IDEAS home Printed from https://ideas.repec.org/p/oec/ecoaaa/443-en.html
   My bibliography  Save this paper

Getting Better Value for Money from Sweden's Healthcare System

Author

Listed:
  • David Rae

Abstract

This paper reviews the strengths and weaknesses of the Swedish healthcare system and the challenges that it will face in the future. It discusses ways to improve access to primary care, including different methods for paying GPs, whether access is less equitable than in other countries and the role of patient fees. The maximum waiting time guarantee for elective surgery is reviewed, along with ways of reducing regional variations in quality. The extent of decentralisation is questioned, as that may be affecting the quality of care and value for money in some areas, including elderly and psychiatric care. Mechanisms for improving the hospital sector are also examined including fee-for-service (DRG) payment mechanisms and whether for-profit hospitals would help. Finally, it considers ways to make financing more stable and sustainable. Soins de santé en Suède: comment en avoir plus pour son argent ? Cette communication étudie les forces et les faiblesses du système de santé suédois et les défis qui le guettent. Elle examine plusieurs pistes pour améliorer l'accès aux soins de premier recours, notamment différentes manières de rémunérer les médecins généralistes; elle s'efforce également de déterminer si l'accès aux soins est plus ou moins équitable qu'à l'étranger et traite du rôle des honoraires payés par les patients. L'étude s'attache ensuite au temps maximum d'attente pour les actes de chirurgie non vitale et à la manière de réduire les disparités de qualité entre régions. L'étendue de la décentralisation est mise en question dans la mesure où elle pourrait avoir une incidence sur la qualité des soins et sur l'efficacité de la dépense tout particulièrement en gériatrie et en psychiatrie. L'étude examine des mécanismes pour améliorer le fonctionnement du secteur hospitalier y compris l'introduction du paiement à l'acte et la création d'hopitaux à but lucratif. Enfin, l'étude réfléchit à la manière d'assurer la stabilité et la pérennité des ressources financières du secteur.

Suggested Citation

  • David Rae, 2005. "Getting Better Value for Money from Sweden's Healthcare System," OECD Economics Department Working Papers 443, OECD Publishing.
    • Handle: RePEc:oec:ecoaaa:443-en
    DOI: 10.1787/082725005676
    as

    Download full text from publisher

    File URL: https://doi.org/10.1787/082725005676
    Download Restriction: no
    File URL: https://libkey.io/10.1787/082725005676?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. János Kornai, 2009. "The soft budget constraint syndrome in the hospital sector," International Journal of Health Economics and Management, Springer, vol. 9(2), pages 117-135, June.
    2. Farrants, Kristin & Bambra, Clare & Nylen, Lotta & Kasim, Adetayo & Burström, Bo & Hunter, David, 2017. "The recommodification of healthcare? A case study of user charges and inequalities in access to healthcare in Sweden 1980–2005," Health Policy, Elsevier, vol. 121(1), pages 42-49.
    3. Joanne Castonguay & Claude Montmarquette & Claude Castonguay & Iain Scott, 2007. "Analyse comparative sur le financement de la santé," CIRANO Project Reports 2007rp-04, CIRANO.
    4. Kornai, János, 2008. "A puha költségvetési korlát szindrómája a kórházi szektorban [The soft budget constraint syndrome in the hospital sector]," Közgazdasági Szemle (Economic Review - monthly of the Hungarian Academy of Sciences), Közgazdasági Szemle Alapítvány (Economic Review Foundation), vol. 0(12), pages 1037-1056.

    More about this item

    Keywords

    gestion publique; health care; public sector efficiency; santé;
    All these keywords.

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • H73 - Public Economics - - State and Local Government; Intergovernmental Relations - - - Interjurisdictional Differentials and Their Effects
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:oec:ecoaaa:443-en. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: the person in charge (email available below). General contact details of provider: https://edirc.repec.org/data/edoecfr.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.