• Int J Health Care Qual Assur · Jan 2010

    Healthcare reforms and cost reduction strategies in Europe: the cases of Germany, UK, Switzerland, Italy and France.

    • Daniel Simonet.
    • School of Business and Management, American University of Sharjah, Sharjah, United Arab Emirates. dsimonet@aus.edu
    • Int J Health Care Qual Assur. 2010 Jan 1;23(5):470-88.

    PurposeThis paper aims to analyse health reforms carried out in a sample of European countries.Design/Methodology/ApproachUsing a country-specific approach, outstanding health reform features such as: greater competition between sickness funds in Germany; fund-holding practices in the UK; managed care models in Switzerland; health networks in France; and healthcare system decentralisation in Italy are analysed.FindingThere have been different approaches to controlling healthcare costs. Some states relied on public sector competition by creating quasi-markets (UK), insurance sector competition, particularly in Switzerland and Germany, organisational reforms in France by creating health networks and decentralisation in Italy.Research Limitations/ImplicationsSocietal and legal aspects are not discussed.Originality/ValueThe paper compares healthcare reform effectiveness in a number of western European countries.

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