Professional self-regulation in a changing architecture of governance : comparing health policy in the UK and Geramny
By: KUHLMANN, Ellen.
Contributor(s): ALLSOP, Judith.
Material type: ArticlePublisher: Bristol, UK : The Policy Press, April 2008Policy & Politics 36, 2, p. 173-189Abstract: This chapter compares transformations in professional self-regulation in the UK and Germany through the lens of governance. We introduce an expanded concept of governance that includes national configurations of state-profession relationships and places self-regulation in the context of other forms of governance. The analysis shows that a general trend towards network governance plays out differently. In the UK, a plural structure of network governance and stakeholder arrangements is emerging in the context of stateled change. In Germany, partnership governance between sickness funds and medical associations shape the transformations and act as a barrier towards the entry of new playersThis chapter compares transformations in professional self-regulation in the UK and Germany through the lens of governance. We introduce an expanded concept of governance that includes national configurations of state-profession relationships and places self-regulation in the context of other forms of governance. The analysis shows that a general trend towards network governance plays out differently. In the UK, a plural structure of network governance and stakeholder arrangements is emerging in the context of stateled change. In Germany, partnership governance between sickness funds and medical associations shape the transformations and act as a barrier towards the entry of new players
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