The Rise of the Regulatory State in Health Care: A Comparative Analysis of the Netherlands, England and Italy. Helderman, J., Bevan, G., & France, G. Health Economics, Policy and Law, 7(Special Issue 01):103--124, 2012. doi abstract bibtex In a relatively short time, regulation has become a significant and distinct feature of how modern states wish to govern and steer their economy and society. Whereas the former ‘dirigiste’ state used to be closely related to public ownership (e.g. hospitals), planning (volume and capacity planning) and centralised administration (e.g. fixed prices and budgets), the new regulatory state relies mainly on the instrument of regulation to achieve its objectives. In this paper, we wish to relate the rise of the ‘regulatory state’ to the path-dependent trajectories and institutional legacies of discrete European health-care systems. For this purpose, we compared the Dutch corporatist social health insurance system, the strongly centralised National Health Service (NHS) of England and federal regionalised NHS system of Italy. Comparing these three different health-care systems suggests that it is indeed possible to identify a general trend towards the rise of the regulatory state in health care in the last two decades. However, although the three countries examined in this paper face similar problems of multilevel governance of networks of third-party payers and providers, each system also gives rise to its own distinct regulatory challenges.
@article{helderman_rise_2012,
title = {The {Rise} of the {Regulatory} {State} in {Health} {Care}: {A} {Comparative} {Analysis} of the {Netherlands}, {England} and {Italy}},
volume = {7},
shorttitle = {The {Rise} of the {Regulatory} {State} in {Health} {Care}},
doi = {10.1017/S1744133111000326},
abstract = {In a relatively short time, regulation has become a significant and distinct feature of how modern states wish to govern and steer their economy and society. Whereas the former ‘dirigiste’ state used to be closely related to public ownership (e.g. hospitals), planning (volume and capacity planning) and centralised administration (e.g. fixed prices and budgets), the new regulatory state relies mainly on the instrument of regulation to achieve its objectives. In this paper, we wish to relate the rise of the ‘regulatory state’ to the path-dependent trajectories and institutional legacies of discrete European health-care systems. For this purpose, we compared the Dutch corporatist social health insurance system, the strongly centralised National Health Service (NHS) of England and federal regionalised NHS system of Italy. Comparing these three different health-care systems suggests that it is indeed possible to identify a general trend towards the rise of the regulatory state in health care in the last two decades. However, although the three countries examined in this paper face similar problems of multilevel governance of networks of third-party payers and providers, each system also gives rise to its own distinct regulatory challenges.},
number = {Special Issue 01},
journal = {Health Economics, Policy and Law},
author = {Helderman, Jan-Kees and Bevan, Gwyn and France, George},
year = {2012},
pages = {103--124},
file = {Cambridge Journals Snapshot:files/35989/displayAbstract.html:text/html;Regulationhealth.pdf:files/35880/Regulationhealth.pdf:application/pdf}
}
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