Comparative study of health care systems June 14–18, 1993, Masstricht, The Netherlands

1993 ◽  
Vol 12 (1) ◽  
pp. 123-124
2016 ◽  
Vol 7 (1) ◽  
Author(s):  
Ines Verspohl

<p>During the last 20 years, privatization<br />became an issue in health care. The neoliberal<br />market idea promised to increase<br />efficiency and responsiveness, while at the<br />same time relieving public budgets. European<br />countries have introduced all kind of market<br />instruments, reaching from internal markets,<br />over DRGs, to increased co-payments.<br />However, the welfare state literature<br />currently lacks a detailed explanation of<br />these different reforms.<br />All health care systems in the European<br />Union are affected by the same problem<br />pattern: demographic change, raising<br />demand, medical-technical innovations and<br />labour intensive services. Nonetheless, the<br />degree and form of privatization varies a lot.<br />This paper studies the power of ideas within<br />the framework of structural reform pressure<br />and institutional path-dependency. The<br />causes for privatization reforms are studied<br />in two countries representing the two ideal<br />types: the Netherlands for Social Health<br />Insurance and Sweden for the National<br />Health Service.</p>


2015 ◽  
Vol 12 (Special-Edn2) ◽  
pp. 753-766
Author(s):  
Soleiman Ahmadi ◽  
Reza Ghaffari ◽  
Neda Kabiri ◽  
Abolghasem Amini ◽  
Fariba Salek

2007 ◽  
Vol 9 (3) ◽  
pp. 243-275
Author(s):  
Markus Sichert ◽  
Christina Walser

Chronic diseases pose significant challenges to health insurance systems. On the one hand, the supply of medical care to patients suffering from chronic diseases is very costly; on the other hand, more and more people are becoming chronically ill, and many of them suffer from diabetes. Against this background, steering mechanisms that address chronic disease management are needed, not only to cope with cost containment, but also to improve quality and to overcome obstructive interfaces of supply structures. This article analyses how these challenges are being dealt with and how the respective chronic diseases – the focus will be on diabetes – are managed in the Netherlands and in Germany. The approaches taken in each of these countries present examples of how structures for political and legal steering have been established within health care systems that are subject to frequent reform. Each approach is assessed by analysing the priority given to either regulatory or competitive elements, and particular reference will be made to (subordinated) implementation structures, contracts or models.


1977 ◽  
Vol 05 (01) ◽  
pp. 101-104 ◽  
Author(s):  
Wei Wen

The following article was submitted to The American Journal of Chinese Medicine by China Features in the People's Republic of China. It will be of interest to those individuals concerned with the comparative study of medical and health-care systems. We welcome readers to communicate their opinions on this article to the Editor.


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