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Origins of authority: the organization of medical care in Sweden.

https://arctichealth.org/en/permalink/ahliterature231682
Source
Int J Health Serv. 1989;19(1):121-33
Publication Type
Article
Date
1989
Author
R A Gustafsson
Author Affiliation
University of Stockholm, Psychology Department, Sweden.
Source
Int J Health Serv. 1989;19(1):121-33
Date
1989
Language
English
Publication Type
Article
Keywords
Acute Disease
Delivery of Health Care - history
Health services needs and demand
Hierarchy, Social
History, 16th Century
History, 17th Century
History, 18th Century
History, 19th Century
History, Medieval
Hospital Administration - history
Humans
Models, Theoretical
Physician's Role
Power (Psychology)
Sweden
Work
Abstract
Earlier research by Gardell and Gustafsson indicates a general discrepancy between perceived needs and organizational structure in Swedish somatic hospitals; the work organization directs the work process as if cure and medical treatment were the only appropriate goals in almost all kinds of health care settings. The standard organizational model for general hospitals, here named "the acute care model"--which is a merger of medical and administrative hierarchies--forces great segments of the staff into a work content that is neither appropriate for patients' needs nor satisfying for the personnel. The present study is a historical-sociological discourse in which the structural antecedents of the acute care model are traced. It gives an exposé of the main stages in the formation of the Swedish health care system from the middle ages to the present. In 1864 a regulation of the hospital boards was issued. This meant the definite consolidation of the acute care model and was in line with earlier developments, which were characterized by an incremental interorganizational activity demarcation that divided the core of institutional care into three branches: somatic hospitals, mental hospitals, and homes for the elderly. The driving forces in the formation of the total health care system are shown to be closely related to premedical and extramedical factors, such as military needs, mercantilism, and the emergence of the middle class.
PubMed ID
2647647 View in PubMed
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Why is Sweden rethinking its NHS style reforms?

https://arctichealth.org/en/permalink/ahliterature207347
Source
BMJ. 1997 Oct 11;315(7113):935-9
Publication Type
Article
Date
Oct-11-1997
Author
M. Whitehead
R A Gustafsson
F. Diderichsen
Author Affiliation
Department of Public Health Sciences, Karolinska Institute, Sundhyberg, Sweden. margaret@ashmagna.demon.co.uk
Source
BMJ. 1997 Oct 11;315(7113):935-9
Date
Oct-11-1997
Language
English
Publication Type
Article
Keywords
Economic Competition - trends
Health Care Costs
Health Care Reform - trends
Health Care Sector
Health Expenditures
Health Policy
Health Services Research
Humans
Reimbursement Mechanisms
State Medicine - economics - organization & administration
Sweden
PubMed ID
9361546 View in PubMed
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