Health Care Systems in Europe under Austerity Institutional Reforms and Performance

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  • Edition: 1st
  • Format: Hardcover
  • Copyright: 2013-11-27
  • Publisher: Palgrave Macmillan
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Health Care is a central pillar of the Welfare State, in fact, the second pillar in terms of expenditure after pensions. However, we know little about how they perform. European Health Care Systems have been put increasingly under pressure during the last two decades. They have had to face a quadrilemma: to control costs and the increase in public expenditure; to guarantee equality of access; to maximize the quality of care; and to guarantee the responsiveness of the health system and the satisfaction of patients and professionals working in the field. Achieving good results on all these four objectives is extremely difficult and often trade-offs arise among different objectives. Using in-depth case study analysis on eight health care systems, belonging to different Welfare State traditions, and comparative statistical analysis on a broader group of countries, the book connects the main policy reforms of the last two decades with how well these systems perform, in terms of economic efficiency, medical achievements, social inequalities, and patients' and workers' conditions.

Author Biography

Emmanuele Pavolini is Associate Professor of Economic Sociology at the Macerata University, Italy. His research focuses on comparative social policy and Southern European Welfare States. He also acts as a consultant to the European Commission and he is also member of the ESPANet board.

Ana M. Guillén is Professor of Sociology and Head of Department at the University of Oviedo, Spain. She has written extensively on welfare state development, comparative social policy and Europeanisation. She is also vice-president of the executive board of Research Committee 19 of the International Sociological Association and co-chair of ESPAnet-Spain.

Table of Contents

1. Sweden: Continued Marketization within a Universalist System; Paula Blomqvist and Ulrika Winblad
2. England: Health Reforms have Improved the NHS; Sean Boyle
3. Spain: Quo Vadis? From Cost Containment to Structural Reforms; Eduardo Fidalgo and Juan Ventura
4. Italy: A Strange NHS with its Paradoxes; Emmanuele Pavolini and Giovanna Vicarelli
5. France: Squaring the Health Spending Circle?; Bruno Palier and Alban Davesne
6. Germany: Mixing Rescaling, Privatization and Managerialism; Patrick Hassenteufel and Tanja Klenk
7. Austria: A Health Care System Between Continuity and Gradual Changes; August Österle
8. Poland: Decentralization, Privatization and Managerialization of the Healthcare System; Monika Ewa Kaminska
9. The Health Care Policy Quadrilemma and Comparative Institutional Reforms; Emmanuele Pavolini, Bruno Palier and Ana M. Guillén
10. The Performance of the European Health Care Systems; Emmanuele Pavolini and August Österle
11. Health Care Provision: An Exploratory Analysis of Increase, Decline, Converging Trends and Driving Forces in Comparative Perspective; Ingalill Montanari and Kenneth Nelson

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