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  • 1.
    Hultkrantz, Lars
    et al.
    Örebro universitet.
    Svensson, Mikael
    Karlstads universitet, Fakulteten för ekonomi, kommunikation och IT, Avdelningen för nationalekonomi och statistik.
    The value of a statistical life in Sweden: A review of the empirical literature2012Ingår i: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 108, nr 2, s. 302-310Artikel i tidskrift (Refereegranskat)
  • 2.
    Jakobsson, Niklas
    et al.
    Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), Handelshögskolan (from 2013).
    Svensson, Mikael
    Univ Gothenburg, Sahlgrenska Acad, Hlth Metr, S-40530 Gothenburg, Sweden..
    Copayments and physicians visits: A panel data study of Swedish regions 2003-20122016Ingår i: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 120, nr 9, s. 1095-1099Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: This paper analyzes how primary care physician visits are affected by the level of copayment in Sweden. Data source: We use data between the years 2003-2012 from 21 Swedish health care regions that have the mandate to set their own level of copayment. The copayment per visit varies between 10 and 20 for these years and regions. Study design: Our strategy to identify the causal effect and deal with unobserved endogeneity of price changes on physician visits is based on a panel data model using fixed effects to control for region and time and regional-variation in time trends. Principal finding: We cannot reject that the copayment has no statistical or economic effect of significance, and we estimate the "zero effect" with very high precision. Conclusion: In a setting with sub-national regions with autonomy to set copayments the results points to that the copayment is not an important predictor for the number of health care visits. The result is in line with some previous studies on European data where the range of copayments used tends to be relatively low. 

  • 3.
    Wakefield, Ann
    et al.
    Manchester University.
    Spilsbury, Karen
    York University.
    Atkin, Karl
    York University.
    McKenna, Hugh
    Ulster University.
    Borglin, Gunilla
    Manchester University.
    Stuttard, Lucy
    York University.
    Assistant or substitute: Exploring the fit between national policy vision and local practice realities of assistant practitioner job descriptions2009Ingår i: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 90, nr 2-3, s. 286-295Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objectives: To understand the extent to which the assistant practitioner role is described as 'assistive' in formal job descriptions and analyse whether the term 'assistive' has been stretched to encompass more 'substitutive' or 'autonomous' characteristics. Methods: Sixteen AP job descriptions representing all clinical divisions across one UK acute NHS Hospital Trust were both macro- and micro-analysed for broad similarities and differences in line with Hammersley and Atkinson's analytical framework. The analysis specifically focused on how clinical tasks were related to clinical responsibility, from this the job descriptors were then indexed as belonging to one of five discrete categories. Results: Our analysis revealed the following categories: fully assistive (n = 1), supportive/assistive (n = 7), supportive/substitutive (n = 4), substitutive/autonomous (n = 3) and fully autonomous (n = 1). From this, a number of anomalies manifest in the form of divergent organisational expectations regarding the AP role. Conclusions: This study highlights a series of tensions extant between policy vision and implementation of the AP role in practice. Introduction of new healthcare roles requires compromise and negotiation, to shape and define what social space incumbents of these and existing roles will occupy. However the way in which new roles are defined will determine how they become embraced and embedded within future healthcare services.

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