New ways of financing and organizing health care in Sweden.
European Healthcare Management Association's Annual Conference. Varsovie, 1993.
This issue of the journal presents a selection of the papers from the European Healthcare Management Association's Annual Conference in Warsaw (1993), organized on the theme of « Managing Healthcare Markets ». (éditorial).
The health care system in Sweden has been undergoing radical change since 1991.
The mainly public financed (90%) system with 26 autonomous counties spent 8,5% of its gross domestic product on health care in 1991.
The main features of the « paradigm shift » are :
separation of production and financing ;
resource allocation to health districts in relation to the needs of the population ;
and introduction of public competition between health districts (purchaser) and hospitals (providers).
The health district boards are responsible for the health care of the population in their district hospitals financed by their activities (e.g. through DRGs and quality aspects monitored by central authorities.
A parliamentary committee is investigating how Sweden's health care system can be organized and financed in the future.
Three models are analyzed : a reformed county council court model, a primary care-managed model, and a compulsory insurance model.
Each model must be consistent with equity and public financing...
Mots-clés Pascal : Système santé, Financement, Suède, Réforme
Mots-clés Pascal anglais : Health system, Financing, Sweden, Reform
Notice produite par :
ENSP - Ecole nationale de la santé publique (devenue EHESP)
Cote : 94/01-03 V
Code Inist : 002B30A01B. Création : 09/06/1995.