IDEAS home Printed from https://ideas.repec.org/a/spr/jknowl/v9y2018i1d10.1007_s13132-015-0313-0.html
   My bibliography  Save this article

Rediscovering Comte de Saint-Simon: From Aristocracy to Meritocracy, a Journey to Inclusion

Author

Listed:
  • Naira R. Matevosyan

    (Open Medical Institute)

Abstract

A born aristocrat, Saint-Simon converted to meritocracy, advocating a technocratic concept where economy was managed by technical masters whose leadership was based on merits and who were neither entitled nor elected but fitted to navigate the organizational change. We introduce a health-care efficiency assessment model construed on the elements of Saint-Simon’s utopistic theory. Social morality and technological optimism are analyzed to conscript arts of doctrinal ends with arts of productivity. A debate between the technocratic and market-based health care rests on a transcendent, yet anthropocentric criteria: value, valence, and expectancy. Based on a comparative effectiveness analysis of health-care value and expectancy, the German, Spanish, and Japanese health-care systems appear to be closer to the technocratic model due to the principal of social solidarity and uniform evaluation standard that define the schedule of charges for services and their relative point value to one another. Germany, Spain, and Japan spend less on per capita health needs than the USA; however, in those countries life expectancy is higher than that in the USA. The American health-care system utilizes more MRI exams and the physician’s EMR response is lower. In a cross section, maternal, neonatal, and perinatal mortality rates are higher in the USA compared to those in Germany (relative risk (RR) = 4.0; 2.0; 2.6 correspondingly), Spain (RR = 7.0; 1.5; 8.0), and Japan (RR = 4.7; 4.0; 24.0).

Suggested Citation

  • Naira R. Matevosyan, 2018. "Rediscovering Comte de Saint-Simon: From Aristocracy to Meritocracy, a Journey to Inclusion," Journal of the Knowledge Economy, Springer;Portland International Center for Management of Engineering and Technology (PICMET), vol. 9(1), pages 1-16, March.
    • Handle: RePEc:spr:jknowl:v:9:y:2018:i:1:d:10.1007_s13132-015-0313-0
    DOI: 10.1007/s13132-015-0313-0
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s13132-015-0313-0
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s13132-015-0313-0?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

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

    References listed on IDEAS

    as
    1. Barros, Pedro Pita, 2012. "Health policy reform in tough times: The case of Portugal," Health Policy, Elsevier, vol. 106(1), pages 17-22.
    2. Cass Sunstein, 2015. "Nudges Do Not Undermine Human Agency," Journal of Consumer Policy, Springer, vol. 38(3), pages 207-210, September.
    Full references (including those not matched with items on IDEAS)

    Citations

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


    Cited by:

