IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v54y2002i11p1677-1684.html
   My bibliography  Save this article

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

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(01)00335-5
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    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. 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.
    6. 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).
    7. repec:hal:cepnwp:hal-01421197 is not listed on IDEAS
    8. 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.
    9. 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.
    10. 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.
    11. repec:hal:cepnwp:hal-01256505 is not listed on IDEAS

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:54:y:2002:i:11:p:1677-1684. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.