State governance versus dentists’ autonomy : the case of Swedish dental care

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State governance versus dentists’ autonomy : the case of Swedish dental care

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Publication Article, peer reviewed scientific
Title State governance versus dentists’ autonomy : the case of Swedish dental care
Author Franzén, Cecilia
Date 2018
English abstract
Objective: A trend towards the state governance of healthcare through quality indicators and national clinical guidelines has been observed, and it is argued that this trend can be a challenge to the autonomy of healthcare professionals. In Sweden, these regulatory tools have been implemented in combination with subsidies for adult dental care that are based on guideline recommendations which serve to ensure that dental care is evidence-based and cost-effective. This paper aims to analyse the implications of these changes regarding dentists’ autonomy and whether the government’s political intentions can be fulfilled. Material and methods: The paper is based on documents from government authorities and professional theories. Results: The financial control over Swedish dental care has been strengthened, and it can be argued that this is a step in the right direction from a societal point of view, as public resources are limited. Dentists’ professional autonomy with their patients is not affected, which is appropriate, as patients should be treated according to their individual needs and expectations. Conclusions: This article shows that the state’s governance does not directly detail dentists’ work, which indicates a balance between state governance and dentists’ autonomy. However, further research is required to get knowledge on Swedish dentists’ view of the governance.
DOI https://doi.org/10.1080/00016357.2017.1390151 (link to publisher's fulltext.)
Publisher Taylor & Francis
Host/Issue ACTA Odontologica Scandinavica;2
Volume 76
ISSN 0001-6357
Pages 125-129
Language eng (iso)
Subject Dentistry
governance
professional autonomy
regulatory tools
Humanities/Social Sciences
Research Subject Categories::INTERDISCIPLINARY RESEARCH AREAS
Handle http://hdl.handle.net/2043/23836 Permalink to this page
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