By Bent Greve
This publication analyzes the impression of selection on welfare states in Europe and asks even if the shift in the direction of extra selection will eventually gain the clients and prone of the welfare nation, and feature a good impression on society as a whole.Explores the hot specialise in selection in lots of welfare states, which has created a extra market-orientated process, replaced clients to shoppers, and elevated emphasis on inner most providersExamines the effect of those fresh reforms on equality, not just from an financial viewpoint, but additionally when it comes to gender, schooling, age, and entry to servicesDraws on examples from various eu nations and sectors of the welfare kingdom, together with the united kingdom, Germany, Italy, the Netherlands, Scandinavia, and the Czech RepublicInformed via theoretical and empirical techniques, and makes use of a number of methodologies
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Additional info for Choice: Challenges and Perspectives for the European Welfare States
Le Grand also suggests that admissions lists might be removed from hospitals completely so that they were required to take whichever patients were being referred to them. This is already happening in the ‘choose and book’ system, whereby patient appointments can be made to at least some consultant lists without patients first being assessed. This would, however, mean that patients would have to receive standardized appointment times with no 28 The Other Le Grand? attempt made to see more ill patients earlier or for longer, and would also mean that all appointments would potentially be on a first-come, first-served basis.
In J. ), The Other Invisible Hand, Princeton, NJ: Princeton University Press, pp. 174–9. Powell, M. (1995), The strategy of equality revisited, Journal of Social Policy, 24, 2: 163–85. Powell, M. (2003), Quasi-markets in British health policy: a longue durée perspective, Social Policy & Administration, 37, 7: 725–41. Powell, M. ) (2007), Understanding the Mixed Economy of Welfare, Bristol: Policy Press. , Le Grand, J. and Bartlett, W. (1998), Conclusion: lessons from experience of quasi-markets in the 1990s.
He acknowledges a range of problems with a market place for health, derived mostly from an economic analysis of market inefficiencies that might result. The other invisible hand (2007) By 2007, Le Grand presents a different analysis. He suggests that, ‘in general, the choice-and-competition model for delivering public services is indeed an effective instrument for improving the quality, efficiency, responsiveness and equity of those services – especially when compared with the alternatives’ (2007: 95).
Choice: Challenges and Perspectives for the European Welfare States by Bent Greve