Health care governance, user involvement and medical regulation in Europe

2018 ◽  
pp. 17-38
Author(s):  
Mike Dent
Keyword(s):  
Health Care ◽  
Medical Profession ◽  
Health Care Systems ◽  
User Involvement ◽  
European Countries ◽  
Medical Regulation ◽  
Recent Developments ◽  
Care Systems ◽  
European Health ◽  
Health Care Governance

This chapter reviews recent developments in user involvement practices across a range of European health care systems in terms of their implications for the medical profession and regulation of its practitioners. It will review the dominant models of user involvement, from Arnstein (1969) ‘ladder of participation’ onwards within Europe. The chapter will be particularly concerned with the growing linkages between user involvement in its various guises and the governance and regulation of European health care and medicine. The analysis will critically examine the variations in user involvement from ‘choice’ to ‘co-production’ and the range of ways they have been implemented in various European countries, with particular attention to England, Italy and Denmark. The discussion will focus on the implications for the medical profession as much as for the patients themselves.

Doctor–patient communication in different European health care systems:

2000 ◽  
Vol 39 (1) ◽  
pp. 115-127 ◽  
Author(s):  
A. van den Brink-Muinen ◽  
P.F.M. Verhaak ◽  
J.M. Bensing ◽  
O. Bahrs ◽  
M. Deveugele ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Patient Communication ◽  
Doctor Patient Communication ◽  
Care Systems ◽  
European Health

scholarly journals Enhancing the rational use of new medicines across European health care systems

2008 ◽  
Vol 64 (12) ◽  
pp. 1137-1138 ◽  
Author(s):  
Silvio Garattini ◽  
Vittorio Bertele’ ◽  
Brian Godman ◽  
Alan Haycox ◽  
Björn Wettermark ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Rational Use ◽  
Care Systems ◽  
European Health

The sustainability of European health care systems: beyond income and aging

2011 ◽  
Vol 13 (5) ◽  
pp. 623-634 ◽  
Author(s):  
Fabio Pammolli ◽  
Massimo Riccaboni ◽  
Laura Magazzini
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Care Systems ◽  
European Health

Patient Choice and Patient Empowerment in Northern European Health Systems: A Conceptual Framework

1994 ◽  
Vol 24 (2) ◽  
pp. 201-229 ◽  
Author(s):  
Richard B. Saltman
Keyword(s):  
Health Care ◽  
Health Systems ◽  
Health Care Providers ◽  
Health Care Systems ◽  
Patient Empowerment ◽  
Patient Choice ◽  
Care Providers ◽  
Care Systems ◽  
European Health ◽  
The Impact

The issue of patient choice presents a complicated challenge to publicly operated health systems. Increased patient choice can strengthen the citizen's commitment to traditional welfare state objectives, or alternatively, it can severely damage that commitment, depending upon the design of the choice mechanism and the structural context within which patient choice occurs. For patient choice to be linked to true empowerment, choice must reinforce rather than undercut the accountability of health care providers to the population they serve. This article explores the basic issues involved in empowering patients within publicly operated health systems. The author first reviews the conceptual components that could or should be incorporated within the notion of empowered patients, then examines what would be required to actually empower patients within health systems, defined in terms of expanding not only logistical choice but also clinical influence and decision-making participation. The article concludes with a wide-ranging analysis of the impact of potential policies and mechanisms on the long-term objectives of achieving democratically accountable health care systems.

Health Care System Reforms in Western European Countries: The Relevance of Health Care Organization

1996 ◽  
Vol 26 (2) ◽  
pp. 239-251 ◽  
Author(s):  
Javier Elola
Keyword(s):  
Health Care ◽  
Social Security ◽  
Health Care Systems ◽  
European Countries ◽  
Care Organization ◽  
Political Commitment ◽  
Social Security Systems ◽  
Security Systems ◽  
Care Systems ◽  
Western European

The problems within the health care systems of western European countries, and their current attempts at reform, can be analyzed by comparing those countries having national health service (NHS) systems with those having social security systems. There are important differences in the structures, processes, and outcomes of these two types of health care systems, and thus in the problems they face. Greater cost control, equity, and, possibly, efficiency in improving the population's health are the advantages of NHS systems; however, public satisfaction is lower than in social security systems. Attempts to overcome this trade-off between the outcomes of the two types of health care systems are the main goal of the reforms. To achieve this goal, there has been a trend toward convergence of NHS and social security systems. For the NHS systems of Latin-rim countries, however, which have received less political commitment and public support than those elsewhere, this means a return to the former social security systems—a trend that may reintroduce the problems associated with these types of systems but without any evidence that public satisfaction will increase.

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