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Promoting competition in Swedish primary care

Artikel i vetenskaplig tidskrift
Författare Lars Norén
Agneta Ranerup
Publicerad i Journal of Health Organization and Management
Volym 29
Nummer/häfte 1
Sidor 25-38
ISSN 1477-7266
Publiceringsår 2015
Publicerad vid Institutionen för tillämpad informationsteknologi (GU)
Företagsekonomiska institutionen, Management & Organisation
Sidor 25-38
Språk en
Länkar dx.doi.org/10.1108/JHOM-04-2012-008...
Ämnesord managed competition; primary care; quasi-market; Sweden; choice of care
Ämneskategorier Systemvetenskap, informationssystem och informatik med samhällsvetenskaplig inriktning, Ekonomi och näringsliv

Sammanfattning

Purpose - This paper examines the role of accreditation documents in the competition based on provider quality in a quasi-market for primary healthcare. Design/methodology/approach - The paper uses a mixed-method research methodology to analyse two primary healthcare accreditation documents in two Swedish regions. Nineteen interviews were conducted with actors involved in the creation and use of such documents. Findings - This paper points to the crucial role of accreditation documents in the identification of quality differences that influence the competition in primary healthcare. This finding contrasts with the commonly held laissez-faire idea that competition causes providers to develop their own service concepts and where the invisible hand creates quality differences. The paper adds to the discussion with its detailed description of how accreditation documents create competition among primary healthcare providers through selection processes, quality differentiation, and ranking. Research limitations/implications - The paper does not explore quality differences in the medical treatment of patients in primary healthcare centres. Practical implications - The paper provides insights for politicians on how to use accreditation documents to control competition and regulate choice. Originality/value ¬- The paper takes an innovative approach to the examination of how accreditation documents increase the competition in primary healthcare choice.

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