Mio Fredriksson
Researcher at Department of Public Health and Caring Sciences; Health Services Research
- Telephone:
- +46 18 471 65 58
- Mobile phone:
- +46 73 469 76 07
- E-mail:
- mio.fredriksson@uu.se
- Visiting address:
- BMC, Husarg. 3
- Postal address:
- Box 564
751 22 UPPSALA
- ORCID:
- 0000-0002-3858-3454
Short presentation
Associate professor (PhD, Master of Social Sciences) focusing on healthcare governance, state-local relations, political reforms and ideological values in healthcare. This includes, for example, studies on patient choice, equity, priorities and patient and public involvement.
Keywords
- reforms governance choice
Biography
Research Interests
My research interests focuses on political governance of healthcare, for example multi-level governance (state-county council), knowledge management, and governance through patient choice of healthcare provider. I am also interested in health care reforms; both the political ideas behind and the effects of reforms.
For example, I have investigated how national-level politicians argued before the introducing choice in primary care, how quality registry data is used in improvement work around Sweden, how politicians argue and act when county councils have financial problems, and how patients and citizens think they can best participate in and make decisions in healthcare.
Ongoing projects
Decommissioning in local health systems
The research project follows the restructuring of healthcare in the County Council of Dalarna, which began in 2015 as a response to the poor economy. Little is known about how, and under what circumstances, such changes occur, and what leads to a successful outcome. The overall aim of the project is to investigate how large-scale priorities and rationalizations are decided and implemented in a complex organization with many actors. Aspects investigated are the decision process; partly from the management perspective, partly from the heads of clinics. Furthermore, we investigate how the media portrayed the restructuring process and the public's knowledge and views about the structural and change process. Theoretically, the project uses theories on retrenchment and decommissioning.
How does national inspections affect welfare professions?
(Principal Investigator: Linda Moberg) In the wake of NPM reforms, there has been an increased focus on auditing, or controlling that providers of public services fulfill stipulated objectives and provide high quality services. In Sweden, this process has not least been characterized by an increased demand for national supervision and inspections on site. The increased focus on audit has led to a growing concern among researchers regarding the implications of auditing for welfare professionals. So far, most studies have indicated that auditing limits the scope of professional discretion since the professions tends to adjust their work to what is being audited. Although the literature on audit and its effects on welfare professions are quite comprehensive, few empirical studies have focused on the relationship between national inspections and professional discretion. This is surprising since research has indicated that inspections, at least theoretically, can have both positive and negative implication for professional discretion, depending on how it is designed and carried out. The aim with this project is thus to contribute to this literature by studying what inspection strategies that are used to supervise Swedish health care, education and eldercare, and if these strategies are compatible with professional discretion.

Publications
Selection of publications
Part of Journal of European Social Policy, p. 192-209, 2013
Conflict and Compliance in Swedish Health Care Governance: Soft Law in the ‘Shadow of Hierarchy’
Part of Scandinavian Political Studies, p. 48-70, 2012
Den privata vården: En ideologisk skiljelinje i svensk politik
Part of Mellan offentligt och privat, p. 35-50, Santérus Academic Press, 2009
Part of Social Science and Medicine, p. 271-279, 2008
Recent publications
Part of Policy Studies, 2025
Part of Reproductive Health, 2025
- DOI for The struggle over caesarean section on maternal request: an ethical principles approach to Swedish media portrayal
- Download full text (pdf) of The struggle over caesarean section on maternal request: an ethical principles approach to Swedish media portrayal
Part of SSM - Qualitative Research in Health, 2025
- DOI for The impact of patient and public involvement in healthcare services: A conceptual review spanning social sciences and health sciences
- Download full text (pdf) of The impact of patient and public involvement in healthcare services: A conceptual review spanning social sciences and health sciences
Implementing a Decommissioning Programme in Swedish Healthcare: Experiences of Healthcare Managers
Part of Health Services Insights, p. 1-8, 2024
- DOI for Implementing a Decommissioning Programme in Swedish Healthcare: Experiences of Healthcare Managers
- Download full text (pdf) of Implementing a Decommissioning Programme in Swedish Healthcare: Experiences of Healthcare Managers
Part of Journal of Health Organization & Management, p. 258-279, 2024
- DOI for Putting a decommissioning programme into action: an interview study with politicians and public servants in a local healthcare organisation
- Download full text (pdf) of Putting a decommissioning programme into action: an interview study with politicians and public servants in a local healthcare organisation
