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The "Swedish model" under pressure--how to maintain equity and develop quality?

J Calltorp1

  • 1Department of Social Medicine, University of Uppsala, Akademiska sjukhuset, Sweden.

Quality Assurance in Health Care : the Official Journal of the International Society for Quality Assurance in Health Care
|January 1, 1989
PubMed
Summary

Sweden's healthcare system, emphasizing equity and public control, faces challenges in reallocating resources. The focus is on maintaining achievements in health equity while improving effectiveness and quality.

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Area of Science:

  • Public Health
  • Health Policy Analysis
  • Healthcare Management

Background:

  • The Swedish healthcare system, historically guided by the "Swedish model," prioritizes reducing health and service access inequalities.
  • Public control and decentralized service delivery to county councils characterize the system's structure.

Purpose of the Study:

  • To describe the current Swedish healthcare system and health policy.
  • To evaluate progress towards reducing health inequalities and improving access to care.
  • To identify current challenges and future directions for the Swedish healthcare system.

Main Methods:

  • This article provides an overview and descriptive analysis of the Swedish healthcare system.
  • It examines the evolution of the "Swedish model" in relation to health equity goals.

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  • An estimation of the system's progress towards stated health policy objectives is presented.

    • Main Results:

    • The Swedish healthcare system has made progress in reducing inequalities, driven by a strong public control model.
    • Decentralization to county councils has been a key feature of service planning and delivery.
    • The system is transitioning from expansion to a phase requiring resource reallocation, impacting its ability to maintain equity.

    Conclusions:

    • Maintaining health equity achievements in the Swedish healthcare system is challenged by the current focus on resource reallocation.
    • Future efforts must balance the preservation of equity with the stimulation of service effectiveness and quality.
    • The Swedish model's success in promoting equitable access to healthcare services is under scrutiny amidst evolving system demands.