The Electoral Politics and the Evolution of Complex Healthcare Systems

Batinti, Alberto; Pietratonio, Rinaldo

doi:10.1111/kykl.12146

Cited by 21 publications

(4 citation statements)

References 41 publications

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“…Congleton (2020a) focuses on the public choice implications of "true believers" rather than on "ordinary idealists", who are the focus of this section as well as in Congleton (2020b). 24 Ideological interests can be incorporated into the utility functions used in the first parts of the paper by adding another variable to the quality-of-life functions for each stage of life that accounts for the distance between the actual policy, S, and the voter's ideologically ideal one, S**, as in Congleton (1991) or Congleton et al (2017). For a survey of empirical research demonstrating that ideology does in fact affect public policies, see Potrafke (2018).…”

Section: Differences Among Internalized Normsmentioning

confidence: 99%

“…In effect, it treats the benefits of such programs as fixed during the period of analysis, and the insurance purchases modelled can be regarded as purchases of supplemental insurance. For a public choice analysis of how income and risks affect the characteristics of tax-finance healthcare programs, seeCongleton, Batinti and Pietrantonio (2017). The discussion and analysis based on the model go through as long as individuals make any out-of-pocket expenditures on healthcare or supplemental health insurance.…”

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confidence: 99%

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Federalism and pandemic policies: variety as the spice of life

Congleton

2021

Public Choice

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In the ordinary course of life, choices vary with age and other factors because one's opportunities vary with one's circumstances. Thus, investments in and expenditures on healthcare (and most other things) vary with age and a variety of other factors, including whether one lives in a rural area, suburb, or central city, health risks, risk aversion, and beliefs about the nature of a good life. Because assessment of the effects of illnesses vary with the same factors, the conclusions reached about best private and governmental health policies also tend to vary. This implies that conformity to "ideal" pandemic policies is more likely to be generated by a federal or polycentric system of policy making than a unitary system, especially ones that are constrained by a generality principle.

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Section: Differences Among Internalized Normsmentioning

confidence: 99%

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confidence: 99%

Federalism and pandemic policies: variety as the spice of life

Congleton

2021

Public Choice

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“…Health systems comprise various components, such as healthcare facilities, policies, and resources, all working together to offer high-quality medical treatment [35]. These systems, which are created to serve the demands of populations in terms of health, are impacted by several factors, including technological, social, political, and economic considerations [15].…”

Section: Introductionmentioning

confidence: 99%

Digital Transformation in Tanzania's Healthcare Sector: A Systematic Review of Robust Electronic Health RecordsSystems’ Critical Success Factors

Mwogosi

2023

Preprint

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This study aimed to identify the critical success factors (CSFs) for implementing effective Electronic Health Record Systems (EHRS) in Tanzania's public healthcare system. Through a systematic literature review, the study analyzed various articles published between 2012 and 2022, focusing on social, technical, and environmental factors specific to developing countries. The modified sociotechnical theory provided the theoretical framework, and the reciprocal translation method synthesized the findings. The study identified barriers to EHRS implementation, including political pressures, societal considerations, and a need for more training and dedication among healthcare professionals. Technical factors were also identified, such as inadequate IT infrastructure and high implementation costs. Environmental factors, including policies, strategies, laws, and regulations, impacted EHRS adoption. Based on the analysis, the study suggests several CSFs for successful EHRS implementation. These include recognizing and rewarding the health informatics profession, developing scalable and interoperable EHRs, promoting EHR acceptability among healthcare professionals, and addressing moral and legal issues surrounding EHRS. The findings of this study contribute valuable insights into the environmental, social, and technical factors that hinder the effective adoption of EHRS in underdeveloped nations. By identifying the CSFs and offering potential solutions to the identified challenges, this study guides public health stakeholders and policymakers to develop strategies and plans to overcome obstacles and facilitate the successful implementation of EHRS in Tanzania's public healthcare system and similar contexts.

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“…True, an increase in funding in bio-tech research versus an increase in the defence industry has direct benefits on a different set of researchers and indirect effects on related industries. In fact, researchers do lobby for public funding(Congleton et al, 2017). However, the benefits will accrue to the whole society ultimately depending on the public-good nature of the knowledge generated and the subsequent spillovers (with some exceptions in the military industry).…”

mentioning

confidence: 99%

The political economy of public research, or why some governments commit to research more than others

Filippetti

Vezzani

2022

Technological Forecasting and Social Change

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The broad consensus about the benefits of public research is at odds with the fact that investment is in general declining but with different patterns across countries. This triggers our research question: why do some governments invest in public research more than others? By relying on political economy literature, we frame investment in public research as a political choice depending on the political institutions of countries. Based on an empirical analysis on 41 countries we find a robust relationship between public-funded research and political institutions. Countries with parliamentary forms of government, proportional electoral rules and bicameralism devote larger shares of GDP and of public expenditure to research. We also find a great role of encompassing civic society organizations in encouraging public research. Political economy offers a promising perspective to delve into the patterns of public research. As for policy implications, majoritarian-like reforms might discourage long-term policies and harm the long-term potential for economic growth.

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The Electoral Politics and the Evolution of Complex Healthcare Systems

Cited by 21 publications

References 41 publications

Federalism and pandemic policies: variety as the spice of life

Federalism and pandemic policies: variety as the spice of life

Digital Transformation in Tanzania's Healthcare Sector: A Systematic Review of Robust Electronic Health RecordsSystems’ Critical Success Factors

The political economy of public research, or why some governments commit to research more than others

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