All publications
Articles in journal
Part of Policy Studies, 2025
Part of Reproductive Health, 2025
- DOI for The struggle over caesarean section on maternal request: an ethical principles approach to Swedish media portrayal
- Download full text (pdf) of The struggle over caesarean section on maternal request: an ethical principles approach to Swedish media portrayal
Part of SSM - Qualitative Research in Health, 2025
- DOI for The impact of patient and public involvement in healthcare services: A conceptual review spanning social sciences and health sciences
- Download full text (pdf) of The impact of patient and public involvement in healthcare services: A conceptual review spanning social sciences and health sciences
Implementing a Decommissioning Programme in Swedish Healthcare: Experiences of Healthcare Managers
Part of Health Services Insights, p. 1-8, 2024
- DOI for Implementing a Decommissioning Programme in Swedish Healthcare: Experiences of Healthcare Managers
- Download full text (pdf) of Implementing a Decommissioning Programme in Swedish Healthcare: Experiences of Healthcare Managers
Part of Journal of Health Organization & Management, p. 258-279, 2024
- DOI for Putting a decommissioning programme into action: an interview study with politicians and public servants in a local healthcare organisation
- Download full text (pdf) of Putting a decommissioning programme into action: an interview study with politicians and public servants in a local healthcare organisation
Part of International Journal for Equity in Health, 2024
- DOI for Universal health coverage and equal access in Sweden: a century-long perspective on macro-level policy
- Download full text (pdf) of Universal health coverage and equal access in Sweden: a century-long perspective on macro-level policy
Measuring competition in primary care: Evidence from Sweden
Part of PLOS ONE, 2024
- DOI for Measuring competition in primary care: Evidence from Sweden
- Download full text (pdf) of Measuring competition in primary care: Evidence from Sweden
Part of Reproductive Health, 2024
- DOI for Caesarean section on maternal request: a qualitative study of conflicts related to shared decision-making and person-centred care in Sweden
- Download full text (pdf) of Caesarean section on maternal request: a qualitative study of conflicts related to shared decision-making and person-centred care in Sweden
The Role of Pensioner Councils in Regional Healthcare Policy: A Holistic Perspective
Part of Journal of Population Ageing, 2024
- DOI for The Role of Pensioner Councils in Regional Healthcare Policy: A Holistic Perspective
- Download full text (pdf) of The Role of Pensioner Councils in Regional Healthcare Policy: A Holistic Perspective
Part of Journal of Health Organization & Management, p. 106-124, 2024
- DOI for Vertical policy coordination of COVID-19 testing in Sweden: an analysis of policy-specific demands and institutional barriers
- Download full text (pdf) of Vertical policy coordination of COVID-19 testing in Sweden: an analysis of policy-specific demands and institutional barriers
Part of Journal of Health, Population and Nutrition, 2024
- DOI for Exploring stakeholders' perceived problems associated with the care and support of children and youth with mental ill health in Sweden: a qualitative study
- Download full text (pdf) of Exploring stakeholders' perceived problems associated with the care and support of children and youth with mental ill health in Sweden: a qualitative study
Part of Health Services Insights, p. 1-7, 2023
- DOI for A New Way of Thinking and Talking About Economy: Clinic Managers' Perspectives on the Sustainable Implementation of a Decommissioning Programme in Sweden
- Download full text (pdf) of A New Way of Thinking and Talking About Economy: Clinic Managers' Perspectives on the Sustainable Implementation of a Decommissioning Programme in Sweden
Part of BMC Health Services Research, 2023
- DOI for Guideline documents on caesarean section on maternal request in Sweden: varying usability with a restrictive approach
- Download full text (pdf) of Guideline documents on caesarean section on maternal request in Sweden: varying usability with a restrictive approach
Public involvement in the Swedish health system: citizen dialogues with unclear outcomes
Part of BMC Health Services Research, 2023
- DOI for Public involvement in the Swedish health system: citizen dialogues with unclear outcomes
- Download full text (pdf) of Public involvement in the Swedish health system: citizen dialogues with unclear outcomes
Part of Regulation and Governance, p. 1041-1057, 2023
- DOI for Explaining variations in enforcement strategy: A comparison of the Swedish health care, eldercare, and compulsory school sector
- Download full text (pdf) of Explaining variations in enforcement strategy: A comparison of the Swedish health care, eldercare, and compulsory school sector
Patient and public involvement in the build-up of COVID-19 testing in Sweden
Part of Health Expectations, p. 541-548, 2022
- DOI for Patient and public involvement in the build-up of COVID-19 testing in Sweden
- Download full text (pdf) of Patient and public involvement in the build-up of COVID-19 testing in Sweden
Part of Scandinavian Journal of Public Health, p. 852-863, 2022
- DOI for Fifteen years with patient choice and free establishment in Swedish primary healthcare: what do we know?
