Implementing change in health systems : market reforms in the United Kingdom, Sweden, and the Netherlands

This comprehensive and comparative study of health service change focuses on the influence of health professionals on the process and shape of change. The book examines the development and implementation of national health system reorganizations in the UK, Sweden and the Netherlands. Separate chapte...

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Bibliographic Details
Main Author Harrison, Michael I.
Format eBook Book
LanguageEnglish
Published London Sage 2004
SAGE Publications, Limited
SAGE Publications Ltd
Sage Publications
Edition1
Subjects
Health Care Management
Health Care Management & Administration
Health planning
Health planning - Europe
Health Policy
Health services administration
Health services administration > Europe
Online AccessGet full text
ISBN9780761961765
0761961755
0761961763
9780761961758
DOI10.4135/9781446218815

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Abstract This comprehensive and comparative study of health service change focuses on the influence of health professionals on the process and shape of change. The book examines the development and implementation of national health system reorganizations in the UK, Sweden and the Netherlands. Separate chapters examine the development, implementation and outcomes of reform. The author′s research highlights a crucial link in the chain of implementation: the occupational and organizational consequences of reform for physicians and other health professionals and the way physicians influence programme implementation.
AbstractList Implementing Change in Health Systems brings fresh thinking and evidence to the continuing debate about market reforms of health care and other public services. The book examines the development and implementation of national cost-containment programs and health system reorganizations in the UK, Sweden and the Netherlands — countries that have been leaders in health system reform. The book provides a new framework for analyzing public policy implementation and system change, synthesizing diverse streams of academic research and thinking. It explores the processes of implementing market reforms in each country and considers the outcomes, both expected and unintended. In all three countries competitive reform encountered serious technical, organizational and political obstacles. Yet they triggered important system changes and paved the way for significant new health policies. The complex outcomes of the reforms included• changes in the quality, efficiency and costs of care• growing managerial and political control over physicians and other health care professionals• increased influence and centrality of community-based care• Diffusion of ideas and practices from business management into health care. Implementing Change in Health Systems sheds new light on crucial policy issues that are currently being debated in the United States and many other countries. The book will be of value to students, researchers, and practitioners in health policy and public policy.
This comprehensive and comparative study of health service change focuses on the influence of health professionals on the process and shape of change. The book examines the development and implementation of national health system reorganizations in the UK, Sweden and the Netherlands. Separate chapters examine the development, implementation and outcomes of reform. The author′s research highlights a crucial link in the chain of implementation: the occupational and organizational consequences of reform for physicians and other health professionals and the way physicians influence programme implementation.
Implementing Change in Health Systems brings fresh thinking and evidence to the continuing debate about market reforms of health care and other public services. The book examines the development and implementation of national cost-containment programs and health system reorganizations in the UK, Sweden and the Netherlands - countries that have been leaders in health system reform. The book provides a new framework for analysing public policy implementation and system change, synthesizing diverse streams of academic research and thinking. It explores the processes of implementing market reforms in each country and considers the outcomes, both expected and unintended. In all three countries competitive reform encountered serious technical, organizational and political obstacles. Yet they triggered important system changes and paved the way for significant new health policies. The complex outcomes of the reforms included o changes in the quality, efficiency and costs of care o growing managerial and political control over physicians and other health care professionals o increased influence and centrality of community-based care o Diffusion of ideas and practices from business management into health care. Implementing Change in Health Systems sheds new light on crucial policy issues that are currently being debated throughout Europe and North America. The book will be of value to postgraduates, researchers, and practitioners in health policy and public policy. MICHAEL I. HARRISON is an internationally-known scholar of health systems and organizations. He is a Senior Research Scientist at the Agency for Healthcare Research and Quality in Rockville, MD and Associate Professor of Sociology at Bar-Ilan University in Ramat Gan, Israel. He has taught at the State University of New York at Stony Brook and the School of Management at Boston College and has been a Visiting Scholar at Brandeis University, Georgetown University, Harvard Business School, and the Nordic School of Public Health.
Author Harrison, Michael I.
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Snippet This comprehensive and comparative study of health service change focuses on the influence of health professionals on the process and shape of change. The book...
Implementing Change in Health Systems brings fresh thinking and evidence to the continuing debate about market reforms of health care and other public...
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SubjectTerms Health Care Management
Health Care Management & Administration
Health planning
Health planning - Europe
Health Policy
Health services administration
Health services administration -- Europe
TableOfContents Cover -- Contents -- Preface -- 1: Health System Reform and Policy Implementation -- 2: Market Reforms in the United Kingdom -- 3: Outcomes of Market Reform in the United Kingdom and Labour's New Health Policies -- 4: Market Experimentation within Swedish Health System Reform -- 5: Reform Outcomes in Sweden and the Emerging Mix of Public and Private Care -- 6: Regulated Competition in the Netherlands -- 7: Reform Outcomes and New Policy Trends in the Netherlands -- 8: Conclusion -- Appendix A: Abbreviations -- Appendix B: Research Methods -- Appendix C: Health Expenditures, Resources, and Utilization, 1998 -- References -- Index
Health System Reform and Policy Implementation -- Market Reforms in the United Kingdom -- Outcomes of Market Reform in the United Kingdom and Labour's New Health Policies -- Market Experimentation within Swedish Health System Reform -- Reform Outcomes in Sweden and the Emerging Mix of Public and Private Care -- Regulated Competition in the Netherlands -- Reform Outcomes and New Policy Trends in the Netherlands -- Conclusion
Title Implementing change in health systems : market reforms in the United Kingdom, Sweden, and the Netherlands
URI https://cir.nii.ac.jp/crid/1130000796372338816
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