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Title Health care systems in Europe under austerity : institutional reforms and performance / edited by Emmanuele Pavolini and Ana M. Guillén
Published Basingstoke : Palgrave Macmillan, 2013

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Description 1 online resource (xvii, 312 pages) : illustrations
Series Work and welfare in Europe
Work and welfare in Europe.
Contents PART I: THE COUNTRY CASE STUDIES -- 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 Osterle -- 8. Poland: Decentralization, Privatization and Managerialization of the Healthcare System; Monika Ewa Kaminska -- PART II: THE COMPARATIVE ANALYSIS -- 9. The Health Care Policy Quadrilemma and Comparative Institutional Reforms; Emmanuele Pavolini, Bruno Palier and Ana M. Guillan -- 10. The Performance of the European Health Care Systems; Emmanuele Pavolini and August Osterle -- 11. Health Care Provision: An Exploratory Analysis of Increase, Decline, Converging Trends and Driving Forces in Comparative Perspective; Ingalill Montanari and Kenneth Nelson -- Conclusion
Summary 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
Bibliography Includes bibliographical references (pages 278-299) and index
Notes Print version record
Subject Health services administration -- Europe
Health services administration.
Health care reform.
Health Services Administration
Health Care Reform
Quality of Health Care
Patient Care Management
Patient Care Management -- methods
Health systems & services.
Welfare & benefit systems.
Health economics.
Welfare economics.
POLITICAL SCIENCE -- Public Policy -- Social Security.
POLITICAL SCIENCE -- Public Policy -- Social Services & Welfare.
Health and Fitness.
Health care reform
Health services administration
Health systems & services.
Welfare & benefit systems.
Health economics.
Welfare economics.
Health and Wellbeing.
SUBJECT Europe. http://id.loc.gov/authorities/subjects/sh85045631
Europe
Subject Europe
Form Electronic book
Author Pavolini, Emmanuele, editor.
Guillén, Ana M. (Ana Marta), editor.
ISBN 9780230369627
0230369626