Divergente Stärkung staatlicher Steuerung von Krankenversicherungssystemen: Deutschland und Frankreich im Vergleich

Bandelow, Nils C.

doi:10.1007/978-3-531-91697-2_9

Cited by 102 publications

(1 citation statement)

References 4 publications

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“…The French centralism also finds its expression in the health care system, especially with regard to the steering of administrative bodies. Authorities for quality surveillance and the national sickness fund association are government controlled (Bandelow 2009a). Regional institutions are given the task of implementing and coordinating the legislation passed in Paris across the country.…”

Section: Health Care Systems and Reforms In Austria Belgium France mentioning

confidence: 99%

Learning as a Necessary but Not Sufficient Condition for Major Health Policy Change: A Qualitative Comparative Analysis Combining ACF and MSF

Bandelow

Vogeler

Hornung

et al. 2017

Journal of Comparative Policy Analysis: Research and Practice

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Following the financial crisis, Bismarckian health systems underwent some major reforms. This article analyzes under which conditions major reforms occurred. To do so, it theoretically combines conditions from the Advocacy Coalition Framework (ACF) and the Multiple Streams Framework (MSF) to emphasize the added value of merging them to explain major policy change. By combining these two approaches, it is possible to present a more comprehensive picture of the reform processes, relying on the significance of both policy learning within actor coalitions (as particularly important in the ACF) and the role of ambiguity and timing (as particularly important in the MSF). Empirically, the article focuses on the health care reform packages from 2009 to 2013 in the four traditional European Bismarckian countries, Austria, Belgium, France and Germany. The analysis reveals learning as a necessary condition for major policy change. Consequently, a major reform only happens as a result of learning processes, either combined with a negotiated agreement, which presents a pure ACFrelated configuration, or combined with a window of opportunity opening in the problem stream. The latter configuration thus confirms the need for integrating a condition from the MSF into the ACF to explain major policy change.

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Section: Health Care Systems and Reforms In Austria Belgium France mentioning

confidence: 99%

Learning as a Necessary but Not Sufficient Condition for Major Health Policy Change: A Qualitative Comparative Analysis Combining ACF and MSF

Bandelow

Vogeler

Hornung

et al. 2017

Journal of Comparative Policy Analysis: Research and Practice

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Conclusion

Hornung

2022

International Series on Public Policy

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Which institutions are necessary for programmatic action to take place? This chapter summarizes the “institutions of programmatic action”, which are the institutionalization of bureaucratic recruitment systems and scientific impulses through policy advice, and argues that the political institutions of federalism and corporatism are not directly related to the occurrence of programmatic action. At the same time, institutional changes may present both a challenge and an opportunity for programmatic groups.

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Staat und Staatlichkeit im digitalen Zeitalter

Greef

2023

Politik in Der Digitalen Gesellschaft

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Wie steht es um den Staat im »digitalen Zeitalter«? Der Wandel des Staates in der Leistungsdimension und der Staatlichkeit in der Steuerungsdimension ist eher die Regel als eine Ausnahme. Für die 1990er-Jahre wurde er mit dem Modellwechsel vom »intervenierenden Leistungsstaat« zum »kooperativen Gewährleistungsstaat« als Transformation beschrieben. Im Angesicht der »Digitalisierung« und weiterer Megatrends zeigen sich die nächsten tiefgreifenden Wandlungsprozesse. Samuel Greef beleuchtet den neuen Mix aus Steuerungsformen und -instrumenten sowie eine hybridere Leistungserbringung, welche die Gestalt des Staates in unterschiedlichen Politikfeldern prägen. Sein Fazit: Deutschland befindet sich heute auf dem Weg zum »kontingenten Patchworkstaat«.

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Divergente Stärkung staatlicher Steuerung von Krankenversicherungssystemen: Deutschland und Frankreich im Vergleich

Cited by 102 publications

References 4 publications

Learning as a Necessary but Not Sufficient Condition for Major Health Policy Change: A Qualitative Comparative Analysis Combining ACF and MSF

Learning as a Necessary but Not Sufficient Condition for Major Health Policy Change: A Qualitative Comparative Analysis Combining ACF and MSF

Conclusion

Staat und Staatlichkeit im digitalen Zeitalter

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