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Isaksson, David
Publications (10 of 13) Show all publications
Isaksson, D., Blomqvist, P. & Winblad, U. (2017). Privatization of social care delivery – how can contracts be specified?.
Open this publication in new window or tab >>Privatization of social care delivery – how can contracts be specified?
2017 (English)In: Article in journal (Refereed) Epub ahead of print
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:uu:diva-354473 (URN)10.1080/14719037.2017.1417465 (DOI)
Available from: 2018-06-20 Created: 2018-06-20 Last updated: 2018-06-20
Isaksson, D., Blomqvist, P. & Winblad, U. (2016). Free establishment of primary health careproviders: effects on geographical equity. BMC Health Services Research, 16, Article ID 28.
Open this publication in new window or tab >>Free establishment of primary health careproviders: effects on geographical equity
2016 (English)In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 16, article id 28Article in journal (Refereed) Published
Abstract [en]

Background

A reform in 2010 in Swedish primary care made it possible for private primary care providers to establish themselves freely in the country. In the former, publicly planned system, location was strictly regulated by local authorities. The goal of the new reform was to increase access and quality of health care. Critical arguments were raised that the reform could have detrimental effects on equity if the new primary health care providers chose to establish foremost in socioeconomically prosperous areas.

The aim of this study is to examine how the primary care choice reform has affected geographical equity by analysing patterns of establishment on the part of new private providers.

Methods

The basis of the design was to analyse socio-economic data on individuals who reside in the same electoral areas in which the 1411 primary health care centres in Sweden are established. Since the primary health care centres are located within 21 different county councils with different reimbursement schemes, we controlled for possible cluster effects utilizing generalized estimating equations modelling. The empirical material used in the analysis is a cross-sectional data set containing socio-economic data of the geographical areas in which all primary health care centres are established.

Results

When controlling for the effects of the county council regulation, primary health care centres established after the primary care choice reform were found to be located in areas with significantly fewer older adults living alone as well as fewer single parents – groups which generally have lower socio-economic status and high health care needs. However, no significant effects were observed for other socio-economic variables such as mean income, percentage of immigrants, education, unemployment, and children <5 years.

Conclusions

The primary care choice reform seems to have had some negative effects on geographical equity, even though these seem relatively minor.

