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

Ahgren, Bengt and Nordgren, Lars LU (2012) In International Journal of Health Planning and Management 27(3). p.162-172
Abstract
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... (More)
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. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
choice of care, competition, integrated health care, group interviews, Sweden
in
International Journal of Health Planning and Management
volume
27
issue
3
pages
162 - 172
publisher
Wiley-Blackwell
external identifiers
  • wos:000307381400001
  • scopus:84864951413
ISSN
1099-1751
DOI
10.1002/hpm.2104
language
English
LU publication?
yes
id
1d073d7f-208d-4e6a-b18d-04596ade56cb (old id 3147293)
date added to LUP
2012-11-01 16:51:09
date last changed
2017-07-02 03:23:49
@article{1d073d7f-208d-4e6a-b18d-04596ade56cb,
  abstract     = {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.},
  author       = {Ahgren, Bengt and Nordgren, Lars},
  issn         = {1099-1751},
  keyword      = {choice of care,competition,integrated health care,group interviews,Sweden},
  language     = {eng},
  number       = {3},
  pages        = {162--172},
  publisher    = {Wiley-Blackwell},
  series       = {International Journal of Health Planning and Management},
  title        = {Is choice of care compatible with integrated health care? An exploratory study in Sweden},
  url          = {http://dx.doi.org/10.1002/hpm.2104},
  volume       = {27},
  year         = {2012},
}