liu.seSearch for publications in DiVA
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Formal priority setting in health care: the Swedish experience
Linköping University, Department of Medical and Health Sciences, Division of Health Care Analysis. Linköping University, Faculty of Medicine and Health Sciences. (Prioriteringscentrum)ORCID iD: 0000-0002-3300-5516
Linköping University, Department of Medical and Health Sciences, Division of Health Care Analysis. Linköping University, Faculty of Medicine and Health Sciences. (Prioriteringscentrum)ORCID iD: 0000-0002-9212-7476
2016 (English)In: Journal of Health Organisation & Management, ISSN 1477-7266, E-ISSN 1758-7247, Vol. 30, no 6, 891-907 p.Article in journal (Refereed) Published
Abstract [en]

Purpose - From the late 1980s and onwards health care in Sweden has come under increasing financial pressure, forcing policy makers to consider restrictions. The purpose of this paper is to review experiences and to establish lessons of formal priority setting in four Swedish regional health authorities during the period 2003-2012.

Design/methodology/approach - This paper draws on a variety of sources, and evidence is organised according to three broad aspects: design and implementation of models and processes, application of evidence and decision analysis tools and decision making and implementation of decisions.

Findings - The processes accounted for here have resulted in useful experiences concerning technical arrangements as well as political and public strategies. All four sites used a particular model for priority setting that combined top-down- and bottom-up-driven elements. Although the process was authorised from the top it was clearly bottom-up driven and the template followed a professional rationale. New meeting grounds were introduced between politicians and clinical leaders. Overall a limited group of stakeholders were involved. By defusing political conflicts the likelihood that clinical leaders would regard this undertaking as important increased.

Originality/value - One tendency today is to unburden regional authorities of the hard decisions by introducing arrangements at national level. This study suggests that regional health authorities, in spite of being politically governed organisations, have the potential to execute a formal priority-setting process. Still, to make priority-setting processes more robust to internal as well as external threat remains a challenge.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2016. Vol. 30, no 6, 891-907 p.
Keyword [en]
Disinvestment, Implementation, Political strategy, Priority setting, Resource allocation, Sweden
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:liu:diva-131789DOI: 10.1108/JHOM-09-2014-0150PubMedID: 27681023OAI: oai:DiVA.org:liu-131789DiVA: diva2:1033338
Available from: 2016-10-06 Created: 2016-10-06 Last updated: 2017-11-30Bibliographically approved

Open Access in DiVA

fulltext(222 kB)55 downloads
File information
File name FULLTEXT01.pdfFile size 222 kBChecksum SHA-512
ab0d11741cc90e3a1855621bcc3ba10720a11ab0e306deecd97bc072c56363650fc7570746095886f5bacb15f2a061d9fcb58b3c4b6b41642b424d62fb04d326
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Garpenby, PeterBäckman, Karin
By organisation
Division of Health Care AnalysisFaculty of Medicine and Health Sciences
In the same journal
Journal of Health Organisation & Management
Health Care Service and Management, Health Policy and Services and Health Economy

Search outside of DiVA

GoogleGoogle Scholar
Total: 55 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 247 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf