About
Multilevel governance and decentralization of medicine budgets – Striving for quality and sustainability (MultiMed)
The project MultiMed aims to understand how governance mechanisms are connected with variation in costs for medicines, equality and quality of prescribing. The project produces novel policy relevant evidence through comparison of Swedish regions. Sweden has decentralized medicine budgets and management, and regions have developed various strategies to promote sustainable use of medicines.
The project:
- Evaluates the validity of prescribing quality indicators and their applicability in the Nordic healthcare context using systematic review and Delphi method,
- examines and compares regional variation in prescribing quality, costs and equity in medicine use across regions in Sweden and Finland using register data, and
- explores governance models across Swedish regions using interviews and considers the connection between governance models and variation in medicine use using qualitative comparative analysis (QCA).
Timetable and participants
Multimed was launched in September 2023 and is carried out at the INVEST Research Centre at the University of Turku in collaboration with Uppsala University. The project duration is four years, until 31.8.2027.
Other collaborating institutions participating parts of the project include the Finnish Institute for Health and Welfare, Finnish Medicines Agency, University of Southern Denmark, University Hospital of North Norway, and University of Copenhagen.
Funding
The project is funded by the Research Council of Finland (Grant Nr. 354657).
Open science
Project documents are made available via Open Science Framework (OSF):
Aaltonen, K., Kälvemark-Sporrong, S., Wettermark, B., Laukkonen, M.-L., & Rättö, H. (2024, August 14). Multilevel governance and decentralization of medicine budgets – Striving for quality and sustainability (MultiMed). Retrieved from osf.io/v2k4s