    1. Marina Boykova & Irina Ilina & Mikhail Salazkin, 2016. "The Smart City Approach as a Response to Emerging Challenges for Urban Development," Foresight-Russia Форсайт, CyberLeninka;Федеральное государственное автономное образовательное учреждение высшего образования «Национальный исследовательский университет «Высшая школа экономики», vol. 10(3 (eng)), pages 65-75.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Tavares, Lara Patrício & Zantomio, Francesca, 2017. "Inequity in healthcare use among older people after 2008: The case of southern European countries," Health Policy, Elsevier, vol. 121(10), pages 1063-1071.
    2. Sofia Vaz & Pedro Ramos, 2016. "Where did civil servants go? the effect of an increase in public co-payments on double insured patients," Health Economics Review, Springer, vol. 6(1), pages 1-8, December.
    3. Aida Isabel Tavares & Inês Marques, 2021. "Multi-layer health insurance coverage, medical services use and health in a Universal National Health System, the case of Portugal," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 22(1), pages 141-153, February.
    4. Ferreira, Diogo Cunha & Nunes, Alexandre Morais & Marques, Rui Cunha, 2018. "Doctors, nurses, and the optimal scale size in the Portuguese public hospitals," Health Policy, Elsevier, vol. 122(10), pages 1093-1100.
    5. Clemens, Timo & Michelsen, Kai & Commers, Matt & Garel, Pascal & Dowdeswell, Barrie & Brand, Helmut, 2014. "European hospital reforms in times of crisis: Aligning cost containment needs with plans for structural redesign?," Health Policy, Elsevier, vol. 117(1), pages 6-14.
    6. Perelman, Julian & Felix, Sónia & Santana, Rui, 2015. "The Great Recession in Portugal: Impact on hospital care use," Health Policy, Elsevier, vol. 119(3), pages 307-315.
    7. Kronenberg, Christoph & Barros, Pedro Pita, 2014. "Catastrophic healthcare expenditure – Drivers and protection: The Portuguese case," Health Policy, Elsevier, vol. 115(1), pages 44-51.
    8. Yasar A. Ozcan & Jaya Khushalani, 2017. "Assessing efficiency of public health and medical care provision in OECD countries after a decade of reform," Central European Journal of Operations Research, Springer;Slovak Society for Operations Research;Hungarian Operational Research Society;Czech Society for Operations Research;Österr. Gesellschaft für Operations Research (ÖGOR);Slovenian Society Informatika - Section for Operational Research;Croatian Operational Research Society, vol. 25(2), pages 325-343, June.
    9. Diederich, Johannes & Goeschl, Timo & Waichman, Israel, 2023. "Self-nudging is more ethical, but less efficient than social nudging," Working Papers 0726, University of Heidelberg, Department of Economics.
    10. Clareta Treger, 2023. "When do people accept government paternalism? Theory and experimental evidence," Regulation & Governance, John Wiley & Sons, vol. 17(1), pages 195-214, January.
    11. Sara R. Machado, 2020. "Estimating the Blood Supply Elasticity: Evidence from a Universal Scale Benefit Scheme," Papers 2012.01814, arXiv.org.
    12. E. Reijnen & S. J. Kühne & H. M. Gugelberg & A. Crameri, 2019. "Nudged to a Menu Position: The Role of “I’m Loving It”!," Journal of Consumer Policy, Springer, vol. 42(3), pages 441-453, September.
    13. Oliver Nnamdi Okafor, 2023. "Shaming of Tax Evaders: Empirical Evidence on Perceptions of Retributive Justice and Tax Compliance Intentions," Journal of Business Ethics, Springer, vol. 182(2), pages 377-395, January.
    14. Grigorakis, Nikolaos & Floros, Christos & Tsangari, Haritini & Tsoukatos, Evangelos, 2018. "Macroeconomic and financing determinants of out of pocket payments in health care: Evidence from selected OECD countries," Journal of Policy Modeling, Elsevier, vol. 40(6), pages 1290-1312.
    15. Wenkang Ma & Ana Timóteo & Vanessa Ribeiro & Céu Mateus & Julian Perelman, 2024. "Contribution of high-technology procedures to public healthcare expenditures: the case of ischemic heart disease in Portugal, 2002–2015," International Journal of Health Economics and Management, Springer, vol. 24(3), pages 419-437, September.
    16. Diederich, Johannes & Goeschl, Timo & Waichman, Israel, 2022. "Self-Nudging vs. Social Nudging in Social Dilemmas: An Experiment," Working Papers 0710, University of Heidelberg, Department of Economics.
    17. Grigorakis, Nikolaos & Floros, Christos & Tsangari, Haritini & Tsoukatos, Evangelos, 2016. "Out of pocket payments and social health insurance for private hospital care: Evidence from Greece," Health Policy, Elsevier, vol. 120(8), pages 948-959.
    18. Ramos, Pedro & Alves, Hélio, 2017. "Migration intentions among Portuguese junior doctors: Results from a survey," Health Policy, Elsevier, vol. 121(12), pages 1208-1214.
    19. Edit V. Velenyi & Marc F. Smitz, 2014. "Cyclical Patterns in Government Health Expenditures Between 1995 and 2010," Health, Nutrition and Population (HNP) Discussion Paper Series 87885, The World Bank.
    20. Quaglio, GianLuca & Karapiperis, Theodoros & Van Woensel, Lieve & Arnold, Elleke & McDaid, David, 2013. "Austerity and health in Europe," Health Policy, Elsevier, vol. 113(1), pages 13-19.

    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:spr:jknowl:v:9:y:2018:i:1:d:10.1007_s13132-015-0313-0. 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.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with 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: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    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.