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

Glenngård, Anna LU ; Anell, Anders LU and Beckman, Anders LU (2011) In Health Policy 103(1). p.31-37
Abstract
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... (More)
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. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
competition, Provider, Population preferences, Sweden, Primary health care, Choice, Privatisation
in
Health Policy
volume
103
issue
1
pages
31 - 37
publisher
Elsevier
external identifiers
  • wos:000297033900006
  • pmid:21703712
  • scopus:80054790377
ISSN
1872-6054
DOI
10.1016/j.healthpol.2011.05.014
language
English
LU publication?
yes
id
6a96be17-1384-468e-88cd-add775805252 (old id 2007745)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/21703712?dopt=Abstract
date added to LUP
2011-07-06 11:04:12
date last changed
2017-08-06 03:10:18
@article{6a96be17-1384-468e-88cd-add775805252,
  abstract     = {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.},
  author       = {Glenngård, Anna and Anell, Anders and Beckman, Anders},
  issn         = {1872-6054},
  keyword      = {competition,Provider,Population preferences,Sweden,Primary health care,Choice,Privatisation},
  language     = {eng},
  number       = {1},
  pages        = {31--37},
  publisher    = {Elsevier},
  series       = {Health Policy},
  title        = {Choice of primary care provider: Results from a population survey in three Swedish counties.},
  url          = {http://dx.doi.org/10.1016/j.healthpol.2011.05.014},
  volume       = {103},
  year         = {2011},
}