Social service decline and convergence: How does healthcare fare?

Montanari, Ingalill; Nelson, Kenneth

doi:10.1177/0958928712456574

Cited by 25 publications

(20 citation statements)

References 52 publications

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“…These rights for patients and accredited private health care providers became mandatory with the passage of the law on choice, LOV (Lag om valfrihet), in 2009. 12 By the end of the first decade of the 2000s, Swedish market reforms had clearly left their mark; private health care funding had more than doubled since 1990; about 12 percent of the health care financed by the counties was carried out by private care providers (with variation by county); and close to one-third of outpatient visits were to private providers (30,32). The market reforms and trends, which accelerated further when the non-socialist coalition government came to power in 2006, have continued apace with its re-election in 2010.…”

Section: Social Servicesmentioning

confidence: 99%

What's ‘Left’ in the ‘Garden of Sweden’?

Olsen

2013

Int J Health Serv

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Liberalization, restructuring, and retrenchment have been underway in Sweden for more than two decades and have rapidly accelerated under the current non-socialist coalition government. It is uncertain how much of the Swedish social policy model is "left" now, in terms of both what remains of it and its political character. A cross-temporal look at developments within Sweden reveals striking and continual rollbacks and marketization since the 1990s. However, this view must be qualified, both because Sweden's undisputed descent is from a comparatively lofty position and because there have been some noteworthy, but often ignored, gains even amidst marked decline over the past few decades. A cross-national examination indicates that, despite rapidly rising rates of income and wealth inequality, Sweden remains an egalitarian leader in several respects. This view must be qualified, too, because, while it continues to routinely out-perform Anglo nations such as Canada, the United Kingdom, and the United States, Sweden is less often, and less notably, distinct from several of its continental counterparts in Europe now. Moreover, the foundation of the model, labor strength, has been significantly undermined.

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Section: Social Servicesmentioning

confidence: 99%

What's ‘Left’ in the ‘Garden of Sweden’?

Olsen

2013

Int J Health Serv

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“…Accordingly, when comparing 32 OECD healthcare systems, we do not aim at a better understanding of a particular case but rather at an analysis of the following hypotheses on country groups, the extension of earlier typologies, and healthcare system change: In contrast to earlier typologies, this article provides the opportunity to contrast European and non‐European countries. Due to the early development of welfare states and healthcare systems in Europe combined with the process of European Integration (Taylor‐Gooby ; Montanari and Nelson ), we may identify more similarities among European healthcare systems compared with countries of other world regions. Modes of financing and organization, which are the main dimensions for distinguishing NHS systems and social health insurance, may still represent the dominant features of modern healthcare systems. We will, therefore, test whether the traditional typology of NHS, social insurance and private insurance (Kokko et al .…”

Section: Typologies Of Healthcare Systemsmentioning

confidence: 99%

“…In contrast to earlier typologies, this article provides the opportunity to contrast European and non‐European countries. Due to the early development of welfare states and healthcare systems in Europe combined with the process of European Integration (Taylor‐Gooby ; Montanari and Nelson ), we may identify more similarities among European healthcare systems compared with countries of other world regions.…”

Section: Typologies Of Healthcare Systemsmentioning

confidence: 99%

Changing Healthcare System Types

Wendt

2014

Soc Policy Adm

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This article classifies 32 Organisation for Economic Co‐operation and Development (OECD) healthcare systems based on data from 2001 and 2007. It shows that European countries are clustered in different types of healthcare systems and that traditional typologies are only partially represented in the four types of healthcare systems identified in this study. Type 1 represents countries with low total health expenditure (THE), high public financing, and low out‐of‐pocket payment (OOP). In‐patient healthcare is higher and out‐patient healthcare lower than the OECD average. General practitioners (GPs) are paid by capitation, and patients' access to healthcare is strictly regulated. Type 2 represents countries with an average level of THE, high public financing, above‐average OOP, and high in‐patient and out‐patient healthcare. GPs receive a salary, and access regulation is strict. Type 3 is characterized by very low THE, low public financing, and very high OOP. Both in‐patient and out‐patient healthcare is well below average, and GPs are paid a salary. Type 4 includes systems with the highest THE, the highest public financing, and the lowest direct payments by patients. In‐patient healthcare is below the OECD mean and out‐patient healthcare is well above it. GPs are paid by fee‐for‐service, and most countries offer free choice of medical doctors. The clusters for the years 2001 and 2007 are quite robust. During this time period, THE increased, and patients' access to medical doctors has since become more regulated.

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“…Health care systems converge from the point of view of increased financing through private insurance schemes (Montanari and Nelson, 2013), which have become an unavoidable element of health care financing, and of increased direct household payments. The transfer of the burden from public financing to private financing for health care thus marks out new borders in health care coverage.…”

mentioning

confidence: 99%

“…3. On international comparisons, see Reibling (2010), Montanari andNelson (2013), andQuesnelVallée et al (2012). 4.…”

mentioning

confidence: 99%

Health care privatization processes in Europe: Theoretical justifications and empirical classification

André

Batifoulier

Jansen-Ferreira

2016

Int Social Security Review

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This article analyses the health care system reform process in Europe based on the concept of privatization. This notion is understood from two perspectives. First, privatization may concern the health care financing or the provision of health services. Second, privatization can be "imposed" on individuals or be "internalized" and then introduced by individuals (patients and doctors). So we emphasize the diversity that privatization can assume. We classify privatization mechanisms used by different countries and identify which of the perspectives presented are more common in 14 European Union countries since the 1980s. The article shows that even if privatization processes are widespread, they assume different patterns in each country.

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Social service decline and convergence: How does healthcare fare?

Cited by 25 publications

References 52 publications

What's ‘Left’ in the ‘Garden of Sweden’?

What's ‘Left’ in the ‘Garden of Sweden’?

Changing Healthcare System Types

Health care privatization processes in Europe: Theoretical justifications and empirical classification

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