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Privat och offentlig regi i primärvården - En analys av produktiviteten vid privata och offentliga vårdcentraler i VG Primärvård

Dahlgren, Cecilia LU (2011) NEK791 20111
Department of Economics
Abstract
The question of whether private profit driven providers deliver health care with a higher productivity and efficiency in comparison to public alternatives has been a subject of debate in both political and scientific contexts The empirical research on comparisons between private and public providers has however mainly been based on experiences from U.S. hospitals. The purpose of this study is to complement this research with an analysis based on data from primary care in Sweden.

The recent Swedish reform in primary care that combines freedom of choice of providers and freedom of establishment has created an interesting environment for analysis where the private and public providers participate in the market on equal terms. This study... (More)
The question of whether private profit driven providers deliver health care with a higher productivity and efficiency in comparison to public alternatives has been a subject of debate in both political and scientific contexts The empirical research on comparisons between private and public providers has however mainly been based on experiences from U.S. hospitals. The purpose of this study is to complement this research with an analysis based on data from primary care in Sweden.

The recent Swedish reform in primary care that combines freedom of choice of providers and freedom of establishment has created an interesting environment for analysis where the private and public providers participate in the market on equal terms. This study uses data from Region Västra Götaland to examine if there are differences between private and public primary care units when it comes to productivity. Productivity is measured by cost per visit, weighted by type of staff. Factors that may affect the productivity are controlled for by using linear regression analysis.

The results show that the cost per weighted visit is somewhat lower for the private units, indicating a higher productivity. The productivity gap may however be explained by the differences in patient composition, location, coverage and unit size. When these variables are controlled for, there is no significant difference in productivity between the private and public providers.

The material does not give any guidance to what results the treatment leads to nor to the quality of the care. In future follow-ups, it would be desirable to also include this perspective in order to make it possible not only to analyse the productivity but also the efficiency of the health care. (Less)
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author
Dahlgren, Cecilia LU
supervisor
organization
course
NEK791 20111
year
type
H1 - Master's Degree (One Year)
subject
keywords
Primary care, Productivity, Private and public provision
language
Swedish
id
2158598
date added to LUP
2011-09-28 12:49:19
date last changed
2011-09-28 12:49:19
@misc{2158598,
  abstract     = {The question of whether private profit driven providers deliver health care with a higher productivity and efficiency in comparison to public alternatives has been a subject of debate in both political and scientific contexts The empirical research on comparisons between private and public providers has however mainly been based on experiences from U.S. hospitals. The purpose of this study is to complement this research with an analysis based on data from primary care in Sweden. 

The recent Swedish reform in primary care that combines freedom of choice of providers and freedom of establishment has created an interesting environment for analysis where the private and public providers participate in the market on equal terms. This study uses data from Region Västra Götaland to examine if there are differences between private and public primary care units when it comes to productivity. Productivity is measured by cost per visit, weighted by type of staff. Factors that may affect the productivity are controlled for by using linear regression analysis.
  
The results show that the cost per weighted visit is somewhat lower for the private units, indicating a higher productivity. The productivity gap may however be explained by the differences in patient composition, location, coverage and unit size. When these variables are controlled for, there is no significant difference in productivity between the private and public providers. 

The material does not give any guidance to what results the treatment leads to nor to the quality of the care. In future follow-ups, it would be desirable to also include this perspective in order to make it possible not only to analyse the productivity but also the efficiency of the health care.},
  author       = {Dahlgren, Cecilia},
  keyword      = {Primary care,Productivity,Private and public provision},
  language     = {swe},
  note         = {Student Paper},
  title        = {Privat och offentlig regi i primärvården - En analys av produktiviteten vid privata och offentliga vårdcentraler i VG Primärvård},
  year         = {2011},
}