Landstingens sjukvård som en del i den svenska modellen
Exemplet Värmlands landsting 1945-1955
After World War II a rapid expansion of the Swedish health care took place. Theexpansion was realised chiefly as a development of the hospitals and was bothproduced and financed mainly within the public sector. The financing consisted to ahigh degree of government grants from the state to the county councils.During the period for this examination (1945-1955) the public responsibility for thehealth care was expanded. This was expressed in the publicly financed system forhealth insurance and the cut down in the charges that the patients had to pay for thehospital care. These changes led to some discussions on the national level but reformscould on the whole, with exception for the suggested reform of the open health care,be implemented.This case-study performed on the county council in Värmland shows that the degreeof consensus was enhanced on the regional level. The county council had by traditiona culture of collusion assembling to the culture in the primary municipalities, andcounty council was also dominated by the strong förvaltningsutskottet (the leadingexecutive committee). This committee functioned as a coalition government and hadearned a high legitimacy which enabled the committee to implement verycomprehensive reforms in the health care of Värmland.