| 1. |
- Anell, Anders, et al.
(författare)
-
Några av vårdens utmaningar
- 2010
-
Ingår i: Vårdens utmaningar. - 9789186203580 ; , s. 7-41
-
Bokkapitel (populärvet., debatt m.m.)
|
|
| 2. |
|
|
| 3. |
|
|
| 4. |
|
|
| 5. |
|
|
| 6. |
|
|
| 7. |
|
|
| 8. |
- Beckman, Anders, et al.
(författare)
-
Hälsoval skåne : Fler besöker allmänläkare, färre går till specialist
- 2013
-
Ingår i: Läkartidningen. - 0023-7205. ; 110:12, s. 622-623
-
Tidskriftsartikel (refereegranskat)abstract
- Efter införande av Hälsoval Skåne har andelen av befolkningen som besökt allmänläkare ökat, liksom antalet besök per invånare. Ökningarna är överlag måttliga, med undantag för äldre män med lägre inkomst, där ökningen är större.Det finns också en minskning av besöken till övriga specialistläkare så att det totala antalet läkarbesök per invånare minskat i vissa grupper. Färre besök hos övriga specialistläkare har inte fullt ut kompenserats av fler besök till allmänläkare.Uppföljningstiden är kort, och nya uppföljningar av individers totala konsumtion av vård med senare och ytterligare data är angelägna för att studera förändringar till följd av Hälsoval.
|
|
| 9. |
- Glenngård, Anna, et al.
(författare)
-
Choice of primary care provider: Results from a population survey in three Swedish counties.
- 2011
-
Ingår i: Health Policy. - : Elsevier BV. - 1872-6054 .- 0168-8510. ; 103:1, s. 31-37
-
Tidskriftsartikel (refereegranskat)abstract
- Recent reforms in Swedish primary care have involved choice of provider for the population combined with freedom of establishment and privatisation of providers. This study focus to what extent individuals feel they have exercised a choice of provider, why they exercise choice and where they search for information, based on a population survey in three Swedish counties. The design of the study enabled for studying behaviour with respect to differences in time since introduction of the reform and differences in number of alternative providers and establishments of new providers in connection with the reform. About 60% of the population in the three counties felt that they had made a choice of provider in connection with or after the introduction of a reform focusing on choice and privatisation. Establishments of new providers and having enough information increased the likelihood whereas preferences for direct access to a specialist decreased the likelihood of making a choice. The data further suggests that individuals were rather passive in their search for information and tended to choose providers that they previously had been in contact with. This is in line with results from previous studies and poses challenges for county councils governance of reforms.
|
|
| 10. |
- Ödesjö, Helena, et al.
(författare)
-
Pay for performance associated with increased volume of medication reviews but not with less inappropriate use of medications among the elderly - an observational study
- 2017
-
Ingår i: Scandinavian Journal of Primary Health Care. - : Informa UK Limited. - 0281-3432 .- 1502-7724. ; 35:3, s. 271-278
-
Tidskriftsartikel (refereegranskat)abstract
- Objective: A pay for performance programme was introduced in 2009 by a Swedish county with 1.6 million inhabitants. A process measure with payment linked to coding for medication reviews among the elderly was adopted. We assessed the association with inappropriate medication for five years after baseline. Design and setting: Observational study that compared medication for elderly patients enrolled at primary care units that coded for a high or low volume of medication reviews. Patients: 144,222 individuals at 196 primary care centres, age 75 or older. Main outcome measures: Percentage of patients receiving inappropriate drugs or polypharmacy during five years at primary care units with various levels of reported medication reviews. Results: The proportion of patients with a registered medication review had increased from 3.2% to 44.1% after five years. The high-coding units performed better for most indicators but had already done so at baseline. Primary care units with the lowest payment for coding for medication reviews improved just as well in terms of inappropriate drugs as units with the highest payment - from 13.0 to 8.5%, compared to 11.6 to 7.4% and from 13.6 to 7.2% vs 11.8 to 6.5% for polypharmacy. Conclusions: Payment linked to coding for medication reviews was associated with an increase in the percentage of patients for whom a medication review had been registered. However, the impact of payment on quality improvement is uncertain, given that units with the lowest payment for medication reviews improved equally well as units with the highest payment.
|
|
