000			01725naa a2200181uu 4500
001			10117
003			OSt
005			20190211154929.0
008			030116s2005 xx ||||gr |0|| 0 eng d
245	1	0	_aThe influence of institutions and culture on health policies : _bdifferent approaches to integrated care in England and the Netherlands
260			_c2002
520	3		_aThe concept of integrated care has assumed growing importance on the policy agendas both in England and The Netherlands and elsewhere. It is characterized as health and health care-related social care needed by patients with muti-faceted needs. This article compares policy approaches to integrated care in England and The Netherlands. Differing political strategies and conditions for integrated care correspond to the dissimilarities in the institutional structure and culture of their health care systems. Health care systems are understood as specific national and historical configurations. We review the last decade's relevant policy processes, using the concepts of hierarchcial steering, thus creating tight newtwork structures for integrated care on the local level. The Netherlands, with its health care system in a public-private mix, has set ncentives for voluntary, loosely coupled and partly market-driven cooperation on the local level. Implications for success or failure are mixed in both configurations. Policy recommendations have to be tailored to each system's characteristics
773	0	8	_tPublic Administration an International Quarterly _g80, 2, p. 339-358 _d, 2002 _w
942			_cS
998			_a20030116 _bLucima _cLucimara
998			_a20060606 _b1047^b _cQuiteria
999			_aConvertido do Formato PHL _bPHL2MARC21 1.1 _c10243 _d10243
700			_a
041			_aeng