Health Politics Today

2021 ◽  
pp. 3-31
Author(s):  
Ellen M. Immergut
Keyword(s):  
Political Development ◽  
Public Management ◽  
Western Europe ◽  
New Public Management ◽  
Healthcare Systems ◽  
Health Politics ◽  
Political Conflicts ◽  
European Healthcare ◽  
Veto Points ◽  
Public Private Mix

This chapter sets the stage for Health Politics in Europe: A Handbook by explaining the motivation for the HEALTHDOX study upon which it is based, introducing the key themes and concepts, and providing an overview of the historical development and institutions of European healthcare systems, as well as current political conflicts and policy trends. The chapter explains how European health systems have been shaped by several centuries of political development, featuring a series of regime crises and challenges. It takes a closer look at political and policy developments since 1989, which importantly included the privatization of most Eastern European healthcare systems and experiments with new public management in Western Europe, recapping the highlights of the book’s thirty-five country cases. The chapter provides definitions and examples of the main types of healthcare financing in Europe and highlights the variation in the public–private mix and extent of out-of-pocket payment. The main theories for analyzing health politics are presented, including the concept of political veto points, and their significance for health politics.

France

2021 ◽  
pp. 558-589
Author(s):  
Matthias Brunn ◽  
Patrick Hassenteufel
Keyword(s):  
Health Insurance ◽  
Low Income ◽  
Public Management ◽  
New Public Management ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
National Health Insurance System ◽  
Health Politics ◽  
New Public ◽  
Unusual Combination

This chapter offers an in-depth look at health politics and the national health insurance system in France. It traces the development of the French healthcare system through its series of political regimes, characterized by its unusual combination of statism and corporatism. Since the 1990s, a technocratic consensus emerged that has led to new public management reforms, tighter parliamentary control of social security budgets, and efforts to improve coverage by subsidizing supplementary voluntary health insurance coverage for low-income persons and increasing tax-financing. Other healthcare issues have been regional health inequalities, reimbursement of medical professionals, and individuals’ responsibility for their health.

scholarly journals КОМПАРАТИВНИЙ АНАЛІЗ КРАЩИХ СВІТОВИХ ПРАКТИК ФОРМУВАННЯ ПОЗИТИВНОГО ІМІДЖУ ОРГАНІВ ДЕРЖАВНОЇ ВЛАДИ

World Science ◽  
2019 ◽  
Vol 3 (11(51)) ◽  
pp. 17-25
Author(s):  
Кириченко Ганна Володимирівна
Keyword(s):  
Public Management ◽  
Western Europe ◽  
New Public Management ◽  
Civil Service ◽  
White Paper ◽  
The State ◽  
Communication Policy ◽  
Public Authorities ◽  
Positive Image ◽  
New Public

The article identifies that one of the priority areas of Ukraine's development in the context of European policy abroad is the creation of a positive image of public authorities.Improvement of the civil service is based on the concepts of the new public management, which envisage the use of methods of work applied in the private sector, contribute to the modernization of the civil service, improve the quality of work of the state apparatus, create a positive image of public authorities. The article analyzes the experience of the European Commission, which together with its representatives has developed a White Paper on European communication policy, which defines the basic principles of image strategy. Three main goals of the image strategy are considered: modernization of information education of citizens, widening of boundaries of communication of citizens, increase of interaction level of citizens and power institutions. The peculiarities of institutional support for building a positive image of the state communication policy of the Western Europe countries are determined. On the example of EU countries, five best international practices are systematized on the peculiarities of forming a positive image of the state communication policy and the strategic directions of forming a positive image of the authorities and ways of their implementation in Ukraine are identified.

Running to Stand Still: Change and Management in Canadian Healthcare

2002 ◽  
Vol 15 (3) ◽  
pp. 10-17 ◽  
Author(s):  
Thomas Rathwell ◽  
D. David Persaud
Keyword(s):  
Health System ◽  
Public Management ◽  
New Public Management ◽  
Healthcare Systems ◽  
Use Of Resources ◽  
Outcomes Of Care ◽  
New Public ◽  
The World ◽  
Management Techniques ◽  
Canadian Healthcare

There is a pervasive belief among health system reformers that new public management techniques such as decentralization and market-based approaches will provide the answers to what ails healthcare systems. In this first installment of a two-part discussion, the assumptions and empirical evidence underpinning these techniques are scrutinized, and the effect of their implementation on those who manage the healthcare system is assessed. Other paradigms for delivering healthcare will be considered and described in the second article of this series. Healthcare systems around the world have been buffeted by rising costs, perceived inefficient use of resources, and consumer and provider dissatisfaction with the delivery and outcomes of care.

"Jedes starre Konzept ist schlecht und passt net' in diese Welt"

2007 ◽  
Vol 37 (148) ◽  
pp. 369-381 ◽  
Author(s):  
Wolfgang Ludwig-Mayerhofer ◽  
Ariadne Sondermann ◽  
Olaf Behrend
Keyword(s):  
Public Management ◽  
New Public Management ◽  
Qualitative Interviews ◽  
Unemployed People ◽  
Staff Members ◽  
Public Employment Service ◽  
New Public ◽  
Recent Reform ◽  
The Unemployed ◽  
New Procedures

The recent reform of the Bundesagentur fijr Arbeit, Germany's Public Employment Service (PES), has introduced elements of New Public Management, including internal controlling and attempts at standardizing assessments ('profiling' of unemployed people) and procedures. Based on qualitative interviews with PES staff, we show that standardization and controlling are perceived as contradicting the 'case-oriented approach' used by PES staff in dealing with unemployed people. It is therefore not surprising that staff members use considerable discretion when (re-)assigning unemployed people to one of the categories pre-defined by PES headquarters. All in all, the new procedures lead to numerous contradictions, which often result in bewilderment and puzzlement on the part of the unemployed.

Sign in / Sign up

Export Citation Format

Share Document