despite of an insignificant track record of quasi market models in sweden , new models of this kind have recently been introduced in health care ; commonly referred to as  choice of care. this time citizens act as purchasers ; choosing the primary care centre or family physician they want to be treated by , which , in turn , generates a capitation payment to the chosen unit .
policy makers believe that such systems will be self - remedial , that is , as a result of competition the strong providers survive while unprofitable ones will be eliminated . because of negative consequences of the fragmented health care delivery , policy makers at the same time also promote different forms of integrated health care arrangements .
one example is  local health care , which could be described as an upgraded community - oriented primary care , supported by adaptable hospital services , fitting the needs of a local population .
this paper reviews if it is possible to combine this kind of integrated care system with a competition driven model of governance , or if they are incompatible .
the findings indicate that some choice of care schemes could hamper the development of integration in local health care .
however , geographical monopolies like local health care , enclosed in a non - competitive context , lack the stimulus of competition that possibly improves performance .
thus , it could be argued that if choice of care and local health care should be combined , patients ought to choose between integrated health care arrangements and not among individual health professionals .
 purposedespite of an insignificant track record of quasi market models in sweden , new models of this kind have recently been introduced in health care ; commonly referred to as  choice of care. this time citizens act as purchasers ; choosing the primary care centre or family physician they want to be treated by , which , in turn , generates a capitation payment to the chosen unit . 
 policy makers believe that such systems will be self - remedial , that is , as a result of competition the strong providers survive while unprofitable ones will be eliminated . because of negative consequences of the fragmented health care delivery , policy makers at the same time also promote different forms of integrated health care arrangements . 
 one example is  local health care , which could be described as an upgraded community - oriented primary care , supported by adaptable hospital services , fitting the needs of a local population . 
 this paper reviews if it is possible to combine this kind of integrated care system with a competition driven model of governance , or if they are incompatible.theoryinter-organisational and interprofessional collaboration , accessibility of services , and provider continuity.methodliterature-based review.results and conclusionsthe findings indicate that some choice of care schemes could hamper the development of integration in local health care . 
 however , geographical monopolies like local health care , enclosed in a non - competitive context , lack the stimulus of competition that possibly improves performance . 
 thus , it could be argued that if choice of care and local health care should be combined , patients ought to choose between integrated health care arrangements and not among individual health professionals . 
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Theory
Method
Results and conclusions