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Health Politics in Europe

Health Politics in Europe
Author: Ellen M. Immergut
Publisher: Oxford University Press
Total Pages: 792
Release: 2021-06-02
Genre: Political Science
ISBN: 0192604252

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Health Politics in Europe: A Handbook is a major new reference work, which provides historical background and up-to-date information and analysis on health politics and health systems throughout Europe. In particular, it captures developments that have taken place since the end of the Cold War, a turning point for many European health systems, with most post-communist transition countries privatizing their state-run health systems, and many Western European health systems experimenting with new public management and other market-oriented health reforms. Following three introductory, stage-setting chapters, the handbook offers country cases divided into seven regional sections, each of which begins with a short regional outlook chapter that highlights the region's common characteristics and divergent paths taken by the separate countries, including comparative data on health system financing, healthcare access, and the political salience of health. Each regional section contains at least one detailed main case, followed by shorter treatments of the other countries in the region. Country chapters feature a historical overview focusing on the country's progression through a series of political regimes and the consequences of this history for the health system; an overview of the institutions and functioning of the contemporary health system; and a political narrative tracing the politics of health policy since 1989. This political narrative, the core of each country case, examines key health reforms in order to understand the political motivations and dynamics behind them and their impact on public opinion and political legitimacy. The handbook's systematic structure makes it useful for country-specific, cross-national, and topical research and analysis.


EBOOK: The Politics Of European Union Health Policies

EBOOK: The Politics Of European Union Health Policies
Author: Scott Greer
Publisher: McGraw-Hill Education (UK)
Total Pages: 208
Release: 2009-06-16
Genre: Medical
ISBN: 0335239617

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"Scott Greer has done a remarkable job in explaining how the Europeanization of health policy takes place, how institutional legacies exert an influence in lobbying, how harmonization exacerbates path-dependent welfare structures that in turn impede a 'race to the bottom', and why the idea of a European social model creates positive external effects, even if it is a only an ad hoc policy construction." Journal of European Social Policy 2010 20 (2) "Provides an original and thought-provoking perspective and approach, combining in-depth theoretical discussions and well-researched case studies over 11 chapters...The book is well written and insightful, and the main argument is that EU law and policy developments - directly and indirectly - have the potential of undermining domestic health systems and the political actors within them."Journal of Common Market Studies, 2010 Volume 48. Number 3 "This book provides a unique insight into what is going on, unnoticed by most, 'below the surface' in EU health policy. It serves as a wake-up call for those who continue to believe that the EU is of marginal interest and relevance in national level debates about the direction of health care. In addition, in an engaging and lively style, it provides essential guidance for students of health policy who seek to understand the labyrinthine processes and the wide ranging unintended consequences - for good and for bad - of EU policy making." Professor Naomi Chambers, Head of Health Policy and Management, Manchester Business School “In this insightful book, Scott Greer describes how European health policy has long been developed in a secret garden, where a small number of people find pragmatic solutions to immediate problems while avoiding the fundamental questions … Yet the logic of European integration is tearing down the garden's walls, creating a public park where pragmatism takes second place to principles. Something must be done, but it is not clear what. Greer's book will be essential reading … for anyone who is responsible for organising how health care is delivered in Europe.” Martin McKee CBE, London School of Hygiene and Tropical Medicine, UK This important new book explains how European Union (EU) developed policies shape and constrain health services. It answers the key questions asked of EU health policy: What is it? Why did it happen? What does it take to influence it and how can it be changed? Using extensive new data, Greer discusses how EU policy is influenced by lobbies in Brussels and by four big member states: France, Germany, Spain and the United Kingdom. Shaping EU health policy takes information, coordination, nimbleness and focus. The book examines the ways that the successful health lobbies and member states work, identifies weaknesses, and emphasizes the challenge to health policymakers: if they do not influence EU health policies, they will lose influence over their own health systems. The Politics of European Union Health Policies will be of great interest to students and academics of EU policy and politics, as well as health policy makers.


