Health Care Reform in Britain and Germany
Recasting the Political Bargain with the Medical Profession
Bibliographic Data
| ID | 6265010 |
|---|---|
| Authors | Susan Giaimo (University of California, Berkeley, corresponding author) |
| Year | 1995 |
| Volume | 8 |
| Issue | 3 |
| Pages | 354-379 |
| Publication date | 1995-07-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Governance (JOURNAL) |
| Journal identifiers | ISSN: 0952-1895 • E-ISSN: 1468-0491 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/j.1468-0491.1995.tb00215.x |
| OpenAlex | W2088435379 |
| Language | EN |
| Citations received | 26 |
| References cited | 18 |
Health care systems in the postwar period have been governed by political bargains between the state and the medical profession that have delinzated their respective powers and jurisdictions. Recent health care cost containment reforms in Britain and Germany are altering these bargains, and thereby challenge the prerogatives and autonomy of the medical profession in health policy formulation and in administration of the health care systems. But these challenges to doctors' power and autonomy vary between the two countries. Britain's 1989 “internal market” reforms attack the corporatist bargain with physicians by introducing market mechanisms into the National Health Service and, at the same time, strengthening central state control of the health care system. In Germany, on the other hand, the government's 1992 reforms only partially breached the corporatist bargain with doctors in order to strengthen rather than destroy this governance arrangement. The government has tried to curb what it views as excessive power of doctors while still allowing them a significant degree of corporatist self‐governance. The reform efforts in both countries highlight some of the problems with different governance arrangements in health care systems and, more specifically, the difficulties associated with a market in health care
Autonomy · Business · Corporate governance · Economics · Government (linguistics · Health care · Health care reform · Political economy · Political science · Politics · Power (physics · State (computer science · Global Health Care Issues · Health Services Management and Policy · Healthcare Policy and Management · Law · Public Administration · Health Policy
The Institutions of Programmatic Action
Labour Market Regimes Under Threat? Sources of Continuity in Germany, Britain, and Sweden
Partisan Competition and Welfare State Retrenchment
Round Up the Usual Suspects!
Post‐Industrial Pressures on the Mature Welfare States
The Political Economy of Social Pacts
The New Politics of the Welfare State
The Comparative Political Economy of Pension Reform
Political Institutions, Veto Points, and the Process of Welfare State Adaptation
Comparative Institutional Advantages of Welfare State Regimes and New Coalitions in Welfare State Reforms
The Dynamics of Welfare State Expansion
Welfare State and Production Regimes in the Era of Retrenchment
Political Institutions and Welfare State Restructuring
Who Pays for Health Care Reform?
Coping With Permanent Austerity Welfare State Restructuring in Affluent Democracies
Collaborative governance in disaster management and sustainable development
A comparative analysis of corporate reporting on ethical issues by UK and German chemical and pharmaceutical companies
Doctors vs. doctors
Interrogating the conditions for political collaboration between the state and the medical profession
Worse than Failure
The Fiscal Crisis of National Health Insurance in the Republic of Korea
The Social Construction of an Imperative
Adapting the Welfare State
Imbalances in the GP Labour Market in the UK
Being around and knowing the players
Continuity or Discontinuity in the Self-Regulation of the Belgian and Dutch Medical Professions
Organizing interests in Western Europe
Policy networks
Economic governance and the analysis of structural change in the American economy
The Limits of Professional Power
Developing the Health Care Market
From National Corporatism to Transnational Pluralism
Constitutional and Distributional Conflict in British Medical Politics
Corporatism is Dead! Long Live Corporatism
Community, market, state-and associations
| Unique citing works | 26 |
|---|---|
| Citations per year | 0,9 |
| Citation span | 1997 - 2026 (30) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 26 |