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Health services in Nordic welfare states: Introducing a new category of providers through the Norwegian free treatment choice reform
Aim: We contribute to the literature on private provision of health care in Nordic countries by studying developments following the 2015 Norwegian free treatment choice reform. The reform introduced new providers of publicly financed health care. These new private for-profit or not-for-profit provid...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9549221/ https://www.ncbi.nlm.nih.gov/pubmed/36284746 http://dx.doi.org/10.1177/14550725221108790 |
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author | Lindén, Tord Skogedal Ervik, Rune |
author_facet | Lindén, Tord Skogedal Ervik, Rune |
author_sort | Lindén, Tord Skogedal |
collection | PubMed |
description | Aim: We contribute to the literature on private provision of health care in Nordic countries by studying developments following the 2015 Norwegian free treatment choice reform. The reform introduced new providers of publicly financed health care. These new private for-profit or not-for-profit providers are licensed by Helfo (the Norwegian Health Economics Administration) to offer pre-defined services at pre-defined prices. They treat patients referred to specialist health care given that patients choose these providers. We focus on multidisciplinary specialist substance treatment and mental health care, areas constituting 78% of reform costs in 2019. Methods and data: We discuss three sets of questions with statistics, documents, and interview data: What developments and consequences of new providers did key actors expect? What developments of Helfo-licensed providers do we see and why? How have Helfo-licensed providers influenced collaboration between public and non-public providers and recruitment? Results: Contrary to expectations, we found that most Helfo-licensed providers have not previously collaborated with public providers through tender agreements. This complicates collaboration. So far, the establishment of new providers has not undermined public providers in terms of recruitment. Conclusion: Public providers with Helfo-licensed providers in their area still experience some pressure on recruitment and express concerns for future negative reform consequences. The introduction of new private providers may influence the level of market-orientation in the Norwegian welfare state. |
format | Online Article Text |
id | pubmed-9549221 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-95492212022-10-24 Health services in Nordic welfare states: Introducing a new category of providers through the Norwegian free treatment choice reform Lindén, Tord Skogedal Ervik, Rune Nordisk Alkohol Nark Research Reports Aim: We contribute to the literature on private provision of health care in Nordic countries by studying developments following the 2015 Norwegian free treatment choice reform. The reform introduced new providers of publicly financed health care. These new private for-profit or not-for-profit providers are licensed by Helfo (the Norwegian Health Economics Administration) to offer pre-defined services at pre-defined prices. They treat patients referred to specialist health care given that patients choose these providers. We focus on multidisciplinary specialist substance treatment and mental health care, areas constituting 78% of reform costs in 2019. Methods and data: We discuss three sets of questions with statistics, documents, and interview data: What developments and consequences of new providers did key actors expect? What developments of Helfo-licensed providers do we see and why? How have Helfo-licensed providers influenced collaboration between public and non-public providers and recruitment? Results: Contrary to expectations, we found that most Helfo-licensed providers have not previously collaborated with public providers through tender agreements. This complicates collaboration. So far, the establishment of new providers has not undermined public providers in terms of recruitment. Conclusion: Public providers with Helfo-licensed providers in their area still experience some pressure on recruitment and express concerns for future negative reform consequences. The introduction of new private providers may influence the level of market-orientation in the Norwegian welfare state. SAGE Publications 2022-07-11 2022-10 /pmc/articles/PMC9549221/ /pubmed/36284746 http://dx.doi.org/10.1177/14550725221108790 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Research Reports Lindén, Tord Skogedal Ervik, Rune Health services in Nordic welfare states: Introducing a new category of providers through the Norwegian free treatment choice reform |
title | Health services in Nordic welfare states: Introducing a new category
of providers through the Norwegian free treatment choice reform |
title_full | Health services in Nordic welfare states: Introducing a new category
of providers through the Norwegian free treatment choice reform |
title_fullStr | Health services in Nordic welfare states: Introducing a new category
of providers through the Norwegian free treatment choice reform |
title_full_unstemmed | Health services in Nordic welfare states: Introducing a new category
of providers through the Norwegian free treatment choice reform |
title_short | Health services in Nordic welfare states: Introducing a new category
of providers through the Norwegian free treatment choice reform |
title_sort | health services in nordic welfare states: introducing a new category
of providers through the norwegian free treatment choice reform |
topic | Research Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9549221/ https://www.ncbi.nlm.nih.gov/pubmed/36284746 http://dx.doi.org/10.1177/14550725221108790 |
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