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Patients' perceptions of quality in Swedish primary care - a study of differences between private and public ownership
University of Skövde, School of Business. University of Skövde, Enterprises for the Future Research Environment. (Medarbetarskap och Organisatorisk resiliens (FORE), Followership and Organizational Resilience)ORCID iD: 0000-0002-1989-2745
University of Skövde, School of Business. University of Skövde, Enterprises for the Future Research Environment. (Medarbetarskap och Organisatorisk resiliens (FORE), Followership and Organizational Resilience)ORCID iD: 0000-0001-5718-0100
Jönköping University, IHH, Redovisning, Marknadsföring, SCM, Informatik och Rättsvetenskap.ORCID iD: 0000-0002-0514-6194
2021 (English)In: Journal of Health Organization & Management, ISSN 1477-7266, E-ISSN 1758-7247, Vol. 35, no 9, p. 85-100Article in journal (Refereed) Published
Abstract [en]

PURPOSE: The purpose of the paper is to describe and analyze differences in patients' quality perceptions of private and public primary care centers in Sweden.

DESIGN/METHODOLOGY/APPROACH: The article explores the differences in quality perceptions between patients of public and private primary care centers based on data from a large patient survey in Sweden. The survey covers seven dimensions, and in this paper the measure Overall impression was used for the comparison. With more than 80,000 valid responses, the survey covers all primary care centers in Sweden which allowed for a detailed analysis of differences in quality perceptions among patients from the different categories of owners.

FINDINGS: The article contributes with a detailed description of different types of private owners: not-for-profit and for profit, as well as corporate groups and independent care centers. The results show a higher quality perception for independent centers compared to both public and corporate groups.

RESEARCH LIMITATIONS/IMPLICATIONS: The small number of not-for-profit centers (21 out of 1,117 centers) does not allow for clear conclusions for this group. The results, however, indicate an even higher patient quality perception for not-for-profit centers. The study focus on describing differences in quality perceptions between the owner categories. Future research can contribute with explanations to why independent care centers receive higher patient satisfaction.

SOCIAL IMPLICATIONS: The results from the study have policy implications both in a Swedish as well as international perspective. The differentiation between different types of private owners made in this paper opens up for interesting discussions on privatization of healthcare and how it affects patient satisfaction.

ORIGINALITY/VALUE: The main contribution of the paper is the detailed comparison of different categories of private owners and the public owners.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2021. Vol. 35, no 9, p. 85-100
Keywords [en]
Ownership, Perceived quality, Primary care
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Business Administration
Research subject
Followership and Organizational Resilience
Identifiers
URN: urn:nbn:se:his:diva-19592DOI: 10.1108/JHOM-09-2020-0357ISI: 000636468800001PubMedID: 33792215Scopus ID: 2-s2.0-85103614578OAI: oai:DiVA.org:his-19592DiVA, id: diva2:1542056
Note

CC BY 4.0

Corresponding author Tomas Müllern can be contacted at: tomas.mullern@ju.se

Available from: 2021-04-06 Created: 2021-04-06 Last updated: 2022-10-25Bibliographically approved

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Andersson, ThomasEriksson, NomieMüllern, Tomas

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