Academic Journal
Einkarekstur eða ríkisrekstur í heilsugæslu: Samanburður á kostnaði og ánægju með þjónustu
| Title: | Einkarekstur eða ríkisrekstur í heilsugæslu: Samanburður á kostnaði og ánægju með þjónustu |
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| Authors: | Sigurðsson, Héðinn, Gestsdottir, Sunna, Halldorsdottir, Sigridur, Guðmundsson, Kristján G. |
| Contributors: | Menntavísindasvið (HÍ), School of Education (UI), Heilbrigðisvísindasvið (HA), School of Health Sciences (UA), Háskóli Íslands, University of Iceland, Háskólinn á Akureyri, University of Akureyri |
| Source: | Icelandic Review of Politics & Administration. 14:69-84 |
| Publisher Information: | Institute of Public Administration and Politics - Icelandic Review of Politics and Administration, 2025. |
| Publication Year: | 2025 |
| Subject Terms: | Heilsugæsla, Public enterprise, 1. No poverty, Opinber rekstur, Einkarekstur, Primary care, Heilbrigðisþjónusta, Private enterprise, Health care professionals, 3. Good health, 03 medical and health sciences, 0302 clinical medicine, Health service research, 8. Economic growth, 0305 other medical science |
| Description: | The organization of health care is one of the most complex present day challenges. Like other countries that run socialized health care systems, Icelanders face the question of the role of private enterprise in health care. The objective of this study was two-fold: to compare the cost of 17 private and state-run health care centers in the metropolitan area, and to compare consumer satisfaction related to these. At the beginning of Icelandic settlement, there were statutory laws decreeing that community services should be provided for those in need. By the Health Care Act in 1973, the Icelandic health care system fell under the Nordic welfare society with equal access and a tight safety net. The results show that the private health care centers had a low cost per work unit, but not the lowest. Four to seven state run health care centers had less expenditure per patient than the private centers. The cost of each doctor’s position was highest in one of the private clinics. Patient satisfaction surveys showed that there is no difference in the quality of services between these two different operating modes. A conclusion can be drawn from this study that it is not clear whether private health care improves the use of public funds or increases the quality of services. |
| Document Type: | Article |
| ISSN: | 1670-679X 1670-6803 |
| DOI: | 10.13177/irpa.a.2018.14.2.4 |
| Access URL: | http://www.irpa.is/article/download/a.2018.14.2.4/pdf http://www.irpa.is/article/download/a.2018.14.2.4/pdf https://opinvisindi.is/handle/20.500.11815/790 http://www.irpa.is/article/view/a.2018.14.2.4 https://doaj.org/article/ffaedcd2af0a4b38a21686947ac84c57 https://paperity.org/p/238600331/public-or-private-primary-health-care-a-comparison-of-efficiency-and-patient-satisfaction https://hdl.handle.net/20.500.11815/790 |
| Rights: | CC BY |
| Accession Number: | edsair.doi.dedup.....3d60a7d92b856364b61efe821ae5ffb2 |
| Database: | OpenAIRE |
| ISSN: | 1670679X 16706803 |
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| DOI: | 10.13177/irpa.a.2018.14.2.4 |