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Regulating incentives: the past and present role of the state in health care systems

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  • Saltman, Richard B.

Abstract

The desire of national policymakers to encourage entrepreneurial behavior in the health sector has generated not only a new structure of market-oriented incentives, but also a new regulatory role for the State. To ensure that entrepreneurial behavior will be directed toward achieving planned market objectives, the State must shift modalities from staid bureaucratic models of command-and-control to more sensitive and sophisticated systems of oversight and supervision. Available evidence suggests that this structural transformation is currently occurring in several Northern European countries. Successful implementation of that shift will require a new, intensive, and expensive strategy for human resources development, raising questions about the financial feasibility of this incentives-plus-regulation model for less-well-off CEE/CIS and developing countries.

Suggested Citation

  • Saltman, Richard B., 2002. "Regulating incentives: the past and present role of the state in health care systems," Social Science & Medicine, Elsevier, vol. 54(11), pages 1677-1684, June.
    • Handle: RePEc:eee:socmed:v:54:y:2002:i:11:p:1677-1684
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    Citations

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    Cited by:

    1. Blomgren, Maria & Sundén, Eva, 2008. "Constructing a European healthcare market: The private healthcare company Capio and the strategic aspect of the drive for transparency," Social Science & Medicine, Elsevier, vol. 67(10), pages 1512-1520, November.
    2. Philippe Batifoulier & Denis Abecassis & Nicolas da Silva & Victor Duchesne & Léonard Moulin, 2016. "L’utilité sociale de la dépense publique," Working Papers hal-01421197, HAL.
    3. Gary Ferrier & Hervé Leleu & Vivian Valdmanis, 2010. "The impact of CON regulation on hospital efficiency," Health Care Management Science, Springer, vol. 13(1), pages 84-100, March.
    4. Rosemary Morgan & Tim Ensor, 2016. "The regulation of private hospitals in Asia," International Journal of Health Planning and Management, Wiley Blackwell, vol. 31(1), pages 49-64, January.
    5. Gallagher, Jennifer E. & Eaton, Kenneth A., 2015. "Health workforce governance and oral health: Diversity and challenges in Europe," Health Policy, Elsevier, vol. 119(12), pages 1565-1575.
    6. Fang, Jing, 2008. "The Chinese health care regulatory institutions in an era of transition," Social Science & Medicine, Elsevier, vol. 66(4), pages 952-962, February.
    7. Hunter, Benjamin M. & Murray, Susan F. & Marathe, Shweta & Chakravarthi, Indira, 2022. "Decentred regulation: The case of private healthcare in India," World Development, Elsevier, vol. 155(C).
    8. Christine André & Philippe Batifoulier & Mariana Jansen-Ferreira, 2016. "Privatisation de la santé en Europe. Un outil de classification des réformes," CEPN Working Papers hal-01256505, HAL.
    9. Philippe Batifoulier & Denis Abecassis & Nicolas da Silva & Victor Duchesne & Léonard Moulin, 2016. "L’utilité sociale de la dépense publique," CEPN Working Papers hal-01421197, HAL.
    10. Christine André & Philippe Batifoulier & Mariana Jansen-Ferreira, 2016. "Privatisation de la santé en Europe. Un outil de classification des réformes," Working Papers hal-01256505, HAL.
    11. Vitezić Neda & Cankar Stanka Setnikar & Linšak Željko, 2019. "Effectiveness Measurement Using DEA & BSC Methods in Public Health Services," NISPAcee Journal of Public Administration and Policy, Sciendo, vol. 12(1), pages 199-216, June.

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