Data di Pubblicazione:
2018
Citazione:
Redefining the State in Health Care Policy in Italy and the United States / L. Frisina Doetter, S. Neri. - In: EUROPEAN POLICY ANALYSIS. - ISSN 2380-6567. - 4:2(2018 Oct), pp. 234-254. [10.1002/epa2.1050]
Abstract:
In highly decentralized political systems such as in Italy and the United States of America (US),
the global financial crises beginning in 2008 gave way to a more assertive role of the central government
in policy areas including health. In the Italian National Health Service, the central government
intensified cost containment, partially recentralizing policy-making and limiting the autonomy
of Regions with high deficits. In the predominantly private health system of the US, crisis ushered
in dramatic federal health reform in 2010. This study asks, what role did financial crisis and an
analogous intergovernmental context surrounding health care play in explaining the (re)centralization
observed between two highly divergent health system types? We examine evidence particularly
with a view to the concept of regulatory hybridization (Rothgang et al., 2010) and the larger
explanatory model of health care system change put forth by Schmid, Cacace, Gotze and Rothgang
(2010) and Frisina Doetter, Gotze, Schmid, Cacace and Rothgang (2015). In doing so, we explore
the relationship between functionalist vs. contextual variables embedded within the model. Our findings
highlight the necessity to revise the concept of regulatory hybridization to allow for greater
analytical focus on territorial shifts in power to understand developments in decentralized health
care systems.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
Health care policy, U.S. politics, Italian politics, regulation, economic crisis (Polıtica sanitaria, polıtica estadounidense, polıtica italiana, regulacion, crisis economica) (关键词: 关键词:医疗政策, 美国政治, 意大利政治, 监管, 经济危机)
Elenco autori:
L. Frisina Doetter, S. Neri
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