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The choice agenda in European health systems: the role of middle-class demands

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  • Joan Costa-Font
  • Valentina Zigante

Abstract

Choice for patients, over varying aspects of healthcare, is becoming an increasingly common feature in Europe, especially in tax-funded healthcare systems. This paper investigates patients’ choice of healthcare provider. The middle class, in countries implementing choice reforms, is shown to have a pronounced preference for the availability of choice as a component of a quality healthcare system. Important implications of this for theory and policy are discussed.

Suggested Citation

  • Joan Costa-Font & Valentina Zigante, 2016. "The choice agenda in European health systems: the role of middle-class demands," Public Money & Management, Taylor & Francis Journals, vol. 36(6), pages 409-416, September.
    • Handle: RePEc:