| 1. |
- Blix, Mårten, et al.
(författare)
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Tid att följa upp : Digital tidmätning i svensk hemtjänst
- 2023
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Digitala tidmätningssystem används i svensk hemtjänst för att mäta och följa upp hemtjänstbesökens längd och innehåll. Systemen samlar in data i realtid och om alla besök. I detta avseende är digital tidmätning ett kraftfullt verktyg som kan förväntas ge bättre förutsättningar för mål-och resultatstyrning än analoga metoder. Samtidigt innebär tidmätningen risker för arbetsmiljön då den kan uppfattas som detaljstyrande och stressande. I denna rapport presenterar vi resultaten från en enkät som skickades ut till alla kommuner om deras användande av tidmätningssystem i hemtjänsten. 123 kommuner besvarade enkäten och 94 av dessa angav att de mäter tidsanvändningen med hjälp av digitala system. I denna rapport presenterar och diskuterar vi resultaten från denna enkät.
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| 2. |
- Dackehag, Margareta, et al.
(författare)
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Competition, Capitation, and Coding : Do Public Primary Care Providers Respond to Increased Competition?
- 2019
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Ingår i: CESifo Economic Studies. - : Oxford University Press. - 1610-241X .- 1612-7501. ; 65:4, s. 402-423
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Tidskriftsartikel (refereegranskat)abstract
- The case for competition in health-care markets rests on economic models in which providers seek to maximize profits. However, little is known regarding how public health-care providers, who might not have a profit motive, react to increased competition from private providers. This study considers the heterogeneous effects of a primary health-care reform in a Swedish region that considerably loosened entry restrictions and increased patients' freedom of choice, thus enabling increased competition. Our difference-in-differences analysis contrasts local markets that were affected by both entry and choice with local monopoly markets, which were unaffected by the reforms. Using detailed administrative data on all visits to public health centers in 2008-2011, we find that providers in markets with increasing competition registered more diagnoses in an administrative database, thus increasing their reimbursement per patient. Although the economic significance of the effect is small, the result suggests that public providers are indeed sensitive to competition.
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| 3. |
- Ellegård, Lina Maria
(författare)
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Effects of pay-for-performance on prescription of hypertension drugs among public and private primary care providers in Sweden
- 2020
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Ingår i: International Journal of Health Economics and Management. - : Springer Science + Business Media. - 2199-9023 .- 2199-9031. ; 20:3, s. 215-228
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Tidskriftsartikel (refereegranskat)abstract
- This study exploits policy reforms in Swedish primary care to examine the effect of pay-for-performance (P4P) on compliance with hypertension drug guidelines among public and private health care providers. Using provider-level outcome data for 2005–2013 from the Swedish Prescription Register, providers in regions using P4P were compared to providers in other regions in a difference-in-differences analysis. The results indicate that P4P improved guideline compliance regarding prescription of angiotensin converting enzyme inhibitors and angiotensin receptor blockers. The effect was mainly driven by private providers, suggesting that policy makers should take ownership into account when designing incentives for health care providers.
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| 4. |
- Fredin, Sabrina, et al.
(författare)
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Entrepreneurial ecosystems : towards a systemic approach to entrepreneurship?
- 2020
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Ingår i: Geografisk Tidsskrift. - : Informa UK Limited. - 0016-7223 .- 1903-2471. ; 120:2, s. 87-97
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Tidskriftsartikel (refereegranskat)abstract
- Despite its relative newness, entrepreneurial ecosystems (EEs) have attracted much attention from research and policy but they are recognized to be largely untheorized. It is claimed that one aspect which distinguishes the EE perspective from other perspectives related to business environments is its systemic approach; however, much of the systemic approach still needs to be investigated. The aim of this paper is therefore to investigate how the systemic and complex approach of EEs can be theoretically strengthened. We do this by investigating what values complex adaptive system theory holds for advancing the EE perspective. We highlight four propositions which are of particular importance for strengthening the systemic approach of EE: spatial and component boundaries of the system; self-governance; the relational dimension between system components and the system; and the evolution of the system. We propose that boundaries should be seen as a natural part of the system, that a complex system is too complex to capture all components and all interactions, and that studying only individual activities will not enable us to fully understand the system’s behaviour.
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| 5. |
- Edmark, Karin Margret, et al.
(författare)
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The impact of attending an independent upper secondary school : Evidence from Sweden using school ranking data
- 2021
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Ingår i: Economics of Education Review. - : Elsevier BV. - 0272-7757 .- 1873-7382. ; 84
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Tidskriftsartikel (refereegranskat)abstract
- Since the 1990s, the Swedish education market has gone through a dramatic transformation due to the introduction of voucher-funded independent schools. We make use of data on school applications to condition on student preferences for independent versus public education, and estimate a positive relationship between independent upper secondary school attendance and grades, graduation rates, and post-secondary education. We however also find strong indications of more lenient grading standards in independent schools, especially in schools organized as for-profit entities and in schools with a low share of qualified teachers. Our results suggest that, although independent school attendance seems to benefit the individual students in terms of higher grades and increased transition to post-secondary studies, grade inflation in the Swedish upper secondary independent schools may be a serious problem.
