Topic: Health and Wellness / Health & Wellness (General)

 
Health Care Reform in Sweden, 1980-1994
Andrew C. Twaddle
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Health Care Reform in Sweden, 1980-1994

Andrew C. Twaddle Andrew C. Twaddle

October 1999

Praeger

Cover
Pages
Volumes
Size
Hardcover
320
1
6 1/8x9 1/4
 
ISBN
978-0-86569-289-3
Print in Stock
$125.00

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Reveals attempted changes in Swedish medical care financing and organization away from a democratic and professional model toward a market model. Identifies the interests behind the reforms, the sources of resistance to the reforms, the outcome of the process.

After World War II, Sweden led the Western world in social programs. By the 1970s it was considered a model of the successful welfare state, providing a broader and more elaborate system of social programs and security to more people than any other country, the centerpiece of which was its health care system. As Twaddle explains, however, by 1990 there was a significant shift in Sweden's health policy debates.

Instead of speaking about the medical care system in terms of effectiveness, solidarity, and public planning, the discussions grew focused on competition, markets, and privatization, taking on more of the characteristics of the U.S. system. Twaddle explores the nature of the proposed changes in medical care, the context in which those changes were being proposed, and the steps that were taken to implement change. He concludes that the problem of market- oriented reforms in health care seems to be almost universal.
Preface
To Market, To Market...: The New Politics of Medical Care in Sweden
Factors Underlying Recent Changes in the Swedish Medical Care System: Theoretical Considerations
The Nature and Scope of This Study
The Medical Care Crisis: What It Is, If It Is
The Crisis in the Economy
The Political Crisis
Socioeconomic Trends, Ideology and Medical Care Reform
Afterword
Appendixes
Glossary
References
Index
Endorsements
Professor Twaddle shows in a profound way how social scientific theory and method can be fruitfully applied to the analysis and understanding of important social problems.—Thomas Brante^LProfessor of Sociology, University of Lund

It is fascinating that this intense period in the Swedish health care system has been so well described and analyzed in such a brilliant way by a professor from the United States not belonging to the culture in Scandinavia....I warmly recommend [this book] to all persons interested in the development of health care systems both in Sweden and other countries.—Lars Borgquist^LProfessor of Health Economics and General Medicine^L Tema H Link^Dopings Universitet

Those familiar with Twaddle's social analyses of medicine will find in his new work what we have come to expect from him--a clear-eyed grasp of the complexity of medical care that is informed by a masterful grasp of the relevant sociology. Twaddle effectively constitutes the Swedish experience as a window for viewing the current struggles between democratic values, professional assertiveness, and market forces as they interact within the modern welfare state.—Eugene B. Gallagher^LDepartment of Behavioral Science^LUniversity of Kentucky





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