Health Politics

Health Politics
Author: Ellen M. Immergut
Publisher: CUP Archive
Total Pages: 374
Release: 1992-08-28
Genre: Medical
ISBN: 9780521413350

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A comparative analysis of the politics of national health insurance in Sweden, France and Switzerland, showing how the Swedes have developed the most 'socialized' health system in Western Europe, the Swiss the most 'privatized' and the French a conflict-ridden compromise between the two.


The Politics of Health in Europe

The Politics of Health in Europe
Author: Richard Freeman
Publisher: Manchester University Press
Total Pages: 180
Release: 2000
Genre: Europe
ISBN: 9780719042140

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This book is explicitly comparative, and comparison is essential to the analyses it develops. The book is explicitly concerned with the liberal democracies of western Europe. The countries covered in detail here - Italy, Sweden and the UK, and France and Germany - constitute a purposive sample. The distinction between national health services and social insurance systems is not real, but an abstract formulation which makes a wealth of information more manageable. Choosing these countries makes sense not because they are somehow representative of general types but because, between them, they are indicative of particular sets of problems in the politics of health and health care. The working assumption here is that the public provision of health care is embedded in a distinctively European politics.


Health Governance in Europe

Health Governance in Europe
Author: Monika Steffen
Publisher: Psychology Press
Total Pages: 232
Release: 2005
Genre: Europe
ISBN: 9780415364522

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Focussing on the health sector, this book analyses the closely interwoven relationship between the European Union and Member States.


The Politics of Precaution

The Politics of Precaution
Author: David Vogel
Publisher: Princeton University Press
Total Pages: 332
Release: 2012-04-29
Genre: Political Science
ISBN: 1400842565

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The Politics of Precaution examines the politics of consumer and environmental risk regulation in the United States and Europe over the last five decades, explaining why America and Europe have often regulated a wide range of similar risks differently. It finds that between 1960 and 1990, American health, safety, and environmental regulations were more stringent, risk averse, comprehensive, and innovative than those adopted in Europe. But since around 1990, the book shows, global regulatory leadership has shifted to Europe. What explains this striking reversal? David Vogel takes an in-depth, comparative look at European and American policies toward a range of consumer and environmental risks, including vehicle air pollution, ozone depletion, climate change, beef and milk hormones, genetically modified agriculture, antibiotics in animal feed, pesticides, cosmetic safety, and hazardous substances in electronic products. He traces how concerns over such risks--and pressure on political leaders to do something about them--have risen among the European public but declined among Americans. Vogel explores how policymakers in Europe have grown supportive of more stringent regulations while those in the United States have become sharply polarized along partisan lines. And as European policymakers have grown more willing to regulate risks on precautionary grounds, increasingly skeptical American policymakers have called for higher levels of scientific certainty before imposing additional regulatory controls on business.


Organization and Financing of Public Health Services in Europe

Organization and Financing of Public Health Services in Europe
Author: Who Regional Office for Europe
Publisher: World Health Organization
Total Pages: 148
Release: 2018-06-29
Genre: Medical
ISBN: 9289051701

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What are public health services? Countries across Europe understand what they are or what they should include differently. This study describes the experiences of nine countries detailing the ways they have opted to organize and finance public health services and train and employ their public health workforce. It covers England France Germany Italy the Netherlands Slovenia Sweden Poland and the Republic of Moldova and aims to give insights into current practice that will support decision-makers in their efforts to strengthen public health capacities and services. Each country chapter captures the historical background of public health services and the context in which they operate; sets out the main organizational structures; assesses the sources of public health financing and how it is allocated; explains the training and employment of the public health workforce; and analyses existing frameworks for quality and performance assessment. The study reveals a wide range of experience and variation across Europe and clearly illustrates two fundamentally different approaches to public health services: integration with curative health services (as in Slovenia or Sweden) or organization and provision through a separate parallel structure (Republic of Moldova). The case studies explore the context that explain this divergence and its implications. This study is the result of close collaboration between the European Observatory on Health Systems and Policies and the WHO Regional Office for Europe Division of Health Systems and Public Health. It accompanies two other Observatory publications Organization and financing of public health services in Europe and The role of public health organizations in addressing public health problems in Europe: the case of obesity alcohol and antimicrobial resistance (both forthcoming).


