QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:
Home | Help | Feedback | Subscriptions | Archive | Search | Table of Contents

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (7) Citing Articles via Google Scholar Google Scholar Articles by Helderman, J.-K. Articles by van de Ven, W. P. M. M. Search for Related Content PubMed PubMed Citation Social Bookmarking                   What's this?

Market-Oriented Health Care Reforms and Policy Learning in the Netherlands

Abstract.

In this article we analyze the evolution of market-oriented health care reforms in the Netherlands. We argue that these reforms can be characterized as policy learning within and between competing policy programs. Policy learning denotes the process by which policy makers and stakeholders deliberately adjust the goals, rules, and techniques of a given policy in response to past experiences and new information. We discern three distinctive periods. During the first period (1988-1994), the prevailing corporatist and etatist policy programs were seriously challenged by the proponents of a new market-oriented program. But when it came to political decision making and implementation, the market-oriented program soon lost its impetus because it was technically too complex and could not provide short-term solutions to meet the urgent need for cost containment. During the second period (1994-2000), the etatist program regained its previously dominant position. In parallel to a strengthening of supply and price controls, however, the government also persevered in creating the technical and institutional preconditions for regulated competition. Moreover, public discontent over waiting lists and the call for more autonomy by individual providers and insurers strengthened the alliance in favor of regulated competition. This led to the revival of the market-oriented program in a 2001 reform plan. We conclude that the odds of these new post-2001 reforms succeeding are substantially higher than in the fi rst period due to the technical and institutional adjustments that have taken place in the past decade.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				P. V. Rosenau and C. J. Lako An Experiment with Regulated Competition and Individual Mandates for Universal Health Care: The New Dutch Health Insurance System Journal of Health Politics Policy and Law, December 1, 2008; 33(6): 1031 - 1055. [Abstract] [PDF]

				P. M. Carrera, K. K. Siemens, and J. Bridges Health Care Financing Reforms in Germany: The Case for Rethinking the Evolutionary Approach to Reforms Journal of Health Politics Policy and Law, October 1, 2008; 33(5): 979 - 1005. [Abstract] [PDF]

				W. P.M.M. van de Ven and F. T. Schut Universal Mandatory Health Insurance In The Netherlands: A Model For The United States? Health Aff., May 1, 2008; 27(3): 771 - 781. [Abstract] [Full Text] [PDF]