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Are health problems systemic?: Politics of access and choice under Beveridge and Bismarck systems
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2009 (English)Report (Other academic)
Abstract [en]

Industrialised countries face similar challenges for improving the performance of their health system.Nevertheless the nature and intensity of the reforms required are largely determined by each country’s basic social security model. This paper looks at the main differences in performance of five countries and reviews their recent reform experience, focusing on three questions: Are there systematic differences in performance of Beveridge and Bismarck-type systems? What are the key parameters of health care system which underlie these differences? Have recent reforms been effective? Our results do not suggest that one system-type performs consistently better than the other. In part, this may be explained by the heterogeneity in organisational design and governance both within and across these systems. Insufficient attention to those structural differences may explain the limitedsuccess of a number of recent reforms.

Place, publisher, year, edition, pages
Paris, 2009. , 30 p.
, IRDES, ISSN 2102-6386 ; 27
Keyword [en]
Health system, Beveridge, Bismarck, reforms, performance
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-103114ISBN: 978-2-87812-354-8OAI: oai:DiVA.org:uu-103114DiVA: diva2:217448
Available from: 2009-05-14 Created: 2009-05-14 Last updated: 2010-07-29Bibliographically approved

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Winblad, Ulrika
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