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Portrait of Anna Glenngård. Photo.

Anna Glenngård

Assistant head Accounting and Corporate Finance, Department of Business Administration

Portrait of Anna Glenngård. Photo.

Experiences of Introducing a Quasi-Market in Swedish Primary Care : Fulfilment of Overall Objectives and Assessment of Provider Activities

Author

  • Anna Glenngård

Summary, in English

Health care as any other public service is subject to many potentially conflicting objectives and many actors. Over time, the traditional goal of health care systems of distributive justice has been accompanied by other objectives and health care reforms have developed accordingly. One type of reform in countries with publicly funded health care has evolved around replacing monopolistic state providers with competition among providers and choice for individuals: quasi-markets have been introduced. This new structure of governance, involving a mix of mechanisms for corrective action, seems to be appropriate for achieving a mix of objectives. New accountability relationships between providers and citizens are appropriate for holding providers to account for new objectives related to accessibility, quality as perceived by patients and responsiveness of services towards individuals. These objectives are visible to individuals at their point of contact with the provider. Such accountability relationships are not enough to achieve all overall objectives. It is necessary to establish and maintain dual accountability relationships with providers. Accountability relationships between providers and governments have to be maintained to achieve traditional objectives related to other aspects of quality, efficient management of resources and equitable distribution of services

Department/s

  • Department of Business Administration

Publishing year

2016

Language

English

Pages

71-86

Publication/Series

Scandinavian Journal of Public Administration

Volume

20

Issue

1

Document type

Journal article

Publisher

University of Gothenburg, School of Public Administration

Topic

  • Agricultural Sciences
  • Public Administration Studies

Keywords

  • health care reform
  • Sweden
  • quasi-market
  • choice
  • accountability
  • primary care

Status

Published

Project

  • Public Management Research

ISBN/ISSN/Other

  • ISSN: 2001-7413