- Download full text (pdf) of Fifteen years with patient choice and free establishment in Swedish primary healthcare: what do we know?
Part of BMC Health Services Research, 2021
- DOI for Factors that shape the successful implementation of decommissioning programmes: an interview study with clinic managers
- Download full text (pdf) of Factors that shape the successful implementation of decommissioning programmes: an interview study with clinic managers
COVID-19 Testing in Sweden During 2020 – Split Responsibilities and Multi-Level Challenges
Part of Frontiers in Public Health, 2021
Part of BMC Health Services Research, 2021
- DOI for Patient involvement at the managerial level: the effectiveness of a patient and family advisory council at a regional cancer centre in Sweden
- Download full text (pdf) of Patient involvement at the managerial level: the effectiveness of a patient and family advisory council at a regional cancer centre in Sweden
Part of International Journal of Integrated Care, 2021
- DOI for Balancing Pragmatism and Sustainability: A Case Study of an Interorganisational Network to Improve Integrated Care for the Elderly
- Download full text (pdf) of Balancing Pragmatism and Sustainability: A Case Study of an Interorganisational Network to Improve Integrated Care for the Elderly
Money matters: primary care providers' perceptions of payment incentives
Part of Journal of Health Organization & Management, p. 458-474, 2021
Decommissioning in a local healthcare system in Sweden: responses to fiscal stress
Part of BMC Health Services Research, 2020
- DOI for Decommissioning in a local healthcare system in Sweden: responses to fiscal stress
- Download full text (pdf) of Decommissioning in a local healthcare system in Sweden: responses to fiscal stress
Part of Health, p. 722-738, 2020
- DOI for Federative patient organizations in a decentralized health-care system: A challenge for representation?
- Download full text (pdf) of Federative patient organizations in a decentralized health-care system: A challenge for representation?
Awareness and opinions on healthcare decommissioning in a Swedish region
Part of Health Policy, p. 991-997, 2020
Two-front individualization: The challenges of local patient organizations
Part of Journal of Civil Society, p. 77-95, 2020
- DOI for Two-front individualization: The challenges of local patient organizations
- Download full text (pdf) of Two-front individualization: The challenges of local patient organizations
Part of Health Economics, Policy and Law, p. 325-340, 2020
Cuts without conflict: The use of political strategy in local health system retrenchment in Sweden
Part of Social Science and Medicine, 2019
Decision making in district health planning in Uganda: Does use of local evidence matter?
Part of Health Research Policy and Systems, 2019
- DOI for Decision making in district health planning in Uganda: Does use of local evidence matter?
- Download full text (pdf) of Decision making in district health planning in Uganda: Does use of local evidence matter?
Patient choice and provider competition: Quality enhancing drivers in primary care?
