Article ID Journal Published Year Pages File Type
4197833 Health Policy 2013 4 Pages PDF
Abstract

Choice and competition reforms in healthcare often involve the idea of empowering patients through the mechanism of ‘exit’. Using Swedish healthcare as an example, this article illustrates that this kind of efforts to empower patients may not only affect patients’ chances of influencing healthcare but also those of citizens, who may lose ‘voice’ as a result. Thus, it is an example of the conflict between representative democracy and the customers’ control over welfare services; a conflict that may be overcome by providing new forms of collective decision-making. This was not the case when introducing a patient choice reform in Swedish primary care in 2010.

Related Topics
Health Sciences Medicine and Dentistry Public Health and Health Policy
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