preferences seem to vary significantly depending on age and level of education. On the one hand, older people are more favourably inclined towards the free choice of physician. On the other hand, members of the younger generation, as well as well-educated residents, demand a more active part in the process of medical decision making. These differences, as well as expectations from younger generations, pose a great challenge to the future management of health services.</p>}},
  author       = {{Anell, Anders and Rosén, Per and Hjortsberg, Catharina}},
  issn         = {{0168-8510}},
  keywords     = {{Choice; Participation; Patient-physician relation; Preferences; Swedish health services}},
  language     = {{eng}},
  month        = {{05}},
  number       = {{2}},
  pages        = {{157--168}},
  publisher    = {{Elsevier}},
  series       = {{Health Policy}},
  title        = {{Choice and participation in the health services : A survey of preferences among Swedish residents}},
  url          = {{http://dx.doi.org/10.1016/S0168-8510(96)00891-3}},
  doi          = {{10.1016/S0168-8510(96)00891-3}},
  volume       = {{40}},
  year         = {{1997}},
}