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Examining trust in regional healthcare in Sweden: A quantitative analysis of the relationship between performance and trust in healthcare

Mercke, Moa LU (2026) WPMM43 20261
Department of Political Science
Abstract
Trust in healthcare varies across regions in Sweden. The aim of this thesis is to investigate whether performance shapes trust in regional healthcare. This study engages with literature on institutional trust and uses institutional theory as a theoretical framework to explain the variation in trust in healthcare. The operationalisation of healthcare quality is guided by WHO and European commission’s definition and by Donabedian’s model of structure, process and outcome. A quantitative study is conducted using repeated cross-sectional data from SKR
healthbarometer, Socialstyrelsen and SKR for 2022-2024. The study uses multilevel
modelling to examine both regional healthcare performance and perceived healthcare
performance association... (More)
Trust in healthcare varies across regions in Sweden. The aim of this thesis is to investigate whether performance shapes trust in regional healthcare. This study engages with literature on institutional trust and uses institutional theory as a theoretical framework to explain the variation in trust in healthcare. The operationalisation of healthcare quality is guided by WHO and European commission’s definition and by Donabedian’s model of structure, process and outcome. A quantitative study is conducted using repeated cross-sectional data from SKR
healthbarometer, Socialstyrelsen and SKR for 2022-2024. The study uses multilevel
modelling to examine both regional healthcare performance and perceived healthcare
performance association with trust. A mechanism in which regional performance operates through perceived performance when shaping trust is analysed but not directly tested. The results show support for the institutional performance theory, however, the effects of regional performance are small. Perceived performance shows a strong association with trust in regional healthcare. The results indicate that regional performance operates through perceived performance when shaping trust. (Less)
Please use this url to cite or link to this publication:
author
Mercke, Moa LU
supervisor
organization
course
WPMM43 20261
year
type
H2 - Master's Degree (Two Years)
subject
keywords
trust in healthcare, institutional trust, institutional performance theory, healthcare quality, regional healthcare
language
English
id
9226975
date added to LUP
2026-06-16 15:22:27
date last changed
2026-06-16 15:22:27
@misc{9226975,
  abstract     = {{Trust in healthcare varies across regions in Sweden. The aim of this thesis is to investigate whether performance shapes trust in regional healthcare. This study engages with literature on institutional trust and uses institutional theory as a theoretical framework to explain the variation in trust in healthcare. The operationalisation of healthcare quality is guided by WHO and European commission’s definition and by Donabedian’s model of structure, process and outcome. A quantitative study is conducted using repeated cross-sectional data from SKR 
healthbarometer, Socialstyrelsen and SKR for 2022-2024. The study uses multilevel 
modelling to examine both regional healthcare performance and perceived healthcare 
performance association with trust. A mechanism in which regional performance operates through perceived performance when shaping trust is analysed but not directly tested. The results show support for the institutional performance theory, however, the effects of regional performance are small. Perceived performance shows a strong association with trust in regional healthcare. The results indicate that regional performance operates through perceived performance when shaping trust.}},
  author       = {{Mercke, Moa}},
  language     = {{eng}},
  note         = {{Student Paper}},
  title        = {{Examining trust in regional healthcare in Sweden: A quantitative analysis of the relationship between performance and trust in healthcare}},
  year         = {{2026}},
}