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Does the Swedish specialized health care respond to competition inducing reforms? -Effects of the Freedom of Choice Act on quality, volume, efficiency and upcoding for elective patients.

Enhörning Admarker, Thea LU (2019) NEKP01 20191
Department of Economics
Abstract
This study aims to analyze the effects of competition on quality, efficiency, produced volume and gaming the system of specialized health care in Sweden, after implementation of the Freedom of Choice Act (LOV, Lagen om Vårdval). This is done by using data for specialized ophthalmology, which is a patient-elective diagnostic category. The motive behind the law, which established free entry for private providers and free choice of provider for patients, was to increase competition in the health care sector, increase availability and diversity among health care providers and increase the quality of the health care production. The results of the study show that the volume of produced health care increased in terms of number of hospitalizations... (More)
This study aims to analyze the effects of competition on quality, efficiency, produced volume and gaming the system of specialized health care in Sweden, after implementation of the Freedom of Choice Act (LOV, Lagen om Vårdval). This is done by using data for specialized ophthalmology, which is a patient-elective diagnostic category. The motive behind the law, which established free entry for private providers and free choice of provider for patients, was to increase competition in the health care sector, increase availability and diversity among health care providers and increase the quality of the health care production. The results of the study show that the volume of produced health care increased in terms of number of hospitalizations and that the quality of care increased in terms of lower rates of unplanned readmissions, after implementation of LOV. The study cannot find any evidence of upcoding patients or that LOV had any effect on efficiency. (Less)
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author
Enhörning Admarker, Thea LU
supervisor
organization
course
NEKP01 20191
year
type
H2 - Master's Degree (Two Years)
subject
keywords
Competition inducing reforms, specialized health care, the Freedom of Choice Act, LOV, Lagen om Vårdval, upcoding, quality, efficiency.
language
English
id
8980922
date added to LUP
2019-08-08 10:26:00
date last changed
2019-08-08 10:26:00
@misc{8980922,
  abstract     = {This study aims to analyze the effects of competition on quality, efficiency, produced volume and gaming the system of specialized health care in Sweden, after implementation of the Freedom of Choice Act (LOV, Lagen om Vårdval). This is done by using data for specialized ophthalmology, which is a patient-elective diagnostic category. The motive behind the law, which established free entry for private providers and free choice of provider for patients, was to increase competition in the health care sector, increase availability and diversity among health care providers and increase the quality of the health care production. The results of the study show that the volume of produced health care increased in terms of number of hospitalizations and that the quality of care increased in terms of lower rates of unplanned readmissions, after implementation of LOV. The study cannot find any evidence of upcoding patients or that LOV had any effect on efficiency.},
  author       = {Enhörning Admarker, Thea},
  keyword      = {Competition inducing reforms,specialized health care,the Freedom of Choice Act,LOV,Lagen om Vårdval,upcoding,quality,efficiency.},
  language     = {eng},
  note         = {Student Paper},
  title        = {Does the Swedish specialized health care respond to competition inducing reforms? -Effects of the Freedom of Choice Act on quality, volume, efficiency and upcoding for elective patients.},
  year         = {2019},
}