Norfjord van Zyl Maria, Asp Margareta, Åkerlind Charlotta
Division of Public Health Sciences, School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.
Division of Caring Sciences, School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna/Västerås, Sweden.
BMC Public Health. 2025 Jun 10;25(1):2147. doi: 10.1186/s12889-025-23263-5.
How elected healthcare policy makers perceive commonly described core values such as access, participation, and equity, can affect how actions towards these core values will be prioritised. With the example of Sweden, where the healthcare sector in each region is self-governed, this study aims to describe how some Swedish policy makers perceive the prerequisites to facilitate the realisation of access to, participation, and equity in healthcare.
This qualitative descriptive study involved interviews with ten policy makers, members of a public health and healthcare sub-committee, represented a region in Mid-Sweden. The data collected from the semi-structured individual interviews were subjected to a qualitative content analysis.
The policy makers perceived access as a service-minded approach. Considerations about the population's needs and the effectiveness of healthcare must be addressed to provide access. Participation was perceived as a reciprocal understanding where partnership and knowledge were expressed as fundamental aspects of participation. Equity perceived as a respectful encounter considers socio-economic preconditions, rights, and continuous endeavour.
The core values are commonly shared values but entails challenges to implement these values in healthcare. Implementation can be facilitated by translating the meanings of the core values into contexts where they are supposed to be applied.
当选的医疗保健政策制定者如何看待诸如可及性、参与度和公平性等通常描述的核心价值观，会影响对这些核心价值观采取行动的优先顺序。以瑞典为例，该国每个地区的医疗保健部门都是自治的，本研究旨在描述一些瑞典政策制定者如何看待促进实现医疗保健可及性、参与度和公平性的先决条件。
这项定性描述性研究包括对瑞典中部一个地区公共卫生和医疗保健小组委员会的十名政策制定者进行访谈。从半结构化的个人访谈中收集的数据进行了定性内容分析。
政策制定者将可及性视为一种服务意识的方法。必须考虑民众的需求和医疗保健的有效性，以提供可及性。参与度被视为一种相互理解，其中伙伴关系和知识被视为参与的基本方面。公平性被视为一种尊重的相遇，考虑社会经济先决条件、权利和持续努力。
核心价值观是普遍共享的价值观，但在医疗保健中实施这些价值观存在挑战。通过将核心价值观的含义转化为它们应适用的背景，可以促进实施。
