Economic Ordering for Multiple Values
Edited by Susi Geiger, Debbie Harrison, Hans Kjellberg and Alexandre Mallard
Chapter 3: Marketization by the (rule)book: concern for market and public values in primary care
Health care provides a fruitful setting for learning about concerns over values. Provision of health care is often thought of as a cornerstone in welfare societies. It is truly a matter of concern, as it regularly resides at the center of political rhetoric, public debate and reform agendas. There are many actors who want to have a say in what constitutes proper conduct in health care, what is financially viable and which health caring activities are worth pursuing before others. Practical considerations of the economics of health care, managerial challenges, along with questions of quality in treatment are never far away. Health care is thus thoroughly saturated with values of very different kinds. Values also matter a great deal in how health care is organized in practice. This chapter builds on a case study of the making of a primary care market in a Swedish county council. More precisely, I have studied how public officials at a Swedish county council HQ design a ‘market device’ (Callon et al., 2007) for the primary care market: a rulebook for authorization of care centers. This rulebook is revised and issued by the county council each year. It consists of nearly 50 pages of guidelines, prices, justifications and more, stipulating the rules for market conduct in the primary care market. It is supposed to regulate the market by codifying the criteria for being granted permission to open a care center in the county.
You are not authenticated to view the full text of this chapter or article.
Elgaronline requires a subscription or purchase to access the full text of books or journals. Please login through your library system or with your personal username and password on the homepage.
Non-subscribers can freely search the site, view abstracts/ extracts and download selected front matter and introductory chapters for personal use.
Your library may not have purchased all subject areas. If you are authenticated and think you should have access to this title, please contact your librarian.