Keyword
Patient choice; Equity; Marketization; Sweden; Primary health care; Geographic location
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:uu:diva-274995 (URN)10.1186/s12913-016-1259-z (DOI)000368550800001 ()26803298 (PubMedID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare
Available from: 2016-01-27 Created: 2016-01-27 Last updated: 2018-06-20Bibliographically approved
Winblad, U., Isaksson, D., Josefsson, K. & Olsson, F. (2014). Kvalitetskrav i valfrihetssystem – en analys av förfrågningsunderlagen: en analys av förfrågningsunderlagen. Stockholm: Sveriges kommuner och landsting
Open this publication in new window or tab >>Kvalitetskrav i valfrihetssystem – en analys av förfrågningsunderlagen: en analys av förfrågningsunderlagen
2014 (Swedish)Report (Other academic)
Place, publisher, year, edition, pages
Stockholm: Sveriges kommuner och landsting, 2014. p. 38
Keyword
hemtjänst, förfrågningsunderlag, LOV, lagen om valfrihet, privata utförare
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Public Administration Studies
Research subject
Health Care Research
Identifiers
urn:nbn:se:uu:diva-220682 (URN)
Funder
Swedish Association of Local Authorities and Regions
Available from: 2014-03-19 Created: 2014-03-19 Last updated: 2015-01-07
Winblad, U., Isaksson, D., Josefsson, K. & Olsson, F. (2014). Kvalitetskrav i valfrihetssystem: en analys av förfrågningsunderlag för hemtjänst.
Open this publication in new window or tab >>Kvalitetskrav i valfrihetssystem: en analys av förfrågningsunderlag för hemtjänst
2014 (Swedish)Report (Other academic)
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:uu:diva-270572 (URN)978-91-7585-100-6 (ISBN)
Available from: 2015-12-30 Created: 2015-12-30 Last updated: 2016-02-09Bibliographically approved
Winblad, U. & Isaksson, D. (2013). Geografisk närhet som en förklaring till privatisering.. In: Henrik Jordahl (Ed.), Välfärdstjänster i privat regi.: Framväxt och drivkrafter. (pp. 121-142). Stockholm: SNS förlag
Open this publication in new window or tab >>Geografisk närhet som en förklaring till privatisering.
2013 (Swedish)In: Välfärdstjänster i privat regi.: Framväxt och drivkrafter. / [ed] Henrik Jordahl, Stockholm: SNS förlag , 2013, p. 121-142Chapter in book (Refereed)
Place, publisher, year, edition, pages
Stockholm: SNS förlag, 2013
National Category
Public Administration Studies
Identifiers
urn:nbn:se:uu:diva-240447 (URN)978-91-86949-47-1 (ISBN)
Available from: 2015-01-07 Created: 2015-01-07 Last updated: 2015-01-07
Winblad, U., Dahlberg, M., Elinder, M., Isaksson, D., Jordahl, H., Lindbom, A., . . . Öhrvall, R. (2013). Inledning. In: Henrik Jordahl (Ed.), Välfärdstjänster i privat regi.: Framväxt och drivkrafter (pp. 21-32). Stockholm: SNS förlag
Open this publication in new window or tab >>Inledning
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2013 (Swedish)In: Välfärdstjänster i privat regi.: Framväxt och drivkrafter / [ed] Henrik Jordahl, Stockholm: SNS förlag , 2013, p. 21-32Chapter in book (Refereed)
Place, publisher, year, edition, pages
Stockholm: SNS förlag, 2013
National Category
Social Sciences Public Administration Studies
Identifiers
urn:nbn:se:uu:diva-240435 (URN)978-91-86949-47-1 (ISBN)
Available from: 2015-01-07 Created: 2015-01-07 Last updated: 2015-01-07
Dahlberg, M., Elinder, M., Isaksson, D., Jordahl, H., Lindbom, A., Lundqwist, H., . . . Öhrvall, R. (2013). Slutsaster.. In: Henrik Jordahl (Ed.), Välfärdstjänster i privat regi.: Framväxt och drivkrafter. (pp. 221-230). Stockholm: SNS förlag
Open this publication in new window or tab >>Slutsaster.
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2013 (Swedish)In: Välfärdstjänster i privat regi.: Framväxt och drivkrafter. / [ed] Henrik Jordahl, Stockholm: SNS förlag , 2013, p. 221-230Chapter in book (Refereed)
Place, publisher, year, edition, pages
Stockholm: SNS förlag, 2013
National Category
Public Administration Studies
Identifiers
urn:nbn:se:uu:diva-240467 (URN)978-91-86949-47-1 (ISBN)
Available from: 2015-01-07 Created: 2015-01-07 Last updated: 2015-01-07
Winblad, U., Isaksson, D. & Bergman, P. (2012). Effekter av valfrihet inom hälso- coh sjukvård: en kartläggning av kunskapsläget. Stockholm: Myndigheten för vårdanalys
Open this publication in new window or tab >>Effekter av valfrihet inom hälso- coh sjukvård: en kartläggning av kunskapsläget
2012 (Swedish)Report (Other academic)
Place, publisher, year, edition, pages
Stockholm: Myndigheten för vårdanalys, 2012. p. 176
Series
Myndigheten för vårdanalys ; 2012:2
Keyword
Valfrihet, hälso- och sjukvård, new public management, reformer, styrning
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:uu:diva-179961 (URN)9789187213014 (ISBN)
Available from: 2012-08-27 Created: 2012-08-27 Last updated: 2012-08-29Bibliographically approved
Blomqvist, P., Winblad, U. & Isaksson, D. (2010). Analysis of contracts in Swedish elder care: can quality aspects be monitored? Arbetsrapport 2010:2.
Open this publication in new window or tab >>Analysis of contracts in Swedish elder care: can quality aspects be monitored? Arbetsrapport 2010:2
2010 (English)Other (Other (popular science, discussion, etc.))
Identifiers
urn:nbn:se:uu:diva-148978 (URN)
Projects
Äldreomsorg på entreprenad: hur bevakas kvaliteten?
Available from: 2011-03-14 Created: 2011-03-14
Isaksson, D., Winblad, U. & Blomqvist, P. (2010). Äldreomsorgens utveckling 1993-2009. Arbetsrapport 2010:1.
Open this publication in new window or tab >>Äldreomsorgens utveckling 1993-2009. Arbetsrapport 2010:1
2010 (Swedish)Other (Other (popular science, discussion, etc.))
Identifiers
urn:nbn:se:uu:diva-148977 (URN)
Projects
Äldreomsorg på entreprenad: hur bevakas kvaliteten?
Available from: 2011-03-14 Created: 2011-03-14
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