Analyzing The Evidence On European Health Care Reforms

Abstract

Health system reform, in Europe as elsewhere, has often been influenced as much by theory and conjecture as by fact and experience. In a study published in September 1997, the Regional Office for Europe of the World Health Organization (WHO) drew together the available evidence about the health care systems in the fifty-one countries of the European region. This paper focuses on western European countries. It reviews a variety of policy strategies and then explores implications from this European experience for the formulation of U.S. health care policy.

Shifting hospital care to primary care: An evaluation of cardiology care in a primary care setting in the Netherlands

“…A considerable number of these reforms focus on limiting the volume growth of more costly hospital care by stimulating substitution of care [3–5]. Substitution of care can be defined as the continual regrouping of resources across and within care settings to exploit the best and least costly solutions in the face of changing needs and demands [6, 7].…”

Sağlıkta Dönüşüm Programı Uygulamalarının Hastane Hizmetleri Üzerindeki Değişim Etkisi: Sağlık Çalışanlarının Görüşleri

“…2 Verilerin toplandığı tarihte uygulama henüz yürürlüğe girmemişti. 3 Bu sorularda derecelendirmeli ölçme tekniği kullanılmadığı için değerlendirmeler yüzde üzerinden yapılmıştır.…”

Comparison of services provided by urban commercial, community-governed and traditional primary care practices in New Zealand

“…In keeping with many European countries, 1 New Zealand experienced a period of major health sector reforms in the 1980s and 1990s. 2 While the hospital sector was the principal focus of these reforms, it was the urban primary care system that exhibited more innovation.…”