Privatization in Health Care: Shifting the Risk

Gardner, Laura B.; Scheffler, Richard M.

doi:10.1177/107755878804500203

Cited by 12 publications

(5 citation statements)

References 50 publications

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“…Porast broja privatnih terapeuta se može dovesti u vezu sa proliferacijom privatnih klinika i bolnica u Beogradu kao što su "Medigroup" ili "Euromedic", a privatizacija zdravstvenih usluga je generalno zastupljena i u zapadnim zemljama i povezana je sa nemogućnošću države da omogući kvalitetno zdravstvo svojoj populaciji (vidi: Manga 1987;Gardner & Scheffler 1988). Privatizacija zdravstva se takođe, na jedan drugačiji način, odvija i na individualnom nivou.…”

Section: Psihoterapija U Očima Klijenataunclassified

The Construction of the Neoliberal Self in Belgrade Psychotherapeutic Practice

Vukomanović¹

2020

EAP / IEA

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The processes of neoliberalization and European integration in Serbia have been underway for some time, and in addition to their effect on certain elements of the social structure such as the family, the economy, political life etc., their impact is also evident in the way that Serbian citizens perceive themselves and their position in this environment. Due to reduced social protection, the withdrawal of the state from the public sphere, and increasing financial and employment insecurity, individuals are obliged to assume responsibility for their lives and to engage in self-improvement with the aim of personal development and the finding of new survival strategies. Through interviews with psychotherapists and persons who have used the services of private psychotherapy, this paper looks at the relationship between private psychotherapeutic practice in Belgrade as a technique for self-improvement and the construction of the self in its clients, and then relates it to the broader socio-economic context in which the respondents live and work. The findings suggest that with regard to its clients, private psychotherapeutic practice mirrors the emphasis on independence, autonomy and responsibility for one's life and life decisions, which are typical features of the entrepreneurial self characteristic of the period of post-socialist neoliberalization.

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Section: Psihoterapija U Očima Klijenataunclassified

The Construction of the Neoliberal Self in Belgrade Psychotherapeutic Practice

Vukomanović¹

2020

EAP / IEA

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“…In general, providers agree to accept discounted or fixed rates in return for a certain, sometimes guaranteed, volume of patients. Usually, administrators develop loose affiliations with providers, allowing them to continue their independent practices and contract with other administrators (Schmitz 1991;Gardner and Scheffler 1988;Scheffler and Nauenberg 1990). Typically, administrators require or encourage subscribers to seek care from the network of select providers.…”

Section: Selective Contracting Defining Selective Contractingmentioning

confidence: 99%

“…The National Long-Term Care Channeling Demonstration, an evaluation of long-term care case management programs sponsored by the federal government, used competitive bidding and selective contracting in the selection of case management programs to oversee long-term care for the elderly (Gardner and Scheffler 1988). The demonstration, which took place between 1980 and 1985 at ten sites in ten different states, compared the effectiveness of case management programs that had the power to authorize payments to programs that did not have such power (Kemper 1988).…”

Section: Effects Of Selective Contracting On Utilization and Costsmentioning

confidence: 99%

“…Long-Term Effects of Selective Contracting Gardner and Scheffler (1988), in a review of selective contracting for health care services by the public sector, question whether selective contracting in health care leads to long-term competitive pricing. They propose a three-stage model to describe the selective contracting process.…”

Section: Factors Influencing the Effectiveness Of Selective Contractingmentioning

confidence: 99%

“…Consolidation encourages the payer to implement regulations addressing quantity, access, and cost. Based on this model, Gardner and Scheffler (1988) suggest that, over time, an industry that uses selective contracting will begin to resemble a regulated industry, with lower levels of access and quality, and questionable long-term savings.…”

Section: Factors Influencing the Effectiveness Of Selective Contractingmentioning

confidence: 99%

See 2 more Smart Citations

Managed Care for Preventive Services: A Review of Policy Options

Schauffler

Rodriguez²

1993

Medical Care Review

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Contracting between public and private providers: A survey of mental health services in California

Libby

1997

Adm Policy Ment Health

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This paper reports on a public authority's decision to "make" or "buy" mental health services. Data come from key informant interviews with California county contract or program managers. The questionnaire measures the extent of contracting and the importance of factors that are hypothesized to affect the relative costs of contracting. The percent of contracting by programs ranges from zero to 100, averaging 41%. Sixty-two percent of rural programs perceive little or no competition for public mental health contracts, and contract significantly less than urban programs. The extent of contracting is related to economic and public organizational factors.

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Privatization in Health Care: Shifting the Risk

Cited by 12 publications

References 50 publications

The Construction of the Neoliberal Self in Belgrade Psychotherapeutic Practice

The Construction of the Neoliberal Self in Belgrade Psychotherapeutic Practice

Managed Care for Preventive Services: A Review of Policy Options

Contracting between public and private providers: A survey of mental health services in California

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