Melting public-private boundaries in European health systems
Sweden
Primary Health Care
Hospitals, Public
Health Policy
Ownership
Privatization
United Kingdom
Hospitals, Private
3. Good health
Europe
03 medical and health sciences
0302 clinical medicine
Spain
Health Care Reform
Hospital Restructuring
0305 other medical science
Delivery of Health Care
Public Health Administration
DOI:
10.1093/eurpub/13.1.24
Publication Date:
2004-11-11T16:00:11Z
AUTHORS (1)
ABSTRACT
Renewed debates about the superiority of either predominantly public or predominantly private health services arrangements have tended to be more ideologically charged than conceptually precise. Historically, the public/private split in European systems has often been more sharply defined in principle than in practice. This real-world variation was further complicated during the 1990s by reforms that enabled publicly owned hospitals and health centres to manage their daily operations more independently. Most recently, several new initiatives have established complex cross-boundary arrangements that cannot easily be characterized as either public or private. This article presents a conceptually rigorous four-part classification of past public/private arrangements that can provide a theoretical baseline from which to judge future cross-boundary developments.
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