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'The choice agenda' in European health systems: the role of 'middle class demands'

Costa-i-Font, Joan and Zigante, Valentina (2014) 'The choice agenda' in European health systems: the role of 'middle class demands'. LEQS discussion papers (82/2014). The London School of Economics and Political Science, London, UK.

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Abstract

We examine the role of political economy drivers of the choice agenda in European health systems including middle class electoral support. Building on the reform trajectories and current institutional framework in eight western European countries where there have been significant choice reforms, we explore the preferences for choice and health system satisfaction in those countries. We find provider choice to be supported by middle class demands and health systems satisfaction, but weak evidence of other alternative political motivations for the expansion of provider choice. We conclude that in addition to efficiency improvements, provider choice is largely correlated with the demands for choice among the middle class. The provider choice agenda responds as much to political economy consideration as it does to efficiency arguments.

Item Type: Monograph (Discussion Paper)
Official URL: http://www.lse.ac.uk/europeanInstitute/home.aspx
Additional Information: © 2014 The Authors
Divisions: Social Policy
Centre for Economic Performance
Personal Social Services Research Unit
Subjects: H Social Sciences > HN Social history and conditions. Social problems. Social reform
J Political Science > JN Political institutions (Europe)
Sets: Departments > Social Policy
Research centres and groups > Centre for Economic Performance (CEP)
Research centres and groups > LSE Health and Social Care
Research centres and groups > Personal Social Services Research Unit (PSSRU)
Date Deposited: 11 Dec 2014 10:28
Last Modified: 20 Feb 2019 03:48
Funders: LSE Annual Fund
URI: http://eprints.lse.ac.uk/id/eprint/60483

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