Here you can find a summary of the current projects that we are involved

What are the collective consequences of individual choices? A natural experiment of the impact of the free patient choice reform on population health and health inequalities in Sweden

Funded by Forte: 01/01/2017 - 31/12/2019

Contact person: Paola Mosquera

Over the past two decades, Sweden has undergone a number of healthcare reforms aimed to improve quality and effectiveness of the healthcare provision. The reforms have increased the influence of private healthcare providers and the market-orientation, especially within primary healthcare. Most recently, in 2010, the primary care choice reform was implemented, which has raised concerns about possible reduced continuity, increased fragmentation and not the least wider inequalities of services.

Nevertheless, the public health effects of the reform, particularly on population health and health inequalities, are not known. This proposal aims to evaluate the effects of the primary care choice reform on population health and socioeconomic inequalities in health; to estimate how much the reform have contributed to these effects relative to other influences on public health; and to identify key combinations of county-level reform implementation characteristics able to generate improved health and reduced health inequalities.

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Health care access for rural youth on equal terms? Identifying needs and proposing actions using mixed-methods research

Funded by Forte: 01/01/2017 - 31/12/2019

Contact person: Isabel Goicolea

This research will lay the foundation for improving youth health services in rural areas by:
1. mapping youth access to health care services in the rural municipalities of northern Sweden,
2. critically evaluating strategies used to enhance access according to needs,
3. proposing further actions through a participatory process.

The project emerges from both Swedish and international concerns about health status and health care access of rural youth, and the relatively low use of youth clinics in Sweden’s rural north (just 12 of the 35 rural municipalities have youth clinics). While it is well known that access to health care services continues to be a problem for populations living in rural areas in Sweden, there has been no comprehensive assessment of the impact of different rural youth health service strategies on either access or health outcomes.

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Are socioeconomic inequalities in health and health care increasing in northern Sweden?

Funded by Forte: 01/01/2015 - 31/12/2017

Contact person: Miguel San Sebastian

The current Swedish Public Health Policy aims to tackle the socioeconomic gradient in health across society. Cardiovascular disease (CVD) is the leading health problem in the country. CVD literature has observed that certain interventions might be reducing the disease incidence but at the same time contributing to increase health inequalities.

Therefore, explicit inclusion of an equity perspective in public health policies is paramount for society to even have a chance of meeting the goal of reduced health inequities.               

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Sidansvarig: NOEHHC



Miguel San Sebastian
Epidemiology and Global Health, Umeå university
901 87 Umeå 

Tel:  090-7865051