Risks and Opportunities of Reforms Putting Primary Care in the Driver's Seat Comment on "Governance, Government, and the Search for New Provider Models".
Recognizing the advantages of primary care as a means of improving the entire health system, this text comments on reforms of publicly funded primary health centers, and the rapid development of private for-profit providers in Sweden. Many goals and expectations are connected to such reforms, which equally require critical analyses of scarce resources, professional trust/motivation and business logic in the wake of freedom and control of ownership and management. In line with Saltman and Duran, this article calls for research and a methodologically developed approach to capture everyday practice in-depth and how regulation, market incentives and patient demands are met by professionals and primary care leaders.
Department of Social Work, University of Gothenburg, Gothenburg, Sweden.
Monica
M
Andersson Bäck
D003695:Delivery of Health Care; D006076:Government; D033161:Government Regulation; D018166:Health Care Reform; D006291:Health Policy; D006801:Humans; D009042:Motivation; D010067:Ownership; D011320:Primary Health Care; D013548:Sweden
Health System Governance; Primary Care Reform; Swedish Primary Health Center
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