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Table 1 List of reviewed publications

From: Equity aspects of the Primary Health Care Choice Reform in Sweden – a scoping review

Publication Ref. no. Year Area(s) Data Focus Results
Scientific articles
Beckman, Anell [23] 2013 Region Skåne Population register data Process of care – PHC visits Visits increased more among high-income than low income earners
Agerholm et al [25] 2015 Stockholm County council Population register data, public health survey data Process of care – PHC visits Visits increased more among person with lesser needs; less among those with greater needs
Glenngård [32] 2013 Region Halland, Skåne, Västra Götaland Patient survey data Outcome – Patient satisfaction Satisfaction with primary care higher in areas with low level of social deprivation and in smaller practices
Maun et al [27] 2013 Gothenburg Interviews with 24 PHC managers Process of care – doctors’ views Prioritisation conflicts among doctors between patients with different needs and demands. Chronically ill patients were crowded out.
Hollman et al [28] 2014 Gothenburg Interviews with PHC district nurses Process of care – nurses’ views Reimbursement system emphasizes doctors and plays down nurses’ role. Negative for job satisfaction and work environment
Isaksson et al [17] 2016 Nationwide Area socioeconomic composition of population in relation to established clinics Structure – establishment of new practices New centres located in areas with fewer old adults living alone and fewer single parents. No significant effects of income, percentage immigrants, education, unemployment
“Grey literature”
Rehnberg et al [21] 2008 Stockholm County council Population register data Visits, productivity, resource allocation Increase in visits and in productivity overall. Resources decreased in areas with greater need
Glenngård [31] 2012 Region Halland, Region Skåne, Region Västra Götaland Patient survey data Outcome - Patient satisfaction Satisfaction with primary care higher in areas with low level of social deprivation and in smaller practices
Swedish Association of Local Authorities and Regions [19] 2012 Nationwide Survey among 360 PHC managers Doctors’ views on reform and reimbursement systems Dissatisfaction with reimbursement systems, leading to prioritization of patients with lesser needs
Johansson [30] 2012 Stockholm County Council Survey among PHC doctors and nurses Health promotion in PHC Negative impact on health promotion because of lack of reimbursement
Dahlgren et al [24] 2013 Stockholm County Council Population register data Visits, patient satisfaction, new practices Increase in visits for all but more among high income earners. Patient satisfaction generally not affected, but lower among patients with greater needs. New practices spread out.
Mohmand [29] 2014 Stockholm County Council Interviews with 6 PHC doctors Process of care – doctors’ views PHC reform makes patients to be customers
Reimbursement system prioritises those with lesser needs
National Audit Office [18] 2014 Nationwide, three county councils in-depth Population register data, interviews Structure – establishment of new practices More new practices in wealthy larger urban areas, interviews suggesting practitioners not establishing in areas with greater need
Myndigheten för vårdanalys [26] 2015 Stockholm County Council, Region Västra Götaland, Region Östergötland Population register data Process of care – PHC visits Increase in visits among all, stronger among high income earners. Higher increase among person with no diagnosis indicating higher health care need.
Government investigation “Efficient care” [10] 2016 Nationwide Meetings, interviews, documents Organization of health care, role of PHC PHC very important to the whole health care system, should be first line for all. PHC Choice Reform has made cooperation around patients with complex needs more difficult. Suggest legislation for separate organization of PHC for these patients.