International Journal for Quality in Health Care 5:33-40 (1993)
© 1993 International Society for Quality in Health Care
Quality Comparisons between Privately and Publicly Managed Health Care Centres in a Suburban Area of Stockholm, Sweden
Department of Community Medicine, Huddinge University Hospital S-141 86 Huddinge, Sweden
As in many other countries, the health care system in Sweden is currently undergoing rapid changes. Within a framework of public financing, the delivery of health care is to an increasing extent being transferred to various entrepreneurs; private, public or cooperatives. A privately run, but publicly financed, health care centre was evaluated with regard to quality and costs. Quality was defined in terms of the central guidelines for Swedish primary health care: first level responsibility, accessibility, a holistic view of the patient, and continuity of care and safety. The services offered by the private health care centre were evaluated by different methods—-questionnaires, health care utilization data and economic analyses—and found to be of similar quality but produced at a lower cost than by three publicly managed health care centres.
Keywords: Primary health care, quality of health care, health care systems, questionnaires, costs, health services research
Received for publication July 20, 1992. Accepted for publication October 22, 1992.