Contradiction between management models and welfare principles in the provision of health care services - a Swedish genealogy
Summary, in English
The research aim in this paper is to examine the construction of the health care system in a historical perspective. To this end, a genealogy was conducted of government reports (SOU), laws and dominating management models organizing health care in Sweden from the beginning of the 1990s to the present.
The genealogy reveals that the implementation of management models in accordance with the terms of a quasi-market, turns the sector into a competing network of different actors with different policies and agendas. This network consists of both private and public actors competing with each other for the same resources and patients. In conclusion, the paper argues that the Swedish health care sector functions as a stratifying institution that polarizes patients, not based on their need for care, but on their position in the competing network. In the end, the competition challenges the egalitarian principles of the Scandinavian welfare system.
- Institutionen för tjänstevetenskap
Myths and Realities of the Nordic Welfare State
2022-08-10 - 2022-08-12