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Is patient choice democratizing Swedish primary care?
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
2013 (English)In: Health Policy, ISSN 0168-8510, Vol. 111, no 1, 95-98 p.Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
2013. Vol. 111, no 1, 95-98 p.
Keyword [en]
local demcracy, primary care, healt policy, citizen, patient
National Category
Medical and Health Sciences Social Sciences
Research subject
Health Care Research
URN: urn:nbn:se:uu:diva-187941DOI: 10.1016/j.healthpol.2012.12.002ISI: 000319847800011OAI: oai:DiVA.org:uu-187941DiVA: diva2:576100
Available from: 2012-12-12 Created: 2012-12-12 Last updated: 2013-07-15Bibliographically approved

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