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Private Entries, Competition, and Patient Experiences in Swedish Primary Care: Local patterns between 2015-2024

Hennig, Alice LU and Nisséus, Lina (2026) EOSK12 20261
Department of Economic History
Abstract
Over the past decade, Swedish primary care has seen a substantial increase in the establishment of private actors. As the sector changes in composition, it becomes relevant to examine the influence on the functioning of the system, as well as on patients’ experience and right to healthcare. This thesis examines the relationship between the entry of new private clinics and quality of the nearest public clinics, where quality is defined by patients’ overall impressions of their primary care provider. The research aims to examine how competition theory works in a price-regulated sector, with the purpose of highlighting potentially beneficial or disadvantageous outcomes of patient experience at existing public care clinics in relation to... (More)
Over the past decade, Swedish primary care has seen a substantial increase in the establishment of private actors. As the sector changes in composition, it becomes relevant to examine the influence on the functioning of the system, as well as on patients’ experience and right to healthcare. This thesis examines the relationship between the entry of new private clinics and quality of the nearest public clinics, where quality is defined by patients’ overall impressions of their primary care provider. The research aims to examine how competition theory works in a price-regulated sector, with the purpose of highlighting potentially beneficial or disadvantageous outcomes of patient experience at existing public care clinics in relation to increased private competition. The approach is a quantitative panel design examining quality development of primary care clinics based on patient survey data from 2015-2024, extracted from Nationell Patientenkät (NPE). Tools of analysis include comparison of means and difference-in-differences. The analysis finds no clear relationship, suggesting that patients have been little affected by the entry of more private providers, and that competitive mechanisms may not operate as expected in the primary care market. Further research is encouraged to identify factors of greater impact on patient impressions which could enable increases in patient-perceived care quality forward. (Less)
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author
Hennig, Alice LU and Nisséus, Lina
supervisor
organization
course
EOSK12 20261
year
type
M2 - Bachelor Degree
subject
keywords
Primary care, care quality, Sweden’s healthcare system, private primary care clinics, public primary care clinics, competition, patient-perceived care quality, price- regulated markets
language
English
id
9231915
date added to LUP
2026-09-07 13:56:30
date last changed
2026-09-07 13:56:30
@misc{9231915,
  abstract     = {{Over the past decade, Swedish primary care has seen a substantial increase in the establishment of private actors. As the sector changes in composition, it becomes relevant to examine the influence on the functioning of the system, as well as on patients’ experience and right to healthcare. This thesis examines the relationship between the entry of new private clinics and quality of the nearest public clinics, where quality is defined by patients’ overall impressions of their primary care provider. The research aims to examine how competition theory works in a price-regulated sector, with the purpose of highlighting potentially beneficial or disadvantageous outcomes of patient experience at existing public care clinics in relation to increased private competition. The approach is a quantitative panel design examining quality development of primary care clinics based on patient survey data from 2015-2024, extracted from Nationell Patientenkät (NPE). Tools of analysis include comparison of means and difference-in-differences. The analysis finds no clear relationship, suggesting that patients have been little affected by the entry of more private providers, and that competitive mechanisms may not operate as expected in the primary care market. Further research is encouraged to identify factors of greater impact on patient impressions which could enable increases in patient-perceived care quality forward.}},
  author       = {{Hennig, Alice and Nisséus, Lina}},
  language     = {{eng}},
  note         = {{Student Paper}},
  title        = {{Private Entries, Competition, and Patient Experiences in Swedish Primary Care: Local patterns between 2015-2024}},
  year         = {{2026}},
}