Free establishment of primary health care providers: effects on geographical equity

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• 作者：David Isaksson ; Paula Blomqvist ; Ulrika Winblad
• 关键词：Patient choice ; Equity ; Marketization ; Sweden ; Primary health care ; Geographic location
• 刊名：BMC Health Services Research
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：16
• 期：1
• 全文大小：502 KB
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• 作者单位：David Isaksson (1)
  Paula Blomqvist (2)
  Ulrika Winblad (1)
  
  1. Department of Public Health and Caring Services, Health Services Research, Uppsala University, Box 564, 751 22, Uppsala, Sweden
  2. Department of Government, Uppsala University, Box 514, 751 20, Uppsala, Sweden
  
• 刊物主题：Public Health; Health Administration; Health Informatics; Nursing Management/Nursing Research;
• 出版者：BioMed Central
• ISSN：1472-6963

文摘

Background A reform in 2010 in Swedish primary care made it possible for private primary care providers to establish themselves freely in the country. In the former, publicly planned system, location was strictly regulated by local authorities. The goal of the new reform was to increase access and quality of health care. Critical arguments were raised that the reform could have detrimental effects on equity if the new primary health care providers chose to establish foremost in socioeconomically prosperous areas. The aim of this study is to examine how the primary care choice reform has affected geographical equity by analysing patterns of establishment on the part of new private providers.