Deeply rooted traditions and the will to change--problematic conflicts in three swedish health care organizations.

The Need for Change in Swedish Health Care Organizations

The health care sector in Sweden has had two major problems to deal with during the last decade. The first is long waiting lists at hospitals, and the second is recurrent deficits in operating statements. On one hand there is a need for increased treatment and more surgeries, and on the other it is increasingly difficult to finance the operations. For some of the health care entities, the financial development has resulted in an equity ratio close to zero and a rather weak financial position.

In Sweden the county councils are responsible for the major part of the health care services. The regions and the councils ...

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