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The reactions to macro-economic crisis in Nordic health system policies: Denmark, Finland and Sweden, 1980-2013
University of Tampere.
Copenhagen University.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research. (Health Services Research)
2015 (English)In: Health Economics, Policy and Law, ISSN 1744-1331, E-ISSN 1744-134X, Vol. 10, no 1, 61-81 p.Article in journal (Refereed) Published
Abstract [en]

Denmark, Finland and Sweden have experienced two major recessions during the last 25 years. The adjustments to the earlier crisis in the late 1980s (Denmark) and early 1990s (Finland and Sweden) resembled the policies in many other European countries during the present crisis. The analysis of relationship of deep economic crises and growth period between them to the health system policies and institutions in the three countries from the 1980s to 2013 is based on a categorisation of reactions to external shocks as path conforming or path breaking. The results of the empirical long-term trends show that the reactions to deep recessions have been mainly temporary adjustments and acceleration of changes already prepared before economic crisis. The economic crisis in the three countries has not been ‘good enough’ to enable paradigmatic changes in the Nordic public, decentralised and equity-oriented health systems. Changes such as the slow privatisation in care funding and production and the adoption of new management practices indicate an ongoing paradigmatic change related to longer-term societal, ideological and political developments rather than directly to economic crises or growth.

Place, publisher, year, edition, pages
2015. Vol. 10, no 1, 61-81 p.
National Category
Public Administration Studies
URN: urn:nbn:se:uu:diva-240488DOI: 10.1017/S1744133114000243ISI: 000350913800005PubMedID: 25662197OAI: oai:DiVA.org:uu-240488DiVA: diva2:776598
Available from: 2015-01-07 Created: 2015-01-07 Last updated: 2016-09-20Bibliographically approved

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