Time for a paradigm change? Incorporating transnational processes into the analysis of the emerging European health-care system
Autor: | Roland Erne, Sabina Stan |
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Rok vydání: | 2021 |
Předmět: |
Organizational Behavior and Human Resource Management
Privatisation Public services Public policy Process (engineering) Public administration 03 medical and health sciences Health services Health systems Political science Health care European integration EU governance 050602 political science & public administration Methodological nationalism business.industry 030503 health policy & services 05 social sciences Patient mobility European industrial relations 0506 political science European health policy European social policy Paradigm shift Industrial relations 0305 other medical science business Labour mobility Healthcare system |
Zdroj: | Transfer: European Review of Labour and Research |
ISSN: | 1996-7284 1024-2589 |
DOI: | 10.1177/10242589211026815 |
Popis: | Health services have long been insulated from the process of European integration. In this article, however, we show that we are witnessing their re-configuration in an emerging EU health-care system. The article uncovers the structuring lines of this system by focusing on three interrelated EU-wide processes influencing the integration of national health-care systems into a larger whole. First, the privatisation of health-care services following the constraints of Maastricht economic convergence and the EU accession criteria; second, health-care worker and patient mobility arising from the free movement of workers and services within the European Single Market; and third, new EU laws and country-specific prescriptions on economic governance that the EU has been issuing following the 2008 financial crisis. The article shows that these processes have helped to construct a European health-care system that is uneven in terms of the distribution of patient access to services and of health-care workers’ wages and working conditions, but very similar in terms of EU economic and financial governance pressures on health care across EU Member States. European Commission Horizon 2020 European Research Council University College Dublin Centre for Advanced Study (CAS) 2021-09-08 JG: PDF replaced at author's request |
Databáze: | OpenAIRE |
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