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Explaining differences in stakeholder take up of disease management programmes: A comparative analysis of policy implementation in Austria and Germany

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  • Schang, Laura
  • Thomson, Sarah
  • Czypionka, Thomas

Abstract

Understanding why policies to improve care for people with chronic conditions fail to be implemented is a pressing issue in health system reform. We explore reasons for the relatively high uptake of disease management programmes (DMPs) in Germany, in contrast to low uptake in Austria. We focus on the motivation, information and power of key stakeholder groups (payers, physician associations, individual physicians and patients).

Suggested Citation

  • Schang, Laura & Thomson, Sarah & Czypionka, Thomas, 2016. "Explaining differences in stakeholder take up of disease management programmes: A comparative analysis of policy implementation in Austria and Germany," Health Policy, Elsevier, vol. 120(3), pages 281-292.
    • Handle: RePEc:eee:hepoli:v:120:y:2016:i:3:p:281-292
    DOI: 10.1016/j.healthpol.2016.02.002
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    References listed on IDEAS

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    1. Buchner, Florian & Goepffarth, Dirk & Wasem, Juergen, 2013. "The new risk adjustment formula in Germany: Implementation and first experiences," Health Policy, Elsevier, vol. 109(3), pages 253-262.
    2. Ham, Chris, 2010. "The ten characteristics of the high-performing chronic care system," Health Economics, Policy and Law, Cambridge University Press, vol. 5(1), pages 71-90, January.
    3. Melanie Lisac & Kerstin Blum & Sophia Schlette & Hans Maarse & Yvette Bartholomée & David McDaid & Adam Oliver & Ignacio Abásolo & Beatriz Lopez-Valcarcel & Gianluca Fiorentini & Matteo Lippi Bruni & , 2008. "Health Systems and Health Reform in Europe," Intereconomics: Review of European Economic Policy, Springer;ZBW - Leibniz Information Centre for Economics;Centre for European Policy Studies (CEPS), vol. 43(4), pages 184-218, July.
    4. Nolte, Ellen & Knai, Cécile & Hofmarcher, Maria & Conklin, Annalijn & Erler, Antje & Elissen, Arianne & Flamm, Maria & Fullerton, Brigit & Sönnichsen, Andreas & Vrijhoef, Hubertus J. M., 2012. "Overcoming fragmentation in health care: chronic care in Austria, Germany and the Netherlands," Health Economics, Policy and Law, Cambridge University Press, vol. 7(1), pages 125-146, January.
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    Cited by:

    1. Kelly, Niall & Garvey, John & Palcic, Dónal, 2016. "Health policy and the policymaking system: A case study of primary care in Ireland," Health Policy, Elsevier, vol. 120(8), pages 913-919.

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