Health and Citizenship

Health and Citizenship
Author: Frank Huisman
Publisher: Routledge
Total Pages: 319
Release: 2015-10-06
Genre: History
ISBN: 1317319028

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This collection of essays looks at issues of health and citizenship in Europe across two centuries. Contributors examine the extent to which the state can interfere with the private lives of its citizens, the role of individual responsibility and if any boundary occurs in terms of what the state can realistically provide.


European Integration and Health Policy

European Integration and Health Policy
Author: Panos Minogiannis
Publisher: Routledge
Total Pages: 289
Release: 2018-02-06
Genre: Business & Economics
ISBN: 1351323989

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The impact of European integration on diverse national social policies is still largely unknown. While policy decision making remains at the country level, there is a strong possibility that indirectly, as a result of ideological imperatives and financial constraints, policies will change. National health policy is a case in point. This important volume explores the current and probable effect of European integration on health care protection. Will it tend to encourage all European member states to provide equitable and universal access to quality care? Or is the European integration process likely to lead to social exclusion of some? The high degree of social welfare as a health expectancy holds great significance for decisions in countries like the United States facing similiar pressures for expanded coverage. In answering these questions, Panos Minogiannis examines policies in Greece, France, Germany, and the Netherlands. Minogiannis frames his argument through an exploration of the history of the institutionalization of health care. Chapter 1 explores the nature of challenges that health care faces in an era of integration and the ways in which these challenges have emerged. Chapter 2 discusses centralization of governance in Brussels, describing the structure and relations of different European Union institutions, and their interactions with member states. The final portions of the book, through case studies of the Dutch, French, German, and Greek health reforms, explore the history of the political development of health care institutions with a particular interest in reform proposals in the last fifteen years. Chapter 7 brings together lessons from previous chapters and discusses the dynamics of health policy making in the European Union. Minogiannis concludes that health insurance will most likely remain at the member state level as far as politics are concerned, at least for the present, although policy makers will most likely have to deal with the issue of cross-border health more comprehensively than in the past. Those interested in comparative policy, and in particular health care policy, will find this volume highly informative reading. Those interested in the impact of European integration will find it provocative. Panos Minogiannis is with the Mailman School of Public Health at Columbia University and is a research associate at the Eisenhower Center.


Exploring Health Policy Development in Europe

Exploring Health Policy Development in Europe
Author: Anne Wood-Ritsatakis
Publisher: OMS-WHO Europe
Total Pages: 568
Release: 2000
Genre: Medical
ISBN:

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Countries in Europe have long recognized that good health care, though essential, is not in itself sufficient to improve health or to reduce the increasing gaps in health status between the rich and the poor. In 1984, together with WHO, they adopted and many attempted actively to implement, what has become known as the health for all policy. This called for a radical shift from health services planning to an approach based on setting objectives and targets for health, requiring partnerships with industry, agriculture and commerce and settings such as workplaces and schools. It also required changes in behaviour and action to ensure a fairer distribution of the determinants of health, such as income, education, employment opportunities, and adequate food and housing. This volume provides a broad overview of how the 51 countries in the WHO European Region set about this ambitious task. The study's findings are based on replies to checklists sent to the Member States, a set of country profiles (given as an annex), published policy documents, and case studies written by people who were involved in the process in their own countries or regions. Examining how countries used some of the policy instruments open to them as they strove to close the health gaps, the study explores how far the rhetoric was accompanied by the necessary action and whether countries were able to move from their traditional ways of working, and poses questions as to whether this approach will be sufficient to meet the challenges of the future.