Search: onr:"swepub:oai:DiVA.org:uu-379412" >
Patient choice and ...
-
Vengberg, SofieUppsala universitet,Hälso- och sjukvårdsforskning
(author)
Patient choice and provider competition : Quality enhancing drivers in primary care?
- Article/chapterEnglish2019
Publisher, publication year, extent ...
-
Elsevier BV,2019
-
printrdacarrier
Numbers
-
LIBRIS-ID:oai:DiVA.org:uu-379412
-
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-379412URI
-
https://doi.org/10.1016/j.socscimed.2019.01.042DOI
Supplementary language notes
-
Language:English
-
Summary in:English
Part of subdatabase
Classification
-
Subject category:ref swepub-contenttype
-
Subject category:art swepub-publicationtype
Notes
-
Patient choice of provider and provider competition have been introduced with the claim that they would lead to improved quality. For this to occur, certain conditions must be fulfilled on both the demand and the supply side. However, supply side-mechanisms – with provider behaviour as central – have been largely neglected in the literature, especially in primary care markets. In this article, we focus on provider behaviour and explore if and how choice and competition function as quality enhancing drivers in Swedish primary care. We explore this through semi-structured interviews with 24 managers and physicians at 13 Swedish primary healthcare centres, conducted from May 2016 to February 2017. The analysis draws on assumptions that for enhanced quality, providers must receive information on patients' choices, analyse it and respond accordingly. One conclusion is that Swedish primary care providers lack information on patients' choices and "exits", which makes it difficult for providers to respond to patients' choices. Furthermore, it is questionable whether choice and competition stimulate enhanced clinical quality. At the same time, choice and competition seems to make providers more aware of accessibility concerns and of their reputation, which they may be stimulated to improve. The article contributes evidence on supply side-mechanisms, and encourages clarification of "quality" in this respect, both on the political arena as well as in theoretical models.
Subject headings and genre
Added entries (persons, corporate bodies, meetings, titles ...)
-
Fredriksson, Mio,1976-Uppsala universitet,Hälso- och sjukvårdsforskning(Swepub:uu)miofr583
(author)
-
Winblad, Ulrika,1968-Uppsala universitet,Hälso- och sjukvårdsforskning(Swepub:uu)ulrikaws
(author)
-
Uppsala universitetHälso- och sjukvårdsforskning
(creator_code:org_t)
Related titles
-
In:Social Science and Medicine: Elsevier BV226, s. 217-2240277-95361873-5347
Internet link
Find in a library
To the university's database