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The path to integrated healthcare: Various Scandinavian strategies

>> Background Scandinavian healthcare, like many other healthcare systems, is constantly undergoing change and restructuring in order to be able to meet the demands for improved effectiveness and quality. This has led to the increased division of roles, tasks, and responsibilities. Three development trends have strongly contributed to this state of affairs: decentralization, specialization, and professionalization. These trends have had a major impact on Scandinavian healthcare. The decentralization of responsibility and powers to lower organizational levels is generally seen as an effective form of conducting operations effectively. Clinical specialization has unequivocally improved the population’s state of health. Furthermore, the professional principle of organization is today deeply embedded in