Wicked Health Care Issues: An Analysis of Finnish and Swedish Health Care Reforms

2005 ◽  
pp. 159-182 ◽  
Author(s):  
Pirkko Vartiainen
Keyword(s):  
Health Care ◽  
Health Care Reforms ◽  
Swedish Health Care

Open the Black Box: Paradoxes and Lacunas in Swedish Health Care Reforms

1995 ◽  
Vol 25 (2) ◽  
pp. 243-258 ◽  
Author(s):  
Rolf Å. Gustafsson
Keyword(s):  
Health Care ◽  
Public Administration ◽  
Labor Process ◽  
Care Staff ◽  
Health Care Staff ◽  
Strategic Choices ◽  
Health Care Reforms ◽  
Swedish Health Care ◽  
Process Perspective ◽  
The Welfare State

The idea of using contracting-out as a means for improving public administration dates back to the 1850s, but was then found to be infeasible. The same idea has now become a major building-block in Sweden's health care reforms. Driven by a productivity-focused political discourse and the premises of neoclassical economics, these reforms ignore motivational structures among health care staff. The result may be a delegitimizing of the welfare state from within—either through the extinction of care rationality and its replacement by wage rationality, or, at worst, through the spread of a commercial spirit among health care staff and/or staff frustration at the unavoidable downward adjustments in remuneration rates. The author points to three strategic choices that arise when insights from a labor-process perspective are taken into consideration.

Market-Oriented, Demand-Driven Health Care Reforms and Equity in Health and Health Care Utilization in Sweden

2009 ◽  
Vol 39 (2) ◽  
pp. 271-285 ◽  
Author(s):  
Bo Burström
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Health Services ◽  
Health Care System ◽  
Health Care Services ◽  
International Comparisons ◽  
Care Utilization ◽  
Health Care Reforms ◽  
Swedish Health Care ◽  
Care System

In international comparisons, the Swedish health care system has been seen to perform well. In recent years, market-oriented, demand-driven health care reforms aimed at free choice of provider by patients and free establishment of doctors are increasingly promoted in Sweden. The stated objective is to improve access and efficiency in health services and to provide more and/or better services for the money. Swedish health policy aims to provide equal access to care, based on equal need. However, the social and economic gradient in disease and ill health does not translate into the same social and economic gradient in demand for health services. A market-oriented, demand-driven health care system runs the risk of defeating the health policy aims and of further increasing gaps between social groups in access and utilization of health care services, to the detriment of those with greater needs, unless it is coupled with need-based allocation of resources and empowerment of these groups.

The English and Swedish Health Care Reforms

1994 ◽  
Vol 24 (2) ◽  
pp. 231-251 ◽  
Author(s):  
Howard Glennerster ◽  
Manos Matsaganis
Keyword(s):  
United States ◽  
Health Care ◽  
Access To Health Care ◽  
Universal Access ◽  
The United States ◽  
Health Care Reforms ◽  
Swedish Health Care ◽  
Early Results ◽  
Access To Health ◽  
The World

England and Sweden have two of the most advanced systems of universal access to health care in the world. Both have begun major reforms based on similar principles. Universal access and finance from taxation are retained, but a measure of competition between providers of health care is introduced. The reforms therefore show a movement toward the kind of approach advocated by some in the United States. This article traces the origins and early results of the two countries' reform efforts.

Health counseling in Swedish health care

2016 ◽  
Vol 6 (2) ◽  
pp. 49-54
Author(s):  
Helena Reimertz ◽  
Fredrik Spak ◽  
Hanne Tønnesen
Keyword(s):  
Health Care ◽  
Health Counseling ◽  
Swedish Health Care

COST CONTAINMENT AND ACCESS TO CARE: THE SHANGHAI HEALTH CARE FINANCING MODEL

2008 ◽  
Vol 53 (01) ◽  
pp. 27-41 ◽  
Author(s):  
WEIZHEN DONG
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Cost Containment ◽  
Access To Health Care ◽  
Health Care Cost ◽  
Health Care Expenditure ◽  
Health Care Financing ◽  
Insurance Scheme ◽  
Health Care Reforms ◽  
Medical Savings Account

The medical savings account (MSA) model of health care financing is viewed as a health care cost containment strategy. Yet, health care expenditure in Shanghai has increased sharply since the adoption of the MSA system. This paper looks into the health care reforms in Shanghai, especially since the introduction of the MSA scheme. From the Labor Insurance Scheme and Government Insurance Scheme to the Medical Savings Account scheme, ordinary Shanghai residents have not benefited from the most recent health care reforms. They have found medical care much less affordable. Disparity in access to health care access has become more evident than ever. Meanwhile, health care cost has increased sharply. China has benefited from an emphasis on prevention and primary care, but the government's recent policies give a high priority to catastrophic disease. This is not a cost-effective approach. Shanghai's health care system needs to break socioeconomic class boundaries if it is to construct a harmonious society. Shanghai's decision makers and various stakeholders have the resources and wisdom to face the challenge.

Substantive Equality in South African Health Care: The Limits of Law

2000 ◽  
Vol 4 (2) ◽  
pp. 111-131 ◽  
Author(s):  
Charles Ngwena
Keyword(s):  
Health Care ◽  
South African ◽  
Access To Health Care ◽  
Health Care Services ◽  
Health Care Reforms ◽  
Structural Inequality ◽  
Care Services ◽  
Substantive Equality ◽  
African Health ◽  
Access To Health

The article considers the scope and limits of law as an instrument for facilitating equitable access to health care in South Africa. The focus is on exploring the extent to which the notion of substantive equality in access to health care services that is implicitly guaranteed by the Constitution and supported by current health care reforms, is realisable for patients seeking treatment. The article highlights the gap between the idea of substantive equality in the Constitution and the resources at the disposal of the health care sector and the country as a whole. It is submitted that though formal equality in access to health care services has been realised, substantive equality is currently unattainable, if it is attainable at all, on account of entrenched structural inequality, general poverty and a high burden of disease.

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