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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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(p.1) Introduction
Modernising health care

Ellen Kuhlmann

Policy Press

Health care is a key arena of the modernisation of welfare states. Tighter resources and a changing spectrum of diseases, coupled with new modes of citizenship and demands for public safety, challenge health care systems throughout the Western world. This book examines new perspectives on the governance of health care, and highlights the role of the professions as mediators between the state and its citizens. It discusses the German health care system, and in particular ambulatory care, as a case study to place this national restructuring in the context of European health systems and global reform models. The empirical research takes into account the provider and the user perspective, and a gendered division of the health workforce. The book highlights the context-dependency of medical power and the significance of regulatory frameworks in targeting the rise of a more inclusive professionalism.

Keywords:   Germany, health care, modernisation, ambulatory care, new professionalism, welfare states

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