Cost containment, solidarity and cautious experimentation: Swedish dilemmas
2001 (English)In: Social Science and Medicine, ISSN 0277-9536, E-ISSN 1873-5347, Vol. 52, no 8, 1195-1204 p.Article in journal (Refereed) Published
This paper uses secondary data analysis and a literature review to explore a "Swedish Dilemma": Can Sweden continue to provide a high level of comprehensive health services for all regardless of ability to pay - a policy emphasizing "solidarity" - or must it decide to impose increasing constraints on health services spending and service delivery - a policy emphasizing "cost containment?" It examines recent: policies and longer term trends including: changes in health personnel and facilities, integration of health and social services for older persons; introduction of competition among providers; cost sharing for patients; dismantling of dental insurance; decentralization of government responsibility; priority settings for treatment; and encouragement of the private sector. It is apparent that the Swedes have had considerable success in attaining cost containment - not primarily through "market mechanisms" but through government budget controls and service reduction. Further, it appears that equal access to care, or solidarity, may be adversely affected by some of the system changes.
Place, publisher, year, edition, pages
2001. Vol. 52, no 8, 1195-1204 p.
Cost containment, solidarity, access, market reforms, system change, health policy, Sweden
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:uu:diva-53589DOI: 10.1016/S0277-9536(00)00239-2ISI: 000167613200004PubMedID: 11281403OAI: oai:DiVA.org:uu-53589DiVA: diva2:81499