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Patient reactions to hospital choice in Norway, Denmark, and Sweden

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  • VRANGBÆK, KARSTEN
  • ØSTERGREN, KATARINA
  • BIRK, HANS OKKELS
  • WINBLAD, ULRIKA

Abstract

This article is a comparative study of three Scandinavian countries – Norway, Denmark, and Sweden – all of which have provided the individual patient with extensive rights to choose the hospital where he/she wishes to receive treatment. In the paper, we present an analysis of the utilization of the opportunity to choose between hospitals in these three countries. The analysis addresses two questions: (i) How many patients are exercising the right to choose between hospitals in these countries and who is making use of this opportunity? (ii) How can we explain the observed utilization pattern? The results of the study reveal clear similarities between the three countries and suggest that few patients have actually chosen their hospital. However, a gradual increase can be observed over the years. Few formal, legislative, or economic barriers exist for patients. Instead, limited knowledge amongst patients regarding reforms, combined with insufficient support from GPs and limited information, can explain why few patients choose to receive care outside of their local region.

Suggested Citation

  • Vrangbæk, Karsten & Østergren, Katarina & Birk, Hans Okkels & Winblad, Ulrika, 2007. "Patient reactions to hospital choice in Norway, Denmark, and Sweden," Health Economics, Policy and Law, Cambridge University Press, vol. 2(2), pages 125-152, April.
    • Handle: RePEc:cup:hecopl:v:2:y:2007:i:02:p:125-152_00
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    Cited by:

    1. Blomgren, Maria & Sundén, Eva, 2008. "Constructing a European healthcare market: The private healthcare company Capio and the strategic aspect of the drive for transparency," Social Science & Medicine, Elsevier, vol. 67(10), pages 1512-1520, November.
    2. Puck Beukers & Ron Kemp & Marco Varkevisser, 2014. "Patient hospital choice for hip replacement: empirical evidence from the Netherlands," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 15(9), pages 927-936, December.
    3. Kozlowski, Dawid & Worthington, Dave, 2015. "Use of queue modelling in the analysis of elective patient treatment governed by a maximum waiting time policy," European Journal of Operational Research, Elsevier, vol. 244(1), pages 331-338.
    4. Carlsen, Fredrik & Kaarboe, Oddvar M., 2010. "Norwegian priority guidelines: Estimating the distributional implications across age, gender and SES," Health Policy, Elsevier, vol. 95(2-3), pages 264-270, May.
    5. Winblad, Ulrika, 2008. "Do physicians care about patient choice?," Social Science & Medicine, Elsevier, vol. 67(10), pages 1502-1511, November.
    6. Oddvar Kaarboe & Fredrik Carlsen, 2014. "Waiting Times And Socioeconomic Status. Evidence From Norway," Health Economics, John Wiley & Sons, Ltd., vol. 23(1), pages 93-107, January.
    7. Marianna Mauro & Monica Giancotti & Giovanna Talarico, 2017. "Mapping the field: A bibliometric analysis of accountability literature in healthcare," MECOSAN, FrancoAngeli Editore, vol. 2017(101), pages 7-30.
    8. Yijuan Chen & Juergen Meinecke & Peter Sivey, 2016. "A Theory of Waiting Time Reporting and Quality Signaling," Health Economics, John Wiley & Sons, Ltd., vol. 25(11), pages 1355-1371, November.
    9. Tayyari Dehbarez, Nasrin & Gyrd-Hansen, Dorte & Uldbjerg, Niels & Søgaard, Rikke, 2018. "Does free choice of hospital conflict with equity of access to highly specialized hospitals? A case study from the Danish health care system," Health Policy, Elsevier, vol. 122(7), pages 722-727.
    10. Jan Erik Askildsen & Tor Helge Holmås & Oddvar Kaarboe, 2011. "Monitoring prioritisation in the public health‐care sector by use of medical guidelines. The case of Norway," Health Economics, John Wiley & Sons, Ltd., vol. 20(8), pages 958-970, August.
    11. Askildsen, Jan Erik & Holmås, Tor Helge & Kaarboe, Oddvar, 2010. "Prioritization and patients' rights: Analysing the effect of a reform in the Norwegian hospital sector," Social Science & Medicine, Elsevier, vol. 70(2), pages 199-208, January.
    12. Xiaxia Sun & Hongdao Meng & Zhiqiu Ye & Kyaien O Conner & Zhanqi Duan & Danping Liu, 2019. "Factors associated with the choice of primary care facilities for initial treatment among rural and urban residents in Southwestern China," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-14, February.
    13. Marie Ferrua & Claude Sicotte & Benoît Lalloué & Etienne Minvielle, 2016. "Comparative Quality Indicators for Hospital Choice: Do General Practitioners Care?," Post-Print hal-01432934, HAL.
    14. Karin Monstad & Lars Birger Engesæter & Birgitte Espehaug, 2014. "Waiting Time And Socioeconomic Status—An Individual‐Level Analysis," Health Economics, John Wiley & Sons, Ltd., vol. 23(4), pages 446-461, April.
    15. Garcia-Lacalle, Javier & Martin, Emilio, 2010. "Rural vs urban hospital performance in a 'competitive' public health service," Social Science & Medicine, Elsevier, vol. 71(6), pages 1131-1140, September.
    16. Jurgita Januleviciute & Jan Erik Askildsen & Oddvar Kaarboe & Luigi Siciliani & Matt Sutton, 2016. "How do Hospitals Respond to Price Changes? Evidence from Norway," Health Economics, John Wiley & Sons, Ltd., vol. 25(5), pages 620-636, May.
    17. Marie Ferrua & Claude Sicotte & Benoît Lalloué & Etienne Minvielle, 2016. "Comparative Quality Indicators for Hospital Choice: Do General Practitioners Care?," PLOS ONE, Public Library of Science, vol. 11(2), pages 1-9, February.
    18. Nasrin Tayyari Dehbarez & Morten Raun Mørkbak & Dorte Gyrd-Hansen & Niels Uldbjerg & Rikke Søgaard, 2018. "Women’s Preferences for Birthing Hospital in Denmark: A Discrete Choice Experiment," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 11(6), pages 613-624, December.
    19. Socha, Karolina Z. & Bech, Mickael, 2011. "Physician dual practice: A review of literature," Health Policy, Elsevier, vol. 102(1), pages 1-7, September.

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