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Reregulation of the Swedish pharmacy sector: A qualitative content analysis of the political rationale
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmacy.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmacy.
2015 (English)In: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 119, no 5, 648-653 p.Article in journal (Refereed) Published
Abstract [en]

In 2009, a reregulation of the Swedish pharmacy sector took place, and a fundamental change in ownership and structure followed. The reregulation provides an opportunity to reveal the politicians' views on pharmacies. The aim of thiS study was to explore and analyze the political arguments for the reregulation of the Swedish pharmacy sector in 2009. The method used was a qualitative content analysis of written political documents regarding the reregulation. The primary rationales for the reregulation were better availability, efficiency, price pressure, and safe usage of medicines. During the preparatory work, the rationales of diversity on the market and entrepreneurship were added, while the original rationales of efficiency, price pressure, and better usage of medicines were abandoned. The reform can be seen as a typical New Public Management reform influenced by the notion that private actors are better equipped to perform public activities. The results point to that the reform was done almost solely in order to introduce private ownership in the pharmacy sector, and was not initiated in order to solve any general problems, or to enhance patient outcomes of medicine use.

Place, publisher, year, edition, pages
2015. Vol. 119, no 5, 648-653 p.
Keyword [en]
Pharmacy policy, Regulation, Community pharmacy, Sweden
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:uu:diva-256851DOI: 10.1016/j.healthpol.2015.03.009ISI: 000355031900011PubMedID: 25841749OAI: oai:DiVA.org:uu-256851DiVA: diva2:827345
Available from: 2015-06-26 Created: 2015-06-26 Last updated: 2017-12-04Bibliographically approved

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Wisell, KristinWinblad, Ulrika

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