Skip to main content

Table 1 Possible responses to fiscal stress

From: Decommissioning in a local healthcare system in Sweden: responses to fiscal stress

Responses to fiscal stress Implementation effort Economic pay-off Plausible risks
Across-the-board cuts Easy Short-term payoff Long-term quality reduction by penalizing well-functioning and high quality units
Operational cuts Easy Short-term payoff Long-term loss of important knowledge and skills
Programme cuts Moderate Moderate or long-term payoff Quality reduction and/or impaired access
Capital expenditures and investment cuts Easy Short-term payoff Long-term cost increase due to cancelled maintenance
Structural reforms Difficult Potential long-term payoff Effects difficult to predict. May not lead to desired outcome, or any outcome at all