Implementation of health care reforms in the Bismarckian systems: unequal capacities (notice n° 849613)
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| fixed length control field | 01996cam a2200169 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250123144938.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Catrice-Lorey, Antoinette |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Implementation of health care reforms in the Bismarckian systems: unequal capacities |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2006.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 72 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Implementation is often neglected in comparative analyses of the regulation of health care systems and expenditure. Taking this aspect into account reintroduces the national diversity of the reform paths, whereas approaches focused on the institutional models and financial data blur the differences and highlight international transfers of ideas and common economic constraints. This article compares the implementation of reforms aiming to regulate healthcare expenditure in countries with Bismarckian systems (France, Germany, the Netherlands), revealing unequal capacities to implement change, depending on the players and, in particular, the relationship between the state and health care insurance providers. The study distinguishes structural reforms, aimed at modifying the original architecture of the system to benefit new players, and management reforms, which try to depart from the previous opaque management style and promote a medico-economic approach combining managerial rigor with medical quality. Finally, it identifies three levels in the carrying out of reforms, each requiring specific conditions for their implementation: political arbitration between the financial and social spheres, the withdrawal of the state in favour of a regionalisation or privatisation of the systems’ management and, finally, the introduction of new models of medico-economic management. |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Steffen, Monika |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Revue française des affaires sociales | - | 6 | 2006-12-06 | p. 163-182 | 0035-2985 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-francaise-des-affaires-sociales-2006-6-page-163?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-francaise-des-affaires-sociales-2006-6-page-163?lang=fr&redirect-ssocas=7080</a> |
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