User choice in European health systems: towards a systematic framework for analysis

Kreisz, Florian P. and Gericke, Christian (2010) User choice in European health systems: towards a systematic framework for analysis. Health Economics Policy and Law, 5 1: 13-30. doi:10.1017/S1744133109990132


Author Kreisz, Florian P.
Gericke, Christian
Title User choice in European health systems: towards a systematic framework for analysis
Journal name Health Economics Policy and Law   Check publisher's open access policy
ISSN 1744-1331
1744-134X
Publication date 2010-01-01
Sub-type Article (original research)
DOI 10.1017/S1744133109990132
Open Access Status DOI
Volume 5
Issue 1
Start page 13
End page 30
Total pages 18
Place of publication Cambridge United Kingdom
Publisher Cambridge University Press
Language eng
Formatted abstract
This article proposes a systematic framework for analysis of the increasingly popular concept of user choice in European health systems. The development of such a framework is exemplified using one category of potential choice: the choice of health service provider. In the first part, the paper summarises the conceptual background of the user choice debate. Subsequently, the paper theoretically analyses the concept of user choice alongside a stringent set of standard dimensions embracing technical, administrative and allocative efficiency, as well as equity in access and finance. Reference to available evidence is made where applicable. The employed dimensions are critically discussed and finally mapped against the identified determinants within a systematic matrix framework for analysis. Furthermore, the paper underlines that user choice is by no means a panacea but rather a highly complex and ambiguous political strategy. Extended choice in some sectors and levels of health systems may lead to inefficiencies and may therefore lead to loss of benefits, including choice, for individuals and society.
Keyword Social-policy
Quality
Information
Care
Competition
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Public Health Publications
 
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