Planned Markets and Public Competition: Strategic Reform in Northern European Health Systems
The health policy debate in Northern Europe is increasingly focused on the question of introducing competition into publicly operated health delivery systems. The potential advantages and disadvantages of such a shift have come to dominate discussion among not only academics but also politicians, adminstrators, and now physicians and patients as well. Competition has, not surprisingly, proved to be far from simple to implement in practice and many key questions surrounding its implementation in Northern European health systems remain to be answered. This book develops a new conceptual framework of planned markets which will help policymakers and health service professionals to place narrow economic problems into the broader social and political context that they reflect. The authors present several different types of planned market models from Britain, Sweden and Finland and argue that the planned market policy paradigm will strongly influence the future of publicly operated health systems throughout the whole of Europe.
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The emergence of planned markets 12
Planning and markets in Sweden
Planning and markets in Finland
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administrative adopted approach arrangements authority become behaviour budgeting capital central clinical concept concerns continue contracts costs create decision-making decisions delivery developed direct district economic effective efficiency efforts elective existing experiments Finland Finnish funds further health centres health sector health services hospital human services important incentives increased individual initiatives institutions internal introduced involved issues less limited major managerial market models mechanisms mixed market municipal Northern objectives operated health systems organization organizational outcome overall paradigm particular patient choice patterns performance physicians planned market political practice present pressures primary private sector problems productivity professional proposals providers public competition public sector publicly operated health questions reduce reflect reform remain responsibility role shift social social service strategic structure suggests Sweden Swedish United viewed white paper