Chapter

Global models of restructuring health care: challenges of integration and coordination

Ellen Kuhlmann

in Modernising health care

Published by Policy Press

Published in print September 2006 | ISBN: 9781861348586
Published online March 2012 | e-ISBN: 9781447302810 | DOI: http://dx.doi.org/10.1332/policypress/9781861348586.003.0003
Global models of restructuring health care: challenges of integration and coordination

Show Summary Details

Preview

This chapter provides an overview of developments in different health care systems in order to identify global concepts of modernisation and major areas of change. The US and Britain serve as reference points for market-driven and state-centred systems. The discussion also takes into account examples from continental Europe and Canada. Two key strategies of modernising health care are emerging, namely marketisation and managerialism coupled with consumerism, on the one hand, and the introduction and strengthening of primary care models based on integrated care concepts, on the other. New forms of flexible governance and ‘soft bureaucracy’ flank these global patterns of restructuring health care systems. The common goals of health care systems across countries are integration and coordination of provider services in order to improve both the efficiency and quality of care.

Keywords: marketisation; health care; health policy; managerialism; consumerism; soft bureaucracy; US; Britain

Chapter.  7739 words. 

Subjects: Public Health and Epidemiology

Full text: subscription required

How to subscribe Recommend to my Librarian

Users without a subscription are not able to see the full content. Please, subscribe or login to access all content.