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Modernising health careReinventing professions, the state and the public$
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Ellen Kuhlmann

Print publication date: 2006

Print ISBN-13: 9781861348586

Published to Policy Press Scholarship Online: March 2012

DOI: 10.1332/policypress/9781861348586.001.0001

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Global models of restructuring health care: challenges of integration and coordination

Global models of restructuring health care: challenges of integration and coordination

Chapter:
(p.36) (p.37) Two Global models of restructuring health care: challenges of integration and coordination
Source:
Modernising health care
Author(s):

Ellen Kuhlmann

Publisher:
Policy Press
DOI:10.1332/policypress/9781861348586.003.0003

This chapter provides an overview of developments in different health care systems in order to identify global concepts of modernisation and major areas of change. The US and Britain serve as reference points for market-driven and state-centred systems. The discussion also takes into account examples from continental Europe and Canada. Two key strategies of modernising health care are emerging, namely marketisation and managerialism coupled with consumerism, on the one hand, and the introduction and strengthening of primary care models based on integrated care concepts, on the other. New forms of flexible governance and ‘soft bureaucracy’ flank these global patterns of restructuring health care systems. The common goals of health care systems across countries are integration and coordination of provider services in order to improve both the efficiency and quality of care.

Keywords:   marketisation, health care, health policy, managerialism, consumerism, soft bureaucracy, US, Britain

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