Post-New Public Management in public sector hospitals? The UK, Germany and Italy
By: DENT, Mike
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ArticlePublisher: UK : Policy Press, oct. 2005Subject(s): ChinaPolicy & Politics 33, 4, p. 623-636Abstract: This article compares the impact of New Public Management (NPM) on the health systems and especially hospitals of the UK, Germany and Italy. It asks how far recent policy and organisational changes reflect variations on the NPM theme and a transition towards new patterns of governance. Are all three countries on a similar trajectory or not? What do these comparisons of the three systems tell us about governance? The article draws on the work of Hood and colleagues to construct a tripartite typology of governance ('enforced self-regulation', 'juridified self-regulation' and 'managerial regulation') to distinguish between regimes within a 'new instititutionalist' framework
This article compares the impact of New Public Management (NPM) on the health systems and especially hospitals of the UK, Germany and Italy. It asks how far recent policy and organisational changes reflect variations on the NPM theme and a transition towards new patterns of governance. Are all three countries on a similar trajectory or not? What do these comparisons of the three systems tell us about governance? The article draws on the work of Hood and colleagues to construct a tripartite typology of governance ('enforced self-regulation', 'juridified self-regulation' and 'managerial regulation') to distinguish between regimes within a 'new instititutionalist' framework
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