[Dissertations--time for reforms?].
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Biomedical subjects
Publications and source records attributed to J Calltorp.
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This overview article gives a description of the present Swedish health care system and health policy. The emphasis is on how the "Swedish model" has been developed trying to reduce inequality regarding health and access to health services. An estimation is made of how far towards these goals the system has moved. Swedish health policy has favoured a strong public control and the responsibility for planning and delivery of services is decentralized to county councils. The Swedish health care system now faces increased tension since the system has moved from a phase of expansion to a situation where reallocation and shift of resources are in focus. The challenges are to maintain the achievements regarding equity and at the same time find ways to stimulate effectiveness and increased quality of services.
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Seven consensus development conferences have been held in Sweden since 1982. The conferences, sponsored by the Swedish Medical Research Council and Spri, typically examine social, organizational, and economic aspects of technology, and therefore, generate consensus statements of interest not only to physicians but also to politicians and health administrators. The study presented here examines the influence of the first five consensus development conferences on politicians and health administrators. Data was obtained via a mail questionnaire and personal interviews with leading individuals in these groups. More than half of the respondents indicated that they had found the statements from one or more conferences to be of practical value as a basis for discussing specific technologies with medical staffs. In some cases the statements directly influenced political decisions.
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