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dc.contributor.authorRasmussen, Knut
dc.contributor.authorBratlid, Dag
dc.date.accessioned2007-12-19T12:24:39Z
dc.date.available2007-12-19T12:24:39Z
dc.date.issued2007-02-15
dc.description.abstractBackground: In order to maintain both quality and efficiency of health services in a small country with a scattered population, Norway established a monopoly system for 38 highly specialized medical services. The geographical distributions of these services, which are provided by one or two university hospitals only, were analysed. Methods: The counties of residence for 2 711 patients admitted for the first time in 2001 to these 31 monopolies and 7 duopolies were identified. Results: The general tendency observed was that with increasing distance from residential home to monopoly hospitals there was a declining coverage of these health services. The same pattern was found even with regard to explicit diagnoses or treatments such as organ transplantations (except renal transplantations). Duopolies seemed to yield a more even geographical distribution of the services. Conclusion: Monopolies may serve as a useful means for maintaining quality in highly specialized medical services, but seem to have an inherent tendency to do this at the expense of geographical equality.en
dc.format.extent253755 bytes
dc.format.mimetypeapplication/pdf
dc.identifier.citationBMC Health Services Research 7(2007) article no 20en
dc.identifier.doidoi:10.1186/1472-6963-7-20
dc.identifier.issn1472-6963
dc.identifier.urihttps://hdl.handle.net/10037/1260
dc.identifier.urnURN:NBN:no-uit_munin_1075
dc.language.isoengen
dc.publisherBioMed Centralen
dc.rights.accessRightsopenAccess
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Community medicine, Social medicine: 801en
dc.titleQuality or equality? : the Norwegian experience with medical monopoliesen
dc.typeJournal articleen
dc.typeTidsskriftartikkelen
dc.typePeer revieweden


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