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Is patient choice democratizing Swedish primary care?

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  • Fredriksson, Mio

Abstract

Choice and competition reforms in healthcare often involve the idea of empowering patients through the mechanism of ‘exit’. Using Swedish healthcare as an example, this article illustrates that this kind of efforts to empower patients may not only affect patients’ chances of influencing healthcare but also those of citizens, who may lose ‘voice’ as a result. Thus, it is an example of the conflict between representative democracy and the customers’ control over welfare services; a conflict that may be overcome by providing new forms of collective decision-making. This was not the case when introducing a patient choice reform in Swedish primary care in 2010.

Suggested Citation

  • Fredriksson, Mio, 2013. "Is patient choice democratizing Swedish primary care?," Health Policy, Elsevier, vol. 111(1), pages 95-98.
    • Handle: RePEc:eee:hepoli:v:111:y:2013:i:1:p:95-98
    DOI: 10.1016/j.healthpol.2012.12.002
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    References listed on IDEAS

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    1. Schlesinger, Mark, 2010. "Choice cuts: parsing policymakers’ pursuit of patient empowerment from an individual perspective," Health Economics, Policy and Law, Cambridge University Press, vol. 5(3), pages 365-387, July.
    2. Vrangbaek, Karsten & Robertson, Ruth & Winblad, Ulrika & Van de Bovenkamp, Hester & Dixon, Anna, 2012. "Choice policies in Northern European health systems," Health Economics, Policy and Law, Cambridge University Press, vol. 7(1), pages 47-71, January.
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    Cited by:

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    2. Maroine Bendaoud, 2021. "Privatization of Canadian housing assistance: how bureaucrats on a budget added market-based progams to the toolbox," Policy Sciences, Springer;Society of Policy Sciences, vol. 54(2), pages 423-440, June.
    3. Wisell, Kristin & Winblad, Ulrika & Kälvemark Sporrong, Sofia, 2019. "Diversity as salvation? – A comparison of the diversity rationale in the Swedish pharmacy ownership liberalization reform and the primary care choice reform," Health Policy, Elsevier, vol. 123(5), pages 457-461.
    4. Jolanki, Outi & Tynkkynen, Liina-Kaisa, 2018. "Primary health care nurses’ views on patients’ abilities and resources to make choices and take decisions on health care," Health Policy, Elsevier, vol. 122(9), pages 957-962.

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