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European health policy challenges

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  • Alan Maynard

Abstract

Few countries are immune to the international health care ‘virus’ of reform, with many countries regularly re‐cycling changes that shift costs and benefits in ways that are arbitrary, inefficient and offer short term political palliation. Much of this activity has little evidence base and reveals lack of clarity in defining public policy goals, establishing trade‐offs and aligning incentive structures with these objectives. Well established failures in health care delivery systems such as variations in medical practice and continuing absence of systematic outcome measurement, have persisted for decades as nations grapple inefficiently with recurring problems of expenditure inflation and waiting times. The lack of emphasis on evidence to inform the efficient management of chronic disease and the reduction of health inequalities is a product of perverse incentives and managerial inertia that maintains the incomes of powerful interest groups. Copyright © 2005 John Wiley & Sons, Ltd.

Suggested Citation

  • Alan Maynard, 2005. "European health policy challenges," Health Economics, John Wiley & Sons, Ltd., vol. 14(S1), pages 255-263, September.
    • Handle: RePEc:wly:hlthec:v:14:y:2005:i:s1:p:s255-s263
    DOI: 10.1002/hec.1048
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    References listed on IDEAS

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    1. Alan Maynard;Karen Bloor, 1998. "Our Certain Fate: Rationing in Health Care," Monograph 000443, Office of Health Economics.
    2. Alan Williams, 1998. "Medicine, economics, ethics and the NHS: a clash of cultures?," Health Economics, John Wiley & Sons, Ltd., vol. 7(7), pages 565-568, November.
    3. Richardson, Gerald & Maynard, Alan & Cullum, Nicky & Kindig, David, 1998. "Skill mix changes: substitution or service development?," Health Policy, Elsevier, vol. 45(2), pages 119-132, August.
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    Cited by:

    1. Marco Varkevisser & Stéphanie Geest, 2007. "Why do patients bypass the nearest hospital? An empirical analysis for orthopaedic care and neurosurgery in the Netherlands," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 8(3), pages 287-295, September.
    2. Reckers-Droog, V.T. & van Exel, N.J.A. & Brouwer, W.B.F., 2018. "Looking back and moving forward: On the application of proportional shortfall in healthcare priority setting in the Netherlands," Health Policy, Elsevier, vol. 122(6), pages 621-629.
    3. Christel E. van Dijk & Bernard van den Berg & Robert A. Verheij & Peter Spreeuwenberg & Peter P. Groenewegen & Dinny H. de Bakker, 2013. "Moral Hazard And Supplier‐Induced Demand: Empirical Evidence In General Practice," Health Economics, John Wiley & Sons, Ltd., vol. 22(3), pages 340-352, March.
    4. Rocco Palumbo, 2017. "Toward a new conceptualization of health care services to inspire public health. Public national health service as a “common pool of resources”," International Review on Public and Nonprofit Marketing, Springer;International Association of Public and Non-Profit Marketing, vol. 14(3), pages 271-287, September.
    5. Sara Paralta, 2017. "Aging and Diabetes: Impact on Employment and Retirement," CEsA Working Papers 154, CEsA - Centre for African and Development Studies.

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