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Article
Publication date: 3 May 2016

Randolph K. Quaye

This paper examines the changing role of general practitioners (GPs) in Nordic countries of Sweden, Norway and Denmark. It aims to explore the “gate keeping” role of GPs in the…

Abstract

Purpose

This paper examines the changing role of general practitioners (GPs) in Nordic countries of Sweden, Norway and Denmark. It aims to explore the “gate keeping” role of GPs in the face of current changes in the health care delivery systems in these countries.

Design/methodology/approach

Data were collected from existing literature, interviews with GPs, hospital specialists and representatives of Danish regions and Norwegian Medical Association.

Findings

The paper contends that in all these changes, the position of the GPs in the medical division of labor has been strengthened, and patients now have increased and broadened access to choice.

Research limitations/implications

Health care cost and high cancer mortality rates have forced Nordic countries of Sweden, Norway and Denmark to rethink their health care systems. Several attempts have been made to reduce health care cost through market reform and by strenghtening the position of GPs. The evidence suggests that in Norway and Denmark, right incentives are in place to achieve this goal. Sweden is not far behind. The paper has limitations of a small sample size and an exclusive focus on GPs.

Practical implications

Anecdotal evidence suggests that physicians are becoming extremely unhappy. Understanding the changing status of primary care physicians will yield valuable information for assessing the effectiveness of Nordic health care delivery systems.

Social implications

This study has wider implications of how GPs see their role as potential gatekeepers in the Nordic health care systems. The role of GPs is changing as a result of recent health care reforms.

Originality/value

This paper contends that in Norway and Denmark, right incentives are in place to strengthen the position of GPs.

Details

Leadership in Health Services, vol. 29 no. 2
Type: Research Article
ISSN: 1751-1879

Keywords

Article
Publication date: 1 February 1992

Randolph K. Quaye

Seeks to introduce a comparative international perspective intoexisting research and scholarship on the environmental degradationfacing the world community. Focuses on the legacy…

3578

Abstract

Seeks to introduce a comparative international perspective into existing research and scholarship on the environmental degradation facing the world community. Focuses on the legacy of colonialism and continued economic crisis in the African continent and shows the environmental problems of Africa to be a recurrent feature of dependency and underdevelopment. Concludes by calling for a global rethinking of the environmental degradation in Africa by challenging the Western world to assume greater responsibility. Also admonishes Africans to re‐examine their value systems which, for centuries, have provided them with the tools for protecting the environment.

Details

Environmental Management and Health, vol. 3 no. 2
Type: Research Article
ISSN: 0956-6163

Keywords

Article
Publication date: 24 July 2007

Randolph K. Quaye

The purpose of this paper is to explore, 14 years since the introduction of market reforms, the extent to which changes have altered the nature of Sweden's health care financing…

708

Abstract

Purpose

The purpose of this paper is to explore, 14 years since the introduction of market reforms, the extent to which changes have altered the nature of Sweden's health care financing, examine how these changes have affected the views of Sweden's physicians, and to judge the impact of these reforms on the delivery and quality of care.

Design/methodology/approach

Swedish physicians', Federation of County Council members' and health economists' views, were explored. The data were obtained from in‐depth interviews with 31 respondents in the summer of 2005. The sample was drawn from Stockholm County and the Skane Region.

Findings

The respondents generally believed that the Swedish health care system basic structure had remained intact and that several early 1990s reforms, to introduce financial incentives into health care system, had worked well. The diagnostic‐related groups system, though not popular among some health care providers, seemed to have worked for the purposes intended. The majority of Swedish physicians interviewed expressed general satisfaction with their work. Several praised the internal reforms as contributing to more stable health care expenditures, which are low compared with other countries. A majority of respondents supported the care guarantee provisions.

Originality/value

This paper points out that Sweden is showing what governments can do in a global society where access to health care is paramount. All Swedes can feel proud of a well‐planned health care system.

Details

International Journal of Health Care Quality Assurance, vol. 20 no. 5
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 1 September 2003

Randolph K. Quaye

Examines trends among Swedish physicians since the introduction of internal market reforms in the delivery of health care and assesses the impact of the use of a performance‐based…

731

Abstract

Examines trends among Swedish physicians since the introduction of internal market reforms in the delivery of health care and assesses the impact of the use of a performance‐based reimbursement system on the practice of medicine. Explores the views of physicians with the use of the DRG system. The research data came from a mailed survey of physicians randomly selected from three major hospitals in Stockholm. Questionnaires were mailed between May 2001‐July 2001 to 100 physicians in active practice and the response rate was 46 per cent. The results suggest that these measures have affected the way physicians practice medicine. Physicians have become more cost‐conscious than before and most were less likely to recommend the profession to immediate family members. These findings are consistent with studies conducted by Forsberg on the impact of financial incentives on Swedish physicians. While some general dissatisfaction with working conditions was noted, most of the respondents were supportive of the reform measures initiated in Sweden.

Details

International Journal of Health Care Quality Assurance, vol. 16 no. 5
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 28 April 2014

Randolph K. Quaye

This paper aims to explore the perspectives of Ohio physicians on the Patient Protection and Affordable Care Act (ACA) of 2010. While much has been debated about ACA, relatively…

479

Abstract

Purpose

This paper aims to explore the perspectives of Ohio physicians on the Patient Protection and Affordable Care Act (ACA) of 2010. While much has been debated about ACA, relatively few studies have focused on how ACA will impact on physicians' practice behavior.

