The study of dynamic of Continuity and Chagne in Swedish healthcare by Privatization -A Historical Institutional Perspective- (민영화 개혁과 스웨덴 의료체제의 지속성과 역동성 -역사적 제도주의 관점을 중심으로-)

Hong Sae Young (홍세영); Kim Cherljoo (김철주); OH, SOO KYOUNG (오수경)

The study of dynamic of Continuity and Chagne in Swedish healthcare by Privatization -A Historical Institutional Perspective-

Journal of the Scandinavian Society of Korea
Abbr : JSSK
2018, (21), pp.71-118
Publisher : The Scandinavian Society of Korea
Research Area : Social Science > Area Studies > North Europe(Scandinavian)
Received : May 31, 2018
Accepted : June 25, 2018

Hong Sae Young ¹, Kim Cherljoo ², OH, SOO KYOUNG ²

¹성균관대학교
²서울디지털대학교

Accredited

ABSTRACT

This study analysis privatization of the health service system in Sweden by perspective of historical Institutionalism. In recent, despite of privatization, Sweden continues to keep the Beveridge type of health care system which bases on tax and universalism. In other word, Swedish health care has sustainable and change at the same time. In historical Institutionalism, this is explained by both path dependency and gradual path evolution. In term of path dependency, Sweden built a monopoly integrated mode which has strong nationalization embedded deeply in ideology of social democratic welfare system, This has affected the choice of policy. Although health care reform have performed during 30 years, the strategy of privatization could not change the fundamental system. Just it is alternative of government failure characterized on inefficiency, long waiting time and hieratical administration and so on. In the result, Swedish health care reform is partial privatization not perfect. In term of gradual path evolution, the health care system have been change slowly within boundary of social democratic system. in mid 1980s~ 1990s, Sweden introduced the purchaser·provider split mode1 which aims to increase efficiency and fiscal austerity by privatization. In 2000s, the purchaser·provider split mode1 change to the free choice model which focuses on competition, patient choice and local government autonomy.

KEYWORDS

historical Institutionalism, path dependency, gradual path evolution, privatization, health care reform

Citation status

* References for papers published after 2023 are currently being built.

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