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COVID-19 Testing in Sweden During 2020-Split Responsibilities and Multi-Level Challenges.

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Area of Science:

  • Public Health
  • Health Policy
  • Crisis Management

Background:

  • Sweden's early COVID-19 response utilized "soft measures."
  • COVID-19 testing capacity and its development were highly debated within Sweden.
  • The nation's decentralized healthcare system complicated coordination.

Purpose of the Study:

  • To detail the development and debate surrounding COVID-19 testing in Sweden during 2020.
  • To analyze the coordination between national and regional healthcare actors.
  • To examine the impact of Sweden's public administration model on testing efforts.

Main Methods:

  • Qualitative case study approach.
  • Chronological presentation of events.
  • Analysis of qualitative documents.

Main Results:

  • Mass testing emerged as a novel coordination challenge for multiple actors with differing role interpretations.
  • Ambiguities in testing purpose and communication gaps existed in early 2020.
  • Limited initial testing capacity prioritized vulnerable populations.

Conclusions:

  • Sweden's multi-level governance in healthcare faced challenges during the crisis.
  • The "responsibility principle" in crisis management proved crucial but complex.
  • Discrepancies between individual healthcare and public health perspectives were evident.