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| 6. |
- Hultkrantz, Lars, 1952-, et al.
(författare)
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Brott och straff - vad fungerar?
- 2022
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Ingår i: Ekonomisk Debatt. - : Nationalekonomiska föreningen. - 0345-2646. ; 50:4, s. 3-4
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Tidskriftsartikel (populärvet., debatt m.m.)
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| 7. |
- Hultkrantz, Lars, 1952-, et al.
(författare)
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Fortsatt viktiga valfrågor
- 2022
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Ingår i: Ekonomisk Debatt. - : Nationalekonomiska föreningen. - 0345-2646. ; 50:3, s. 3-4
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Tidskriftsartikel (populärvet., debatt m.m.)
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| 8. |
- Jordahl, Henrik, 1971-, et al.
(författare)
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The end of a trend? Retraction of choice in Swedish elderly care
- 2021
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Ingår i: Journal of Economic Policy Reform. - : Routledge. - 1748-7870 .- 1748-7889. ; 24:2, s. 189-200
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Tidskriftsartikel (refereegranskat)abstract
- In 2009, Sweden launched a freedom-of-choice reform that gave municipalities the option to introduce standardized quasi-markets in social services. The reform was initially popular to adopt in home care until the share of adopting municipalities leveled out just above 50 percent. In recent years, the trend has reversed, and several municipalities have abolished their choice system. Compared with municipalities with choice systems, the abolishing municipalities are more rural with fewer inhabitants. A fixed-effects regression suggests that decreases in the market share of private providers, political shifts towards the left, and increasing costs may have contributed to the abolition of choice systems.
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| 9. |
- Karabag, Solmaz Filiz, 1972-, et al.
(författare)
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The Global, Regional, National, Sectoral, Economic, and Commercial Impact of the Russo-Ukrainian War and the Emerging Second Cold War
- 2022
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Ingår i: Journal of Applied Economics and Business Research. - Canada : JOURNAL APPLIED ECONOMICS & BUSINESS RESEARCH. - 1927-033X. ; 12:2, s. 58-70
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- This paper suggests that the ongoing Russo-Ukrainian war and existing rivalries among future global leaders, such as the USA vs. China, NATO vs. Russia, and China vs. India, may result in a second Cold War. A new global order and the emerging second Cold War will have many impacts on global, regional, national, and political economies and sectors, as well as commercial and business activities. This paper elaborates on the new(de)globalization, diminishing national and regional economic powers, and environmental challenges. Nations will develop new industrial policies and try to secure global supply chains and material flow. At the same time, itis expected that investment in defense, energy, and food sectors will increase to shore up national and regional security. Tourism and other travel-based sectors, such as sports events, might degrow. These wars might deinternationalize the activities of corporations who would need to develop new business processes, organizational forms, and technological capabilities to protect their existing markets and businesses. Based on these arguments and discussions, the paper calls for studies to examine new research ideas and suggest empirical research to expand our understanding and support the informed decision-making of policymakers and managers.
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| 10. |
- Anell, Anders, et al.
(författare)
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Better off by risk adjustment? : Socioeconomic disparities in care utilization in Sweden following a payment reform
- 2024
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Ingår i: Journal of Policy Analysis and Management. - : Wiley-Liss Inc.. - 0276-8739 .- 1520-6688.
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Tidskriftsartikel (refereegranskat)abstract
- Reducing socioeconomic health inequalities is a key goal of most health systems. A challenge in this regard is that healthcare providers may have incentives to avoid or undertreat patients who are relatively costly to treat. Due to the socioeconomic gradient in health, individuals with low socioeconomic status (SES) are especially likely to be negatively affected by such attempts. To counter these incentives, payments are often risk adjusted based on patient characteristics. However, empirical evidence is lacking on how, or if, risk adjustment affects care utilization. We examine if a novel risk adjustment model in primary care affected socioeconomic differences in care utilization among individuals with a chronic condition. The new risk adjustment model implied that the capitation—the monthly reimbursement paid by the health authority to care providers for each enrolled patient—increased substantially for chronically ill low-SES patients. Yet, we do not find any robust evidence that their access to primary care improved relative to patients with high SES, and we find no effects on adverse health events (hospitalizations). These results suggest that the new risk adjustment model did not reduce existing health inequalities, indicating the need for more targeted incentives and interventions to reach low-SES groups.
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