Swedish physicians' perspectives on work and the medical care system--III: Private practitioners on the public system

Andrew C. Twaddle

Social Science & Medicine, 1988, vol. 26, issue 7, 761-768

Abstract: This paper reports the results of focused interviews in 1978-1979 with Swedish physicians in private practice about the public system of medical care in Sweden. They were asked about the system as a work environment for physicians and as a system of care for patients. Respondents, who were outside the public system (although financed mainly by public mechanisms) said the public system as a place to work had advantages in its high technical quality, facilities for research and training, and the capacity to treat complicated disease; its disadvantages were said to be inefficiency, lack of communication, poor patient care, and blocked mobility for physicians without doctorates. As a system of care, its one advantage was said to be that it provided care at less out-of-pocket cost to patients; its reported disadvantages were poor quality care and a tendency to be overly comprehensive. These perspectives are discussed with respect to their structural and historical contexts.

Keywords: ambulatory; care; Sweden; physicians; health; care; systems; private; practice (search for similar items in EconPapers)
Date: 1988
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