Vårdcentralen privatisering
By this project, we aim at describing, analysing and discussing the normative aspects of the expansion of voluntary, private health insurance and private for-profit hospitals in a systematic way. The project is built upon seven work packages; three covering the analyses of VPHI, three covering the analyses of private for-profit hospitals and one covering the normative aspects of the observed trends:.
For each of the WPs we present topics, research questions and choice of methods in detail. Data will primarily, be collected in Norway, Denmark and Finland. The growth of voluntary private health insurance and private for-profit hospitals raises a number of important questions about the welfare states.
Vart är vården på väg?
The European welfare states are facing considerable economic challenges. An increased pressure on public financing has strengthened the need to find political responses without jeopardizing the core principles of the welfare state. A turn to private financing of welfare services represents a shift to a more individualistic way of financing welfare and a more direct link between payments and benefits.
A more fundamental shift in funding and organizing of health-care services might be under way, but up until now, there has been limited systematic comparative knowledge about the topic. The research finding will be of relevance for governmental agencies in Norway, Denmark and Finland, primarily the Ministries of health, national and regional health authorities, health enterprises and hospitals.
Kommunens utmaningar-privatiseringar Flashcards - Quizlet
There will written academic reports in the working paper series at Institute of Health and Society University of Oslo and in academic journals national and international. The University of Oslo have four study programs where information from the project will be disseminated — all these programs recruit and produce future decision makers for health-care sector.
Further, results will be communicated at relevant conferences. Objectives To compare the socioeconomic status SES and case-mix among day surgical patients treated at private for-profit hospitals PFPs and non-profit hospitals NPs in Norway, and to explore whether the use of PFPs in a universal health system has compromised the principle of equal access regardless of SES.
Setting The Norwegian healthcare system.
Statligt ägande – Wikipedia
Population All publicly-financed patients in five Norwegian metropolitan areas having day surgery for meniscus 34 patients , carpal tunnel syndrome 15 , benign breast hypertrophy 6 , or hallux valgus 2 from — Results Across four unique procedures, the adjusted odds ratios aORs for using PFPs were generally lower for the lowest educational level 0.
Likewise, comorbidity and previous hospitalisation had lower aORs 0. No clear patterns emerged with respect to age, gender, or higher levels of income and education. Conclusions The evidence from our study of four procedures suggests that equal access to PFPs compared to NPs for those patients at the lowest education and income levels may be compromised, though further investigations are needed to generalise these findings across more procedures and probe causal mechanisms and appropriate policy remedies.
The finding that comorbidity and previous hospitalisation had lower odds of treatment at PFPs indicates that NPs play an essential role for more complex patients, but raises questions about patient preference and cream skimming.
Sjuksköterskor överrumplade när vården ska privatiseras
Setting prices for elective patient treatments in private for-profit PFP hospitals in traditional tax-funded health systems is challenging since both the organisation of these hospitals and the tasks they perform differ considerably from what we find in public hospitals. From the year , Norway became one of a few countries to gradually implement a procurement system based on competitive tendering when outsourcing elective surgery.
In this study we analyse the effect of introducing competitive tendering on the prices paid to PFP hospitals. Pricing data were collected from the formal contracts awarded to PFP hospitals and defined in terms of both absolute and relative prices. We found that PFP hospitals performed day surgeries at markedly lower prices than public hospitals and that competitive tendering triggered the price reduction.
Objectives To compare the quality of care—using unplanned acute hospital readmissions as a quality measure—among patients treated at private for-profit hospitals PFPs , private non-profit hospitals PNPs and public hospitals PUBs in Norway. Design A retrospective comparative study using the Norwegian Patient Register. Readmissions were evaluated by logistic regressions both using adjustment for various patient-level and other covariates, and a two-stage model using distance as an instrumental variable.
Primary outcome measure day unplanned acute hospital readmission rate. However, using the instrumental variable method, the only significant difference found was a lower odds of readmission at PNPs among hip patients when compared with PUBs. Conclusions Quality differences between hospital types were small; however, PNPs had significantly lower readmission rates compared with PUBs among patients having total hip arthroplasty.
PUBs received the larger part of the readmitted patients across hospital types and thus play an essential role in the care of more complex patients and for readmissions, regardless of any quality differences. I underkant av personer har private helseforsikringer i Norge, de fleste gjennom arbeidsgiverfinansierte kollektive ordninger. Forsikringene skal primært gi raskere tilgang til spesialisthelsetjenester.