Fighting sectional interests in health care

被引:3
|
作者
Trappenburg, M [1 ]
机构
[1] Erasmus Univ, Inst Hlth Policy & Management, Utrecht Sch Governance, Rotterdam, Netherlands
关键词
health care reform; iron triangles; fight against professionalism;
D O I
10.1007/s10728-005-6450-z
中图分类号
B82 [伦理学(道德学)];
学科分类号
摘要
In the 1970s policy making in the Netherlands took place in sectoral networks, consisting of professional interest groups and like minded civil servants, advisory councils, mp's and departmental ministers. In this article the author examines whether such a sectoral policy network still exists in Dutch health care by comparing past and present data on the background of civil servants, mp's and departmental ministers. Next she describes the political fight against the health care sectoral network, which has gone on for decades. She concludes that the health care sectoral network has been severely weakened, although it remains to be seen whether this will lead to a substantial reduction of health care costs, which was one of the main reasons why politicians fought against sectoral interests in the first place.
引用
收藏
页码:223 / 237
页数:15
相关论文
共 50 条