By Janet Newman, Evelien Tonkens
Confronted with price range difficulties and an getting older inhabitants, eu governments in recent times have started reconsidering the constitution and quantity of the welfare kingdom. promises and directives have given solution to obligations and selection. This quantity analyzes the influence of this alteration at the voters of Germany, Finland, Norway, the Netherlands, France, Italy and the uk. It strains the emergence of latest discourses round social hobbies for higher independence, strength, and regulate, and how those discourses serve to reframe the fight to hand. utilising ethnographic study and coverage research, the authors research the cultural transition, tensions, and trajectory of this name towards lively citizenship.
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Additional info for Participation, Responsibility and Choice: Summoning the Active Citizen in Western European Welfare States
The findings highlight that patients take up their new role as discriminating consumers but in ways that depart from the intentions of government. More- citizenship and healthcare in germany 39 over, they are increasingly dissatisfied with health policy and direct their claims for improved choice to the government rather than to clinicians. In summary, patients are included as new actors in the system of care without substantively changing the regulatory patterns based on physicians’ associations and SHI funds.
First and foremost, the findings underscore that patients in Germany perceive choice as a taken-for-granted right and tend to view recent policy 38 ellen kuhlmann aims as a significant attack on such rights. User respondents strongly expressed the idea of their expertise over their own health and illness, and consequently were suspicious of any attempt to reduce the range of choices over either providers or the treatments available: But in the end it’s up to me to decide and say, ‘all right, perhaps it isn’t scientifically sound, it’s still not a standard, perhaps it’s still being studied.
Einflussnehmen oder Aussteigen? Theorie und Praxis von Selbstverwaltung und Kassenwechsel in der GKV’, Berlin, edition sigma. Burau, V. (2009), ‘Negotiating reform at an arm’s length from the state: Disease Management Programmes and the introduction of clinical standards in Germany’, Health Economics, Policy and Law, 4 (4): 347-365. , H. H. Blank (2007), Governing home care. A cross-national comparison, Cheltenham: Edward Elgar. , and K. Vrangbæk (2008), ‘Global markets and national pathways of medical re-regulation’, in E.