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Health policy and COVID-19: path dependency and trajectory
[Health care reform in Germany: Patchwork change within established governance structures]

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Listed:
  • Azad Singh Bali
  • Alex Jingwei He
  • M Ramesh

Abstract

The coronavirus disease (COVID-19) pandemic has tested the mettle of governments across the globe and has thrown entrenched fault lines within health systems into sharper relief. In response to the outbreak of the pandemic, governments introduced a range of measures to meet the growth in demand and bridge gaps in health systems. The objective of this paper is to understand the nature and extent of the changes in health systems triggered by the COVID-19 crisis. The paper examines changes in the role of governments in (1) sector coordination, (2) service provision, (3) financing, (4) payment, and (5) regulations. It outlines broad trends and reforms underway prior to the pandemic and highlights likely trajectories in these aspects in the future. The paper argues that while the pandemic has accelerated changes already underway before the crisis, it has made little headway in clearing the path for other or deeper health policy reforms. The reform window that COVID-19 opened has not been wide enough to overcome the entrenched path dependency and structural interests that characterize the sector.

Suggested Citation

  • Azad Singh Bali & Alex Jingwei He & M Ramesh, 2022. "Health policy and COVID-19: path dependency and trajectory [Health care reform in Germany: Patchwork change within established governance structures]," Policy and Society, Darryl S. Jarvis and M. Ramesh, vol. 41(1), pages 83-95.
    • Handle: RePEc:oup:polsoc:v:41:y:2022:i:1:p:83-95.
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    References listed on IDEAS

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    1. Arjen Boin & Paul ‘t Hart, 2022. "From crisis to reform? Exploring three post-COVID pathways [Institutional crises and reforms in policy sectors: The case of asylum policy in Europe]," Policy and Society, Darryl S. Jarvis and M. Ramesh, vol. 41(1), pages 13-24.
    2. Wilsford, David, 1994. "Path Dependency, or Why History Makes It Difficult but Not Impossible to Reform Health Care Systems in a Big Way," Journal of Public Policy, Cambridge University Press, vol. 14(3), pages 251-283, July.
    3. Christoph Knill & Yves Steinebach, 2022. "What has happened and what has not happened due to the coronavirus disease pandemic: a systemic perspective on policy change [Punctuated equilibrium in comparative perspective]," Policy and Society, Darryl S. Jarvis and M. Ramesh, vol. 41(1), pages 25-39.
    4. Benjamin Cashore & Michael Howlett, 2007. "Punctuating Which Equilibrium? Understanding Thermostatic Policy Dynamics in Pacific Northwest Forestry," American Journal of Political Science, John Wiley & Sons, vol. 51(3), pages 532-551, July.
    5. Guillermo M. Cejudo & Cynthia L. Michel, 2017. "Addressing fragmented government action: coordination, coherence, and integration," Policy Sciences, Springer;Society of Policy Sciences, vol. 50(4), pages 745-767, December.
    6. John Hogan & Michael Howlett & Mary Murphy, 2022. "Re-thinking the coronavirus pandemic as a policy punctuation: COVID-19 as a path-clearing policy accelerator [Punctuating the equilibrium: An application of policy theory to COVID-19]," Policy and Society, Darryl S. Jarvis and M. Ramesh, vol. 41(1), pages 40-52.
    7. Marsden, Greg & Docherty, Iain, 2021. "Mega-disruptions and policy change: Lessons from the mobility sector in response to the Covid-19 pandemic in the UK," Transport Policy, Elsevier, vol. 110(C), pages 86-97.
    8. Birkland, Thomas A., 1998. "Focusing Events, Mobilization, and Agenda Setting," Journal of Public Policy, Cambridge University Press, vol. 18(1), pages 53-74, January.
    9. Matthew Sparke, 2020. "Neoliberal regime change and the remaking of global health: from rollback disinvestment to rollout reinvestment and reterritorialization," Review of International Political Economy, Taylor & Francis Journals, vol. 27(1), pages 48-74, January.
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