000			01951naa a2200181uu 4500
001			9030220205410
003			OSt
005			20190211164829.0
008			090302s2009 xx ||||gr |0|| 0 eng d
100	1		_936474 _aSimonet, Daniel
245	1	0	_aThe New public management theory and european health-care reforms
260			_aToronto : _bIPAC, _cDecember/Décembre 2008
520	3		_aThis article analyses the dynamics of health-care reforms in Germany, the U.K., Switzerland, France and Italy. In light of the "New Public Management" (NPM) theory, the author discusses governments' attempts at providing better health-care services for less. Health-care reforms inspired by NPM meant opening up to competition and revamping service provision to improve organizational performance. These reforms also put the emphasis on outcomes measurements to improve insurers and providers' accountability, demanded greater decentralization of the decision-making process (e.g., planning, investment and financing of health-care services), and encouraged contracting-out of public services and partnerships between the public and the private sector. While most features of the NPM theory were applicable to EU health-care reforms, NPM was not a panacea: it advanced at different paces across nations, with some aspects of NPM being more appropriate in some countries but less so in others. It led to greater inequity and more bureaucracy in some, but not all, countries. Competition, a major characteristic of the NPM, did not necessarily lead to better health outcomes, and, unlike in other sectors, the application of NPM in health care meant larger providers (e.g., insurers, hospitals) and regulations have remained strong
773	0	8	_tCanadian Public Administration _g51, 4, p. 617-635 _dToronto : IPAC, December/Décembre 2008 _xISSN 00084840 _w
942			_cS
998			_a20090302 _b2020^b _cTiago
998			_a20090827 _b1428^b _cCarolina
999			_aConvertido do Formato PHL _bPHL2MARC21 1.1 _c28442 _d28442
041			_aeng