Implementing public competition in Swedish county councils: a case study.

Abstract

Earlier presentations of the theoretical framework for public competition (Saltman and von Otter, 1987) and of the comparative advantage of public competition as against a mixed market model (Saltman and von Otter, 1989a) suggest the importance of concrete arrangements to introduce a public competition approach at the operating level. This paper explores the administrative infra-structure required to implement public competition within the Swedish county-council-based health care system.