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008 101210s2010 xx ||||gr |0|| 0 eng d
100 1 _aSTEFANIE, Ettelt
_943274
245 1 0 _aInvolvement of ministries of health in health service coverage decisions :
_bis England an aberrant case?
260 _aOxford :
_bWiley-Blackwell,
_cJune 2010
520 3 _aThis article examines the involvement of ministries of health in making health service coverage decisions in Denmark, England, France and Germany. The study aims to inform debate in England about the feasibility of reducing perceived ministerial and bureaucratic ‘interference’ in decisions affecting the National Health Service, based on interviews with senior government officials and other health system stakeholders. Ministries of health differ in their involvement in health system governance and coverage decisions (‘the benefits package’), reflecting differences in institutional arrangements. In all four countries, organizations at arm's length or independent from government are either involved in providing technical advice to the ministry of health or have been mandated to take these decisions themselves. However, ministries of health occasionally intervene in the decision-making process or ignore the advice of these organizations. The Department of Health in England is not an aberrant case, at least in relation to coverage decisions. Indeed, ministries of health in Denmark and France play a larger role in making these decisions. Public pressure, often amplified by the media, is a shared reason for ministerial and ministry involvement in all four countries. This dynamic may thus limit the feasibility of attempts to further separate the NHS from both the Department of Health and wider political pressures
700 1 _aMAYS, Nicholas
_943275
700 1 _aCHEVREUL, Karine
_943276
700 1 _aNIKOLENTZOS, Athanasios
_943277
700 1 _aTHOMSON, Sarah
_943278
700 1 _aNOLTE, Ellen
_943279
773 0 8 _tSocial Policy & Administration
_g44, 3, p. 225-243
_dOxford : Wiley-Blackwell, June 2010
_xISSN 01445596
_w
942 _cS
998 _a20101210
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_cJaqueline
998 _a20110119
_b1136^b
_cCarolina
999 _aConvertido do Formato PHL
_bPHL2MARC21 1.1
_c37690
_d37690
041 _aeng