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Health policy in times of austerity—a conceptual framework for evaluating effects of policy on efficiency and equity illustrated with examples from Europe since 2008

Wenzl, Martin and Naci, Huseyin and Mossialos, Elias (2017) Health policy in times of austerity—a conceptual framework for evaluating effects of policy on efficiency and equity illustrated with examples from Europe since 2008. Health Policy, 121 (9). pp. 947-954. ISSN 0168-8510

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Identification Number: 10.1016/j.healthpol.2017.07.005

Abstract

The objective of this paper is to provide a framework for evaluation of changes in health policy against overarching health system goals. We propose a categorisation of policies into seven distinct health system domains. We then develop existing analytical concepts of insurance coverage and cost-effectiveness further to evaluate the effects of policies in each domain on equity and efficiency. The framework is illustrated with likely effects of policy changes implemented in a sample of European countries since 2008. Our illustrative analysis suggests that cost containment has been the main focus and that countries have implemented a mix of measures that are efficient or efficiency neutral. Similarly, policies are likely to have mixed effects on equity. Additional user charges were a common theme but these were frequently accompanied by additional exemptions, making their likely effects on equity difficult to evaluate. We provide a framework for future, and more detailed, evaluations of changes in health policy

Item Type: Article
Official URL: https://www.sciencedirect.com/science/journal/0168...
Additional Information: © 2017 The Authors © CC BY-NC-ND
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Sets: Research centres and groups > LSE Health
Date Deposited: 12 Jan 2018 15:54
Last Modified: 12 Jan 2018 15:54
URI: http://eprints.lse.ac.uk/id/eprint/86433

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