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Constructing a European healthcare market: The private healthcare company Capio and the strategic aspect of the drive for transparency

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  • Blomgren, Maria
  • Sundén, Eva

Abstract

This article analyses the private healthcare company Capio and its participation in the drive for transparency in the European healthcare field. An important point of departure for the paper is that technologies for transparency, such as accounting and auditing, are not neutral devices for increased openness, but carry with them programmatic dimensions that affect our norms and rules of how healthcare is to be organized and controlled. The drive for transparency engages different actors with various motives. To investigate this we carried out semi-structured interviews with 11 persons, mainly management members of Capio. We show that transparency in healthcare has been put forward by a private actor for strategic reasons. We argue that Capio's involvement in the drive for transparency should be seen as a 'second-order strategy' with the aim to create advantageous opportunities in a future European healthcare market. We show that Capio, through its propagation of various transparency technologies, has put forward programmatic ideals of industrialisation, marketisation and Europeanisation in healthcare. The main conclusion is that although Capio has engaged in the drive for transparency for business reasons, the company has also furthered certain political ideals in the field. This study contributes to the literature which problematizes the division between private and public, and between business and politics in healthcare, and is of interest to a broad health policy audience.

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  • 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.
    • Handle: RePEc:eee:socmed:v:67:y:2008:i:10:p:1512-1520
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    1. Lambert, Helen & Gordon, Elisa J. & Bogdan-Lovis, Elizabeth A., 2006. "Introduction: Gift horse or Trojan horse? Social science perspectives on evidence-based health care," Social Science & Medicine, Elsevier, vol. 62(11), pages 2613-2620, June.
    2. Samuel, Sajay & Dirsmith, Mark W. & McElroy, Barbara, 2005. "Monetized medicine: from the physical to the fiscal," Accounting, Organizations and Society, Elsevier, vol. 30(3), pages 249-278, April.
    3. Saltman, Richard B., 2002. "Regulating incentives: the past and present role of the state in health care systems," Social Science & Medicine, Elsevier, vol. 54(11), pages 1677-1684, June.
    4. Egan, Michelle, 2001. "Constructing a European Market: Standards, Regulation, and Governance," OUP Catalogue, Oxford University Press, number 9780199244058.
    5. 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.
    6. Garpenby, Peter, 1999. "Resource dependency, doctors and the state: quality control in Sweden," Social Science & Medicine, Elsevier, vol. 49(3), pages 405-424, August.
    7. Uplekar, Mukund W., 2000. "Private health care," Social Science & Medicine, Elsevier, vol. 51(6), pages 897-904, September.
    8. Hood, Christopher, 1995. "The "new public management" in the 1980s: Variations on a theme," Accounting, Organizations and Society, Elsevier, vol. 20(2-3), pages 93-109.
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    Cited by:

    1. McGivern, Gerry & Fischer, Michael D., 2012. "Reactivity and reactions to regulatory transparency in medicine, psychotherapy and counselling," Social Science & Medicine, Elsevier, vol. 74(3), pages 289-296.

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