Patients' perceptions of quality in Swedish primary care – a study of differences between private and public ownership

• Published in: Journal of health organization and management Vol. 35; no. 9; pp. 85 - 100
• Main Authors: Andersson, Thomas, Eriksson, Nomie, Müllern, Tomas
• Format: Journal Article
• Language: English
• Published: England Emerald Publishing Limited 22.03.2021; Emerald Group Publishing Limited
• Subjects: Differentiation; Followership and Organizational Resilience; Health care; Health care industry; Health care management; Health care policy; Humans; Medarbetarskap och organisatorisk resiliens (FORE); Nonprofit organizations; Nursing homes; Owners; Ownership; Patient Satisfaction; Patients; Perceived quality; Perception; Perceptions; Polls & surveys; Primary care; Primary Health Care; Private sector; Privatization; Public ownership; Quality of Health Care; Research Paper; Sweden; Sweden; Primary care; Ownership; Perceived quality
• ISSN: 1477-7266; 1758-7247; 1758-7247
• DOI: 10.1108/JHOM-09-2020-0357

PurposeThe purpose of the paper is to describe and analyze differences in patients' quality perceptions of private and public primary care centers in Sweden.Design/methodology/approachThe article explores the differences in quality perceptions between patients of public and private primary care centers based on data from a large patient survey in Sweden. The survey covers seven dimensions, and in this paper the measure Overall impression was used for the comparison. With more than 80,000 valid responses, the survey covers all primary care centers in Sweden which allowed for a detailed analysis of differences in quality perceptions among patients from the different categories of owners.FindingsThe article contributes with a detailed description of different types of private owners: not-for-profit and for profit, as well as corporate groups and independent care centers. The results show a higher quality perception for independent centers compared to both public and corporate groups.Research limitations/implicationsThe small number of not-for-profit centers (21 out of 1,117 centers) does not allow for clear conclusions for this group. The results, however, indicate an even higher patient quality perception for not-for-profit centers. The study focus on describing differences in quality perceptions between the owner categories. Future research can contribute with explanations to why independent care centers receive higher patient satisfaction.Social implicationsThe results from the study have policy implications both in a Swedish as well as international perspective. The differentiation between different types of private owners made in this paper opens up for interesting discussions on privatization of healthcare and how it affects patient satisfaction.Originality/valueThe main contribution of the paper is the detailed comparison of different categories of private owners and the public owners.