Design/methodology/approach

The research data came from a mailed survey of ninety physicians randomly selected from the Cigna Directory of Physicians practicing in Ohio. Study examined how informed were physicians about ACA, and explored how much the effect of ACA has been discussed in their practice, how they think ACA will impact their practice, and whether or not they are in favor of the provisions under the Act.

Findings

Overwhelmingly, while the physicians surveyed were familiar with the specific provisions of ACA, almost half of them opposed it. Primary care physicians reported generally favorable opinions about ACA. All but one of the physicians concluded that ACA, much like managed care provisions, has undermined and will continue to reduce the autonomy and professional independence of physicians.

Research limitations/implications

This study is limited by its small sample and reliance on a small set of physicians.

Practical implications

This study has practical implications for examining how Ohio physicians are responding to the new health care reform in the United States. It has broader implications for addressing the problem of the uninsured and the role of the federal government in health care provision.

Social implications

If physicians are opposed to this reform as the study seems to suggest, it might have broader implications for future career aspirations for physicians.

Originality/value

So far as we can tell, there has not been any exploratory study in Ohio examining the perspectives of physicians on ACA.

Details

Leadership in Health Services, vol. 27 no. 2
Type: Research Article
ISSN: 1751-1879

Keywords

Article
Publication date: 8 May 2007

Randolph K. Quaye

The purpose of this article is to explore the feasibility of introducing a social health insurance (SHI) scheme in Uganda from the perspectives of a targeted population of…

2550

Abstract

Purpose

The purpose of this article is to explore the feasibility of introducing a social health insurance (SHI) scheme in Uganda from the perspectives of a targeted population of respondents in Kampala, Uganda.

Design/methodology/approach

Out of 100 questionnaires distributed to a random sample of Ugandans, 74 were returned, yielding a 74 percent response rate.

Findings

Results show that all Ugandans surveyed support the introduction of SHI. Some are willing to contribute financially and most believe that the Ugandan government should make this benefit available to all Ugandans. While there is a great deal of support for introducing SHI, several respondents noted that cost sharing, in whatever form taken, is burdensome on people with lower incomes and has disastrous consequences for the delivery and utilization of health services among the poor.

Originality/value

A larger study exploring Ugandans' perspectives may provide valuable information on how Africans can begin to design a workable health financing structure to promote better access to health care for the most vulnerable groups in society.

Details

International Journal of Health Care Quality Assurance, vol. 20 no. 3
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 1 August 1997

Randolph K. Quaye

Reports findings on the perspectives of Swedish physicians since the introduction of the Stockholm model. Subjects were asked to describe their work, how long they had been…

264

Abstract

Reports findings on the perspectives of Swedish physicians since the introduction of the Stockholm model. Subjects were asked to describe their work, how long they had been working and whether they were familiar with the Stockholm model. Questions also focused on professional autonomy, use of diagnostic‐related groups (DRGs), quality of care and competition among health‐care providers. Most of the physicians interviewed reported that the Stockholm model had the advantage of increasing efficiency and productivity, that economic incentives influenced their medical decisions, and medical treatment appears more patient‐focused than before. Finally, primary care physicians report an enhanced status within the medical profession.

Details

Journal of Management in Medicine, vol. 11 no. 4
Type: Research Article
ISSN: 0268-9235

Keywords

Content available
Article
Publication date: 27 January 2012

380

Abstract

Details

Leadership in Health Services, vol. 25 no. 1
Type: Research Article
ISSN: 1751-1879

Keywords

Book part
Publication date: 13 December 2023

Jesse R. Ford, Brittany N. Brewster and Jordan Farmer

This conceptual work synthesizes the experiences of Black men who are collegiate athletes and introduces new theoretical considerations on the formation of their leadership…

Abstract

This conceptual work synthesizes the experiences of Black men who are collegiate athletes and introduces new theoretical considerations on the formation of their leadership identities in predominantly white institutions. This scholarship focuses on historical understandings of how race and gender influenced the creation of the current Black man in collegiate identity. This work expands on Du Bois' (1903) concept of double consciousness, Fanon's (1952) views on Blackness, and Bertrand Jones and colleagues' culturally responsive leadership learning model (2016). Collectively, the three frameworks highlight the significance of leadership in the development of Black men who are student-athletes. The conclusion includes implications and recommendations for future research as we work to support and develop Black men beyond their athletic identity.

Details

Black Males in Secondary and Postsecondary Education
Type: Book
ISBN: 978-1-80455-578-1

Keywords

Article
Publication date: 1 February 1996

Randolph Quaye

Introduces an African perspective to existing research and scholarship on the relationship between western medical technology and health care planning in Africa. Examining the…

930

Abstract

Introduces an African perspective to existing research and scholarship on the relationship between western medical technology and health care planning in Africa. Examining the broader issues of development and underdevelopment, contends that the present health care system, fashioned after western medical systems (focusing on hospital and curative care), has failed to make significant impact by reducing mortality rates in Africa. Describes the already precarious health conditions in Africa and argues that, while Africa can benefit from the application of western medical technology, the irrelevance of current strategies to people’s needs and the widespread abuse of medical resources have rendered western technology ineffective in Africa. Concludes by calling for the creation of a council of technological assessment in Africa to review requirements and recommend to African governments appropriate and efficient medical technologies to meet the health needs of Africans.

Details

International Journal of Health Care Quality Assurance, vol. 9 no. 1
Type: Research Article
ISSN: 0952-6862

Keywords

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