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The changing contours of experimental governance in European health care

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  • Fierlbeck, Katherine

Abstract

For over a decade, beginning in the late 1990s, discussion over softer modes of governance animated academic scholarship in the fields of law, politics, and public policy. This debate was especially pronounced in Europe. Since the late 2000s, however, discussion of this approach has declined precipitously. Is the “soft governance” model dead? Or, more precisely, has the economic crisis killed it? This article argues that, to the contrary, the EU's austerity measures have made softer governance more relevant in two quite distinct ways. Administratively, new mechanisms of health policy coordination are able to provide policy solutions in a much more effective way than could more formal and rigid forms of legal harmonisation. Politically, it establishes a normative perspective which unifies actors across a number of administrative units and challenges the dominant ideological force of the market-based principles upon which the EU's austerity policies are constructed.

Suggested Citation

  • Fierlbeck, Katherine, 2014. "The changing contours of experimental governance in European health care," Social Science & Medicine, Elsevier, vol. 108(C), pages 89-96.
  • Handle: RePEc:eee:socmed:v:108:y:2014:i:c:p:89-96
    DOI: 10.1016/j.socscimed.2014.02.040
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    References listed on IDEAS

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    1. Burkard Eberlein & Dieter Kerwer, 2004. "New Governance in the European Union: A Theoretical Perspective," Journal of Common Market Studies, Wiley Blackwell, vol. 42(1), pages 121-142, February.
    2. AfDB AfDB, . "Annual Report 2012," Annual Report, African Development Bank, number 461.
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    Cited by:

    1. Kuhlmann, Ellen & Larsen, Christa, 2015. "Why we need multi-level health workforce governance: Case studies from nursing and medicine in Germany," Health Policy, Elsevier, vol. 119(12), pages 1636-1644.
    2. Burau, Viola & Dahl, Hanne Marlene & Jensen, Lotte Groth & Lou, Stina, 2018. "Beyond Activity Based Funding. An experiment in Denmark," Health Policy, Elsevier, vol. 122(7), pages 714-721.
    3. Larsen, Kristian Nørgaard & Kristensen, Søren Rud & Søgaard, Rikke, 2018. "Autonomy to health care professionals as a vehicle for value-based health care? Results of a quasi-experiment in hospital governance," Social Science & Medicine, Elsevier, vol. 196(C), pages 37-46.
    4. Akmal, Adeel & Gauld, Robin, 2021. "What components are important for effective healthcare alliance governance? Findings from a modified Delphi study in New Zealand," Health Policy, Elsevier, vol. 125(2), pages 239-245.

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