دورية أكاديمية
Social health insurance without corporate actors: changes in self-regulation in Germany, Poland and Turkey.
| العنوان: | Social health insurance without corporate actors: changes in self-regulation in Germany, Poland and Turkey. |
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| المؤلفون: | Wendt C; University of Siegen, Adolf-Reichwein-Str. 2, 57068 Siegen, Germany. wendt@soziologie.uni-siegen.de, Agartan TI, Kaminska ME |
| المصدر: | Social science & medicine (1982) [Soc Sci Med] 2013 Jun; Vol. 86, pp. 88-95. Date of Electronic Publication: 2013 Mar 07. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Pergamon Country of Publication: England NLM ID: 8303205 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-5347 (Electronic) Linking ISSN: 02779536 NLM ISO Abbreviation: Soc Sci Med Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Oxford ; New York : Pergamon, c1982- |
| مواضيع طبية MeSH: | Social Control, Informal*, Insurance, Health/*organization & administration , Social Security/*organization & administration, Germany ; Healthcare Financing ; Humans ; Insurance Benefits ; Insurance, Health/economics ; Physicians/economics ; Poland ; Remuneration ; Social Security/economics ; Turkey |
| مستخلص: | Social health insurance in Western Europe has for many years been characterized by self-regulation in which specific conditions of healthcare financing and provision have been regulated by social-insurance institutions through mutual self-governance. However, the principle of self-regulation has recently been weakened by increased state regulation and market competition, which were introduced in response to economic and social changes. Even in Germany, which has been regarded as an "ideal-type" health insurance system and in which self-regulation remains at the core of healthcare governance, more direct state intervention has gained in importance. On the other hand, in countries such as Poland and Turkey, where this tradition of self-regulation is missing, social health insurance is deemed a financing instrument but not an instrument of governance and corporate actors are not accorded a significant role in regulation. This article investigates how social health insurance systems are regulated in contexts in which corporate actors' role is either diminishing or absent by focusing on three crucial areas of regulation: financing, the remuneration of medical doctors, and the definition of the healthcare benefit package. In Germany, state regulation has increased in healthcare financing and remuneration while the role of corporate actors has grown in the definition of the benefits package. In Poland and Turkey, on the other hand, reforms have maintained the status quo in terms of the strong regulatory, budgetary, and managerial powers of the state and very limited involvement of corporate actors. (Copyright © 2013 Elsevier Ltd. All rights reserved.) |
| تواريخ الأحداث: | Date Created: 20130424 Date Completed: 20130718 Latest Revision: 20130423 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1016/j.socscimed.2013.02.044 |
| PMID: | 23608097 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1873-5347 |
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| DOI: | 10.1016/j.socscimed.2013.02.044 |