title: Implementation of Choice from Participants' Perspectives: A Study of Community Mental Healthcare Reform in Sweden.
abstract: The aim of this study was to explore participants' experiences and opinions about a free-choice system in relation to policy objectives articulated by the national government and local authorities. A case study was conducted. Thirty-five informants participated. Qualitative interviews were undertaken. Results are discussed on how to address different dimensions of choice, not only where, but also what, by whom, how much, and when. They also concern how to design systems that in some ways ensure predictability and continuity to avoid unwanted harm caused by the unpredictability embedded in competitive choice systems. Finally, different aspects of quality need to be addressed.
authors.affiliation: a Department of Social Work , Umeå University , Umeå , Sweden.
authors.forename: Maria
authors.initials: M
authors.lastname: Fjellfeldt
authors.affiliation: b Department of Health Sciences, Division of Occupational Therapy and Gerontology , Lund University , Lund , Sweden.
authors.forename: Mona
authors.initials: M
authors.lastname: Eklund
authors.affiliation: c Department of Clinical Science/Psychiatry , Umeå University , Umeå , Sweden.
authors.forename: Mikael
authors.initials: M
authors.lastname: Sandlund
authors.affiliation: a Department of Social Work , Umeå University , Umeå , Sweden.
authors.forename: Urban
authors.initials: U
authors.lastname: Markström
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002755:Choice Behavior; D003156:Community Mental Health Services / Q000458:organization & administration*; D003631:Day Care, Medical / Q000458:organization & administration / Q000523:psychology*; D005260:Female; D018166:Health Care Reform / Q000379:methods*; D006297:Health Services Accessibility; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D019982:Organizational Case Studies; D020403:Patient Freedom of Choice Laws; D011369:Professional-Patient Relations; D013548:Sweden; D055815:Young Adult
keywords: Choice; community mental health; community mental health reform; day center; free-choice system; implementation; participants’ perspectives; qualitative research