Grenzüberschreitendes politisches Lernen bei Gesundheitsreformen: Der Fall der <i>Diagnosis Related Groups</i>

Schmid, Achim; Götze, Ralf

doi:10.1111/j.1752-1726.2009.01344.x

Int Rev Soziale Sicherheit

2009

DOI: 10.1111/j.1752-1726.2009.01344.x

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Grenzüberschreitendes politisches Lernen bei Gesundheitsreformen: Der Fall der Diagnosis Related Groups

Achim Schmid

Ralf Götze

Abstract: Auszug Beobachtungen über die Konvergenz von Gesundheitssystemen und die Verbreitung von Ideen, Wissen und Strategien über die Landesgrenzen hinweg haben die Frage aufgeworfen, wie die Länder von den Erfahrungen anderer lernen. Dieser Artikel untersucht die Rolle des grenzüberschreitenden politischen Lernens im Hinblick auf die Diagnosis Related Groups (DRGs). Wir geben einen Überblick über die Verbreitung dieses Politikinstruments und analysieren die Umsetzung von DRGs in drei Ländern, die diese kürzlich eing… Show more

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Cited by 3 publications

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Qualitative Methods for the Study of Policy Diffusion: Challenges and Available Solutions

Starke¹

2013

Policy Studies Journal

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This article deals with the question whether and how processes of policy diffusion can be examined with qualitative methods. More specifically, how can qualitative methods address the “twin challenge of interdependence,” namely the challenge to identify diffusion, on the one hand, and the challenge to discriminate between mechanisms of diffusion, on the other? I argue, first, that there are three distinct qualitative techniques that can be used, namely cross‐case analysis (often based on systematic case selection), within‐case process tracing, and counterfactual reasoning. I demonstrate how these techniques can be adapted to the study of policy diffusion. Second, a combination of these methods is the best practice, since they are largely complementary in terms of the twin challenge of diffusion. The discussion draws on numerous illustrations from recent qualitative policy diffusion studies. The article closes with some suggestions for further methodological development in the study of policy diffusion, including the combination of quantitative and qualitative methods.

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Qualitative Methods for the Study of Policy Diffusion: Challenges and Available Solutions

Starke¹

2013

Policy Studies Journal

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Policy Diffusion and Policy Transfer in Comparative Welfare State Research

2012

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For many years, comparative welfare state research has followed a 'methodological nationalism' in the sense that countries were treated as independent units. Yet the recent 'spatial turn' in comparative politics has also influenced welfare state research. For some years now, the field has been witnessing a growing interest in questions about interdependencies and policy diffusion between countries. In this article, we provide a structured overview of the state of the art in the policy diffusion and transfer literature that deals specifically with social policy. We present and critically evaluate existing theoretical concepts and quantitative and qualitative methodological approaches that enable the analysis of interdependencies between countries. Moreover, we summarize the empirical findings of quantitative and qualitative studies on the diffusion and transfer of social policy, from some pioneering studies to the latest findings. Against this background we point out what we believe to be promising avenues for future research. We focus on five areas: theoretical work on the mechanisms underlying diffusion and transfer; methodological approaches; the impact of domestic institutions and policy characteristics on social policy diffusion and transfer; programme-specific dynamics; and the systematic combination of horizontal and vertical interdependencies.

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Explaining Different Paths in Social Health Insurance Countries – Health System Change and Cross‐border Lesson‐drawing between Germany, Austria and the Netherlands

2014

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The issues of 'policy diffusion' or 'policy transfer' and 'mutual learning' have become important topics in comparative research on social policy and health systems. In current debates on explaining reform in 'Bismarckian' social (health) insurance systems, however, these issues have been neglected. In particular, the role of 'negative lesson-drawing' in the sense of avoiding mistakes of others has not often been considered. This article compares health system change in Germany, Austria and the Netherlands, three countries with health systems of the social insurance type. In contrast to the existing literature, our analysis stresses that these countries have taken different reform paths since the 1990s. By applying a most similar systems design, we analyze how far cross-border lessondrawing has contributed to health system divergence in the three countries. The empirical basis of the analysis is semi-structured qualitative expert interviews, a method appropriate for tracing processes of lesson-drawing. We argue that in order to fully understand the diverging reform trajectories, we need to take into account how political decision-makers refer to (negative) experiences of other countries. Generally, national driving forces for health system change were at the heart of many crucial reforms during the period studied. Nevertheless, we claim that it was the German bad practice role model that kept the reform paths of Austria and Germany apart in the Austrian health reform discussion between 2000 and 2005.

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Grenzüberschreitendes politisches Lernen bei Gesundheitsreformen: Der Fall der Diagnosis Related Groups

Cited by 3 publications

References 32 publications

Qualitative Methods for the Study of Policy Diffusion: Challenges and Available Solutions

Qualitative Methods for the Study of Policy Diffusion: Challenges and Available Solutions

Policy Diffusion and Policy Transfer in Comparative Welfare State Research

Explaining Different Paths in Social Health Insurance Countries – Health System Change and Cross‐border Lesson‐drawing between Germany, Austria and the Netherlands

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