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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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Drivers and enablers of change: exploring dynamics in Germany

Drivers and enablers of change: exploring dynamics in Germany

Chapter:
(p.80) (p.81) Four Drivers and enablers of change: exploring dynamics in Germany
Source:
Modernising health care
Author(s):

Ellen Kuhlmann

Publisher:
Policy Press
DOI:10.1332/policypress/9781861348586.003.0005

This chapter links global models and the national context of restructuring in Germany. It aims to explore nation-specific conditions of modernisation in Germany. The comparative perspective can uncover potential for change, even if it is not yet used in the German context. The chapter reveals that weak drivers for change are increasingly applied to the German health system, while strong drivers are neglected, namely the inclusion of the entire spectrum of health professions and occupations in the regulatory system, and the advancement of a primary care system with multidisciplinary occupational teams. The switchboards of change are the networks and quality circles of physicians, new professionalisation strategies and the use of professionalism by the health occupations and the inclusion of the users in the regulatory system.

Keywords:   Germany, national restructuring, primary care system, modernisation, professionalism

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