The Changing National Role in Health System Governance: A Case-based Study of 11 European Countries and Australia

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Elke Jakubowski, Richard B. Saltman
European Observatory on Health Systems and Policies, 2013 - Medical - 74 pages
This report by the Observatory gives a both broad and specific picture of recent international-European issues and initiatives ; successes as well as difficulties and shortcomings. Together with other international outlooks, it leads us to the conclusion that Sweden shares many fundamental challenges with other countries. (Australia, Denmark, England, Finland, France, Germany, Italy, Netherlands, Norway, Spain, Sweden, Switzerland). There are strong implicit forces for improved central coordination in fields like knowledge management and IT. At the same time, there are strong forces for decentralizing information and decision-making to individual patients and users of social services. Public health, as well as integrated care for people with multiple needs, are issues that largely have to be locally implemented. These aspects of centralization and decentralization seem to be relatively independent of political structures.

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