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Changing choices in health care: implications for equity, efficiency and cost

Bevan, Gwyn ORCID: 0000-0003-2123-3770, Helderman, Jan-Kees and Wilsford, David (2010) Changing choices in health care: implications for equity, efficiency and cost. Health Economics, Policy and Law, 5 (3). pp. 251-267. ISSN 1744-1331

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Identification Number: 10.1017/S1744133110000022


Although choice may be seen as an end in itself, the papers included in this special issue of Health Economics, Policy and Law, examine choice policies in European systems of health care, which aim to be effective instruments for ameliorating the systemic pressures from the iron triangle of equity, efficiency, and cost. Three papers consider the nature of differences between and within countries following the Beveridge and Bismarck models of financing and organising the delivery of care, and how choices are changing within different systems. Within countries following the Beveridge model, current policies in England, Denmark and Sweden emphasise increasing patient choice of provider. Within countries following the Bismarck model, current policies in France and Germany seek to restrict choice of specialists by introducing ‘soft’ gatekeeping; and in the Netherlands there is a system of managed competition with choice of insurer that, in principle, allows insurers to contract selectively

Item Type: Article
Official URL:
Additional Information: © 2010 Cambridge University Press
Divisions: Management
Centre for Analysis of Risk & Regulation
LSE Health
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
JEL classification: I - Health, Education, and Welfare > I1 - Health > I18 - Government Policy; Regulation; Public Health
O - Economic Development, Technological Change, and Growth > O5 - Economywide Country Studies > O57 - Comparative Studies of Countries
Date Deposited: 04 Jan 2011 10:16
Last Modified: 11 Jun 2024 00:48

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