The State and Healthcare: Comparing OECD Countries

ISBN-13: 9780230005488 / Angielski / Twarda / 2010 / 278 str.

Mirella Cacace; Simone Grimmeisen; Uwe Helmert

Opis

The economic crises of the 1970s marked the end of the 'Golden Age' of the welfare state and triggered a broad range of cost containment measures in OECD countries. In the healthcare sector, cost containment is difficult to execute as the legitimacy of healthcare systems is based on their ability to provide satisfactory healthcare. Hence, reforms have gone beyond mere retrenchment and the divergent healthcare systems of the heydays of the welfare state, which were characterized by the distinct role of the state in financing, providing and regulating healthcare, have now changed profoundly. Combining cross-sectional studies on healthcare financing and provision with in-depth country studies of Britain, Germany and the United States, this volume argues that divergent healthcare system types are now converging toward hybrids forms.

Recenzje

'The work of Heinz Rothgang et al deserves the attention of anyone interested in macro-level healthcare trends.' - Steven Foy, Duke University, USA

'The State and Healthcare is a...seminal book on th epolitical economy of health systems in western countries...This book is a must for scholars interested in the political economy of health care.' - West European Politics

Spis treści

PART I: THE CONCEPT OF THE STUDY Introduction to the Book Conceptual Framework of the Study PART II: CROSS-SECTIONAL ANALYSES The Changing Role of the State in Healthcare Financing The Changing Role of the State in Healthcare Service Provision PART III: CASE STUDIES The Role of the State in the British Healthcare System - Between Marketization and Statism The Self-regulatory German Healthcare System Between Growing Competition and State Hierarchy The US Healthcare System: Hierarchization With and Without the State PART IV: CONCLUSION The Converging Role of the State in OECD Healthcare Systems

O autorze

HEINZ ROTHGANG is Professor of Health Economics at the University of Bremen and Director of the Division for Health Economics, Health Policy and Outcomes Research, Centre for So-cial Policy Research, Bremen, Germany. His research interests are in the field of health economics, healthcare systems, long-term care insurance and welfare economics. He is currently heading the research project 'The changing role of the state in OECD healthcare systems' at the TranState Research Centre.

MIRELLA CACACE is an economist. Her main areas of research concern institutional economics and the international comparison of healthcare systems. She was a member of the Collaborative Research Center 597 in Bremen, Germany between 2003 and 2010. She currently works as an analyst at RAND Europe, Health and Health Care.

LORRAINE FRISNA is a political scientist working as a research associate and lecturer at the Collaborative Research Center 597 'Transformations of the State' at the University of Bremen, Germany since 2006. Her main areas of research include comparative healthcare policy, with a particular focus on national health services, developments in policy values, the effects of DRGS on the professional autonomy of physicians and the role that economic crises have on welfare states.

SIMONE GRIMMEISEN is a Program Officer at the Department for Health Care and Humanitarian Aid at the Robert Bosch Foundation, Germany. Previous appointments include the German Ministry of Health and the University of Bremen, Germany where she was a member of the Collaborative Research Center 597 between 2003 and 2005. Her research interest is international and European welfare state research with a special focus on the German and British healthcare systems.

ACHIM SCHMID is a research fellow and Ph.D. student at the Collaborative Research Center 597 'Transformations of the State' at the University of Bremen, Germany. He joined the project on the state and healthcare at the end of 2005. His main research interests include comparative social policy and health policy.

CLAUS WENDT is Professor of Sociology for health and healthcare systems at Siegen University, Germany. He was a member of the Collaborative Research Center 597 in Bremen, Germany between 2003 and 2005. His research interests include institutional theory, political sociology, international comparisons of welfare states and healthcare systems and the sociology of health.