Explaining Convergence and Common Trends in the Role of the State in OECD Healthcare Systems

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Explaining Convergence and Common Trends in the Role of the State in OECD Healthcare Systems. / Cacace, Mirella; Götze, Ralf; Schmid, Achim et al.
in: Harvard Health Policy Review, Jahrgang 9, Nr. 1, 2008, S. 5-16.

Publikation: Beiträge in ZeitschriftenZeitschriftenaufsätzeForschungbegutachtet

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@article{834e6a5085c248129cb2a405282324c8,
title = "Explaining Convergence and Common Trends in the Role of the State in OECD Healthcare Systems",
abstract = "This paper seeks to explain a convergence trend in the role of the state in OECD healthcare systems. By convergence we mean that healthcare systems become increasingly similar with regards to the public/private mix in financing and service provision, and with respect to their regulatory structure. In particular, we identify increasing similarities between the three system types we delineate as National Health Service, Social Health Insurance and Private Health Insurance systems. We argue that the specific healthcare system type is an essential explanatory factor. Systems tend to feature specific, type-related deficiencies, which cannot be solved by routine mechanisms. As a consequence, non system-specific elements and innovative policies are implemented which lead to the emergence of {\textquoteleft}hybrid{\textquoteright} systems indicating a trend towards convergence.",
keywords = "Health sciences",
author = "Mirella Cacace and Ralf G{\"o}tze and Achim Schmid and Heinz Rothgang",
year = "2008",
language = "English",
volume = "9",
pages = "5--16",
journal = "Harvard Health Policy Review",
issn = "1945-5070",
publisher = "Harvard College",
number = "1",

}

RIS

TY - JOUR

T1 - Explaining Convergence and Common Trends in the Role of the State in OECD Healthcare Systems

AU - Cacace, Mirella

AU - Götze, Ralf

AU - Schmid, Achim

AU - Rothgang, Heinz

PY - 2008

Y1 - 2008

N2 - This paper seeks to explain a convergence trend in the role of the state in OECD healthcare systems. By convergence we mean that healthcare systems become increasingly similar with regards to the public/private mix in financing and service provision, and with respect to their regulatory structure. In particular, we identify increasing similarities between the three system types we delineate as National Health Service, Social Health Insurance and Private Health Insurance systems. We argue that the specific healthcare system type is an essential explanatory factor. Systems tend to feature specific, type-related deficiencies, which cannot be solved by routine mechanisms. As a consequence, non system-specific elements and innovative policies are implemented which lead to the emergence of ‘hybrid’ systems indicating a trend towards convergence.

AB - This paper seeks to explain a convergence trend in the role of the state in OECD healthcare systems. By convergence we mean that healthcare systems become increasingly similar with regards to the public/private mix in financing and service provision, and with respect to their regulatory structure. In particular, we identify increasing similarities between the three system types we delineate as National Health Service, Social Health Insurance and Private Health Insurance systems. We argue that the specific healthcare system type is an essential explanatory factor. Systems tend to feature specific, type-related deficiencies, which cannot be solved by routine mechanisms. As a consequence, non system-specific elements and innovative policies are implemented which lead to the emergence of ‘hybrid’ systems indicating a trend towards convergence.

KW - Health sciences

UR - http://www.hhpronline.org/past-print-issues/2008

M3 - Journal articles

VL - 9

SP - 5

EP - 16

JO - Harvard Health Policy Review

JF - Harvard Health Policy Review

SN - 1945-5070

IS - 1

ER -