Trends in EU Health Care Systems (eBook)

Winfried de Gooijer (Autor)

eBook Download: PDF

2007 | 2007
XXIV, 504 Seiten
Springer New York (Verlag)
978-0-387-32748-8 (ISBN)

Infos

The nations of the EU have long led the world in universal health coverage. Recent economic developments have created problems ranging from inequities of care to growing numbers of uninsured - a progression analyzed by Win de Gooijer in Trends in EU Health Care Systems. His ideas may be startling, and the book is bound to be controversial. This is critical reading for health care managers and policymakers, politicians and insurors - anyone looking to Europe to understand this far-reaching evolution.

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For decades, the nations of the European Union wrote the book on universal health coverage. Recent economic developments, however, have created problems ranging from widening inequities of care to growing numbers of uninsured - a progression expertly described by Win de Gooijer in Trends in EU Health Care Systems.De Gooijer's dual background as an economist and the CEO of Dutch health care corporations, together with his broad international experience, give him a unique understanding of his subject. He traces world economic currents that have affected quality of and access to health care throughout the EU - trends that took years to develop, but are coming to rapid fruition. Comparative illustrations from Europe and the US show national interests at odds with global ones, as governments transfer social responsibilities to market-driven agencies. Included in his discussion:- Expansion versus reform: a forty-year analysis of Europe's health care systems- Why governments cannot completely control the always-evolving dynamics of health care- Ethical and medical issues arising from the continent's changing politics- Predictions on future directions in EU health care-how much change is possible, how much is necessary.Some may find De Gooijer's ideas startling, and the book is bound to be the subject of controversy. But it is critical reading for health care managers and policymakers, politicians and insurers, advanced students of public health - in short, anyone looking to Europe for the next phase of this far-reaching evolution."e;This book is a very important contribution to the debate about the future direction of health policy in Europe. It captures the economic and social trends that underpin health systems with a keen and objective eye and poses some very challenging questions about the future. It will not be a comfortable read for politicians but it is a book that must be read."e; Brian Edwards, President of the European Hospital and Health Care Federation (HOPE)."e;The concept of subsidiarity is prohibitive to a sound discussion of health care systems on a European level. Economic principles dominate the debate and their consequences for health care are hardly understood. The author bridges the gap between economic and health care developments and wrote a book that is essential reading for policy makers and health care managers who really care."e; Rob Koning, Past President of the European Health Management Association (EHMA)."e;The future development of European health policy should not be an exclusively political affair. Hospital managers should also be actively involved, particularly as regards the design and organization of present and future European hospitals. For this purpose, this book is a useful and well-founded manual. It not only clarifies the dangers, but also points to the challenges and possible alternative policy options. Therefore, this book should be in the boardroom of each and every European hospital."e; Willy Heuschen, Secretary-General of the European Association of Hospital Managers (EAHM)."e;Win de Gooijer brings immense clarity to a complex issue.  In this book, he draws major and new conclusions, and raises many challenging questions.  We hope this book will draw the attention it deserves."e; Grard Vincent, President International Hospital Federation.   

Inhalt

Contents 8
Foreword 10
Acknowledgments 12
Preface 14
About the Author 23
Part One A Changing Social Context 24
1 Moving Along a Continuum 26
1.1 The Dynamics of the Economic Order 28
1.2 Movement at the National Level 41
1.3 Movement at the European Level 51
1.4 Movement at the Global Level 58
1.5 Summary 61
2 Promoting and Opposing the Market 64
2.1 Promoting the Market 65
2.2 Opposing the Market 70
2.3 Summary 82
3 The Arguments 84
3.1 On Globalization 84
3.2 New Dogmas 90
3.3 Summary 98
4 The Effects 100
4.1 Increasing Inequalities 100
4.2 Working Poor 102
4.3 Downsizing Pays 104
4.4 Not in Europe? 105
4.5 Asymmetric Employment Relations 107
4.6 Work in the Third Millennium 108
4.7 Summary 110
Part Two Consequences for Health Care Systems 112
5 Health Care and the Economic Order 114
5.1 A Market for Health Care? 116
5.2 A Wheelbarrow With Frogs 124
5.3 Health (Care) in Constitutions 130
5.4 An Aging Population 133
5.5 Ethics 136
5.6 Summary 140
6 Health Care Dynamics 141
6.1 Medical Culture 143
6.2 Science and Technology 145
6.3 Organization 157
6.4 Economics and Politics 159
6.5 Summary 161
7 The Influence of the European Union 162
7.1 Comparing Health Care Systems 163
7.2 Policy Lines From Brussels 167
7.3 Enlargement 179
7.4 Summary 182
8 Investing in Health Care 183
8.1 From a Closed System to an Open One 183
8.2 The Authority of Medicine 187
8.3 Health Care Expenditure in the Countries of the European Union 191
8.4 A Changing Tide 197
8.5 Summary 202
9 Health Care Reforms 203
9.1 Accountability 205
9.2 Organizational Reforms 212
9.3 Rationing and Priority Setting 224
9.4 Cost Containment 236
9.5 Summary 248
10 The Effects 249
10.1 On Equity 250
10.2 Regulation 260
10.3 The Emerging Picture 264
10.4 Summary 277
Part Three Reflections 278
11 The Social Context Reconsidered 280
11.1 Normative Economics 281
11.2 Modifying the Dogmas 285
11.3 Globalization and Politics 290
11.4 The European Union in a Globalizing Economy 297
11.5 Evaluation 306
12 On Managing Health Care 311
12.1 The Role of Governments 313
12.2 Medical Authority Reconsidered 315
12.3 The Health Care Manager 319
12.4 Some Lessons To Be Learned 323
Epilogue 327
Notes and References 332
Preface 332
Chapter 1 332
Chapter 2 382
Chapter 3 402
Chapter 4 415
Chapter 5 425
Chapter 6 435
Chapter 7 441
Chapter 8 445
Chapter 9 450
Chapter 10 460
Chapter 11 466
Chapter 12 482
Epilogue 486
Bibliography 488
Index 508

Produkt-Details

• Erscheint lt. Verlag: 20.3.2007
• Zusatzinfo: XXIV, 504 p.
• Verlagsort: New York
• Sprache: englisch
• Themenwelt: Sachbuch/Ratgeber ► Gesundheit / Leben / Psychologie ► Krankheiten / Heilverfahren
• Themenwelt: Medizin / Pharmazie ► Allgemeines / Lexika
• Themenwelt: Medizin / Pharmazie ► Gesundheitswesen
• Themenwelt: Studium ► Querschnittsbereiche ► Prävention / Gesundheitsförderung
• Themenwelt: Sozialwissenschaften ► Politik / Verwaltung
• Schlagworte: Computerassistierte Detektion • Health • Health Care • health policy • Hospital • Public Health • Radiologieinformationssystem
• ISBN-10: 0-387-32748-7 / 0387327487
• ISBN-13: 978-0-387-32748-8 / 9780387327488