Sökning: WFRF:(Vengberg Sofie) > (2019) > Patient choice and ...
Fältnamn | Indikatorer | Metadata |
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000 | 03249naa a2200361 4500 | |
001 | oai:DiVA.org:uu-379412 | |
003 | SwePub | |
008 | 190315s2019 | |||||||||||000 ||eng| | |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-3794122 URI |
024 | 7 | a https://doi.org/10.1016/j.socscimed.2019.01.0422 DOI |
040 | a (SwePub)uu | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Vengberg, Sofieu Uppsala universitet,Hälso- och sjukvårdsforskning4 aut0 (Swepub:uu)sofve124 |
245 | 1 0 | a Patient choice and provider competition :b Quality enhancing drivers in primary care? |
264 | 1 | b Elsevier BV,c 2019 |
338 | a print2 rdacarrier | |
520 | a 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. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi0 (SwePub)303012 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Health Care Service and Management, Health Policy and Services and Health Economy0 (SwePub)303012 hsv//eng |
653 | a Sweden | |
653 | a Patient choice | |
653 | a Competition | |
653 | a Quasi-market | |
653 | a Primary care | |
700 | 1 | a Fredriksson, Mio,d 1976-u Uppsala universitet,Hälso- och sjukvårdsforskning4 aut0 (Swepub:uu)miofr583 |
700 | 1 | a Winblad, Ulrika,d 1968-u Uppsala universitet,Hälso- och sjukvårdsforskning4 aut0 (Swepub:uu)ulrikaws |
710 | 2 | a Uppsala universitetb Hälso- och sjukvårdsforskning4 org |
773 | 0 | t Social Science and Medicined : Elsevier BVg 226, s. 217-224q 226<217-224x 0277-9536x 1873-5347 |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-379412 |
856 | 4 8 | u https://doi.org/10.1016/j.socscimed.2019.01.042 |
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