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008 | 101210s2010 xx ||||gr |0|| 0 eng d | ||
100 | 1 |
_aSTEFANIE, Ettelt _943274 |
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245 | 1 | 0 |
_aInvolvement of ministries of health in health service coverage decisions : _bis England an aberrant case? |
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_aOxford : _bWiley-Blackwell, _cJune 2010 |
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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 |
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_aCHEVREUL, Karine _943276 |
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_aNIKOLENTZOS, Athanasios _943277 |
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_aTHOMSON, Sarah _943278 |
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700 | 1 |
_aNOLTE, Ellen _943279 |
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773 | 0 | 8 |
_tSocial Policy & Administration _g44, 3, p. 225-243 _dOxford : Wiley-Blackwell, June 2010 _xISSN 01445596 _w |
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_a20101210 _b1138^b _cJaqueline |
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_a20110119 _b1136^b _cCarolina |
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_aConvertido do Formato PHL _bPHL2MARC21 1.1 _c37690 _d37690 |
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041 | _aeng |