Regulating Entrepreneurial Behaviour in European Health Care Systems / Edition 1

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What have been the major trends in entrepreneurial behavior and regulation in European health care? To what degree do approaches to regulation and entrepreneurialism differ amongst subsectors and countries across Europe? What does the evidence show about successes and failures, and which successful options are open to policy-makers?

A wide range of entrepreneurial initiatives have been introduced within European health care systems during the last decade. While these initiatives promised more efficient management, they also triggered concerns about reduced equity and quality in service provision.

This book explores emerging regulatory strategies that seek to capture the benefits of entrepreneurial innovation without sacrificing the core policy objectives of a socially responsible health care system. It opens with an extended essay on current trends and evidence across health care subsectors and across countries, presenting a wide range of alternatives for policy makers, and assessing their relative advantages and disadvantages. It then reviews entrepreneurialism and regulation in specific contexts (such as hospitals, primary health care, social services) and considers related issues including the impact of corruption and the potential lessons from deregulation of public utilities.

Regulating Entrepreneurial Behaviour in Euopean Health Care Systems brings together the perspectives of politics, economics, management, medicine, public health and law and will be a valuable resource for students, academics, practitioners and policy makers concerned with health policy and health reform.
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Editorial Reviews

From The Critics
Contending that European policy makers, in their efforts to protect patient's health, have enacted an overly bureaucratic and static regulatory regime, this collection of 11 papers argues for a new regulatory regime that allows for more entrepreneurial "innovation," while still protecting the quality of service of the health care systems. Authors discuss the lessons learned from the regulation of the public utilities, accreditation as a means for the regulation of quality, the challenge of corruption, the effects of regulation on entrepreneurship in the pharmaceutical markets, and an international perspective on the regulatory environment of general practice. The book is distributed in the US by Taylor & Francis. Annotation c. Book News, Inc., Portland, OR (
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Product Details

Table of Contents

List of figures and tables
List of contributors
Series editors' introduction
1 Balancing regulation and entrepreneurialism in Europe's health sector: theory and practice 3
2 Good and bad health sector regulation: an overview of the public policy dilemmas 56
3 What can we learn from the regulation of public utilities? 73
4 Accredition and the regulation of quality in health services 91
5 Corruption as a challenge to effective regulation in the health sector 106
6 Regulating entrepreneurial behaviour in hospitals: theory and practice 126
7 Entrepreneurial behaviour in pharmaceutical markets and the effects of regulation 146
8 Regulating entrepreneurial behaviour in social care 163
9 Regulating the entrepreneurial behaviour of third-party payers in health care 179
10 The regulatory environment of general practice: an international perspective 200
11 Regulating entrepreneurial behaviour in oral health care services 215
Index 232
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