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Health policy developments: reforms and effects of reforms in Europe

Oliver, Adam (2007) Health policy developments: reforms and effects of reforms in Europe. Journal of Management and Marketing in Healthcare, 1 (1). pp. 73-79. ISSN 1753-3031

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Abstract

Since the early 1990s, European health policy makers have put great stock in managed markets as a means of improving efficiency in healthcare. To date, these markets have had only limited success, although given the youth of some of these policy developments, ongoing assessment is warranted. It may be that the individualistic ethos underpinning the normal market mechanism does not sit well with the collective nature of most European healthcare systems. However, even if this is the case, attempts at introducing competitive incentives are not necessarily doomed to failure. By encouraging people to improve their own performance without directly undermining the circumstances of others, substantive performance improvements may be possible. Indeed, the US Veterans Health Administration (VHA), a collective healthcare system that introduced competitive incentives in the mid-1990s, over a five-year period experienced substantial improvements in process quality, rendering it arguably the best performing sector of US healthcare. European health policy makers may do well to take note.

Item Type: Article
Official URL: http://www.henrystewart.com/jmmh/index.html
Additional Information: © 2007 Henry Stewart Publications LLP
Library of Congress subject classification: D History General and Old World > D History (General) > D901 Europe (General)
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RA Public aspects of medicine
Sets: Departments > Social Policy
Research centres and groups > LSE Health
Rights: http://www.lse.ac.uk/library/usingTheLibrary/academicSupport/OA/depositYourResearch.aspx
Date Deposited: 10 Feb 2009 10:56
URL: http://eprints.lse.ac.uk/22628/

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