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Professional Health Regulation in the Public InterestInternational Perspectives$
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John Martyn Chamberlain, Mike Dent, and Mike Saks

Print publication date: 2018

Print ISBN-13: 9781447332268

Published to Policy Press Scholarship Online: January 2019

DOI: 10.1332/policypress/9781447332268.001.0001

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The regulation of health care in Scandinavia: professionals, the public interest and trust

The regulation of health care in Scandinavia: professionals, the public interest and trust

Chapter:
(p.61) Four The regulation of health care in Scandinavia: professionals, the public interest and trust
Source:
Professional Health Regulation in the Public Interest
Author(s):

Karsten Vrangbæk

Publisher:
Policy Press
DOI:10.1332/policypress/9781447332268.003.0004

Scandinavian health systems have traditionally been portrayed as relatively similar examples of decentralised, public integrated health systems. However, recent decades have seen significant public policy developments in the region that should lead us to modify our understanding. Several dimensions are important for understanding such developments. First, several of the countries have undergone structural reforms creating larger governance units and strengthening the state level capacity to regulate professionals and steer developments at the regional and municipal levels. Secondly, the three Nordic countries studied experienced an increase in the purchase of voluntary health insurance and the use of private providers. This introduces several issues for the equality of users and the efficiency of the system. This paper will investigate such trends and address the question: Is the Nordic health system model changing, and what are the consequences for trust, professional regulation and the public interest?

Keywords:   Scandinavia, health systems, professional regulation, public involvement, trust

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