Part of Social Science and Medicine, p. 217-224, 2019
Part of Journal of Health Organization & Management, p. 943-961, 2018
Involvement that makes an impact on healthcare: Perceptions of the Swedish public
Part of Scandinavian Journal of Public Health, p. 471-477, 2018
- DOI for Involvement that makes an impact on healthcare: Perceptions of the Swedish public
- Download full text (pdf) of Involvement that makes an impact on healthcare: Perceptions of the Swedish public
Disentangling patient and public involvement inhealthcare decisions: Why the difference matters
Part of Sociology of Health and Illness, p. 95-111, 2017
Part of BMC Public Health, 2017
Part of BMC Health Services Research, 2017
- DOI for Enablers and barriers to evidence based planning in the district health system in Uganda; perceptions of district health managers
- Download full text (pdf) of Enablers and barriers to evidence based planning in the district health system in Uganda; perceptions of district health managers
Are data from national quality registries used in quality improvement at Swedish hospital clinics?
Part of International Journal for Quality in Health Care, p. 909-915, 2017
Bottleneck analysis at district level to illustrate gaps within the district health system in Uganda
Part of Global Health Action, 2017
- DOI for Bottleneck analysis at district level to illustrate gaps within the district health system in Uganda
- Download full text (pdf) of Bottleneck analysis at district level to illustrate gaps within the district health system in Uganda
Part of BMJ Open, 2016
- DOI for Factors facilitating a national quality registry to aid clinical quality improvement: findings of a national survey
- Download full text (pdf) of Factors facilitating a national quality registry to aid clinical quality improvement: findings of a national survey
Part of BMC Health Services Research, 2015
- DOI for Depicting the interplay between organisational tiers in the use of a national quality registry to develop quality of care in Sweden
- Download full text (pdf) of Depicting the interplay between organisational tiers in the use of a national quality registry to develop quality of care in Sweden
Part of Health Expectations, p. 2731-2741, 2015
- DOI for Regional media coverage influences the public's negative attitudes to policy implementation success in Sweden
- Download full text (pdf) of Regional media coverage influences the public's negative attitudes to policy implementation success in Sweden
Part of Implementation Science, p. 189, 2014
- DOI for Local politico-administrative perspectives on quality improvement based on national registry data in Sweden: a qualitative study using the Consolidated Framework for Implementation Research
- Download full text (pdf) of Local politico-administrative perspectives on quality improvement based on national registry data in Sweden: a qualitative study using the Consolidated Framework for Implementation Research
Recentralizing healthcare through evidence-based guidelines – striving for national equity in Sweden
Part of BMC Health Services Research, p. 509, 2014
- DOI for Recentralizing healthcare through evidence-based guidelines – striving for national equity in Sweden
- Download full text (pdf) of Recentralizing healthcare through evidence-based guidelines – striving for national equity in Sweden
Part of BMC Health Services Research, p. 188, 2014
- DOI for Goals of telephone nursing work - the managers' perspectives: a qualitative study on Swedish healthcare direct
- Download full text (pdf) of Goals of telephone nursing work - the managers' perspectives: a qualitative study on Swedish healthcare direct
Part of BMC Health Services Research, p. 354, 2014
- DOI for Facilitators and barriers to applying a national quality registry for quality improvement in stroke care
- Download full text (pdf) of Facilitators and barriers to applying a national quality registry for quality improvement in stroke care
Part of Journal of European Social Policy, p. 192-209, 2013
Is patient choice democratizing Swedish primary care?
Part of Health Policy, p. 95-98, 2013
Conflict and Compliance in Swedish Health Care Governance: Soft Law in the ‘Shadow of Hierarchy’
Part of Scandinavian Political Studies, p. 48-70, 2012
Part of Social Science and Medicine, p. 271-279, 2008
Articles, review/survey
Chapters in book
Part of Riksintressen i hälso- och sjukvården – stärkt statlig styrning för hållbar vårdinfrastruktur. SOU 2021:71, p. 331-366, Statens offentliga utredningar, 2021
Förutsättningar för personcentrerad vård: Hur sker den nationella styrningen?
Part of Personcentrering inom hälso- och sjukvård - Från filosofi till praktik, p. 106-125, Liber, 2020
Den privata vården: En ideologisk skiljelinje i svensk politik
Part of Mellan offentligt och privat, p. 35-50, Santérus Academic Press, 2009