Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
The status of ethics in Swedish health care management:: a qualitative study
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Centre for Research Ethics and Bioethics.
Stockholms universitet.
2018 (English)In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 18, no 608, p. 1-8Article in journal (Refereed) Published
Abstract [en]

Background

By tradition, the Swedish health care system is based on a representative and parliamentary form of government. Recently, new management forms, inspired by market principles, have developed. The steering system is both national and regional, in that self-governing county councils are responsible for the financing and provision of health care in different regions. National and local documents regulating Swedish health care mention several ethical values, such as equity in health for the whole population and respect for autonomy and human dignity. It is therefore of interest to investigate the status of such ethical statements in Swedish health care management.

Method

The aim of the present study was to investigate perceptions of the status of ethics in the daily work of politicians, chief civil servants and Chief Executive Officers (CEOs) from care-giver organizations in the county council of Stockholm. A qualitative method was used, based on inductive content analysis of individual interviews with 13 health care managers.

Results

The content analysis resulted in four categories: Low status of ethics; Cost-effectiveness over ethics; Separation of ethics from management; and Lack of opportunities for ethical competence building. The informants described how they prioritized economic concerns over ethics and separated ethics from their daily work. They also expressed that they experienced that this development had been enforced by the marketization of the health care system. Further, they described how they lacked opportunities for ethical discussions, which could have helped develop their ethical competence.

Conclusions

In order to improve the status of ethics in health care management, ethical considerations and analyses must be integrated in the regular work tasks of politicians, chief civil servants and CEOs; such as decision-making, budgeting and reform work. Further, opportunities for ethical dialogues on a regular basis should be organized, in order to improve ethical competence on the management level. New steering forms, less focused upon market principles, might also be needed, in order to improve the status of ethics in the health care management organization.

Place, publisher, year, edition, pages
2018. Vol. 18, no 608, p. 1-8
National Category
Ethics Health Care Service and Management, Health Policy and Services and Health Economy Medical Ethics
Research subject
Ethics
Identifiers
URN: urn:nbn:se:uu:diva-356790DOI: 10.1186/s12913-018-3436-8OAI: oai:DiVA.org:uu-356790DiVA, id: diva2:1237060
Available from: 2018-08-07 Created: 2018-08-07 Last updated: 2018-12-06Bibliographically approved

Open Access in DiVA

fulltext(596 kB)66 downloads
File information
File name FULLTEXT01.pdfFile size 596 kBChecksum SHA-512
9c2b88a67f7600db5064664a090102d4dc5d5b5251a6df070e76c8267a0bdc82c26f640a6de0b8b2e93d89ced1728f744da9e8f95a43903ce4e754feb7ffa901
Type fulltextMimetype application/pdf

Other links

Publisher's full text

Search in DiVA

By author/editor
Höglund, Anna T
By organisation
Centre for Research Ethics and Bioethics
In the same journal
BMC Health Services Research
EthicsHealth Care Service and Management, Health Policy and Services and Health EconomyMedical Ethics

Search outside of DiVA

GoogleGoogle Scholar
Total: 66 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 97 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf