Development of a Swedish community mental health service market

Figures & data

Table 1. Summary of the material used.

	All providers	Providers entering	Providers exiting
Sample	33	9	3
Dropouts	0	1	1
Material	33 homepages	8 interviews	2 interviews

Table 2. Quasi-market development in terms of the number of providers each year.

Year	2010	2011	2012	2013	2014	2015
Public providers	23	23	23	22	22	21
Non-public providers		3	6	6	8	7
In total	23	26	29	28	30	28

Table 3. A summary of characteristics of the service providers according to their homepage presentations (the total number of providers is in parentheses).

Home page	Building- based	Work-place- based	Building and work-place-based	‘In-house’ related terms	‘Employment’ related terms
2012	25 (26)	1 (26)	0	23 (26)	1 (26)
2015	21 (28)	1 (28)	6 (28)	24 (28)	12 (28)

Table 4. Policy goals related to the experiences of the informants.

Policy goals SOU [Government Official Reports] 2008,15	Market development according to the informants
1. Increased choice	Participants were no longer strictly referred to the district’s own services as before.
2. Increased power	Decisions at the expense of participants: 1) experiences that former participants were no longer assessed as being in need of the service despite severe mental health problems (Provider 1) 2) young people tended not to get favourable decisions (Provider 2) Hierarchical structures decreased professionals’ and participants’ power (Providers 2 and 9)
3. Increased variety of services due to competition	Providers complemented rather than competed with each other (Provider 6) User-led organisations opted not to enter (Provider 3)
4. Increased quality of services	[Not covered by the data material]
5. Increased efficiency	Providers experienced a strained economic situation and took financial losses instead of making a profit (Providers 1–9)

SOU [Government Official Reports]. 2008. “LOV att välja - Lag Om Valfrihetssystem [Permission to Choose - Act on Free Choice Systems].” In Statens offentliga utredningar, Frittvalsutredningen, 15. Stockholm: Edita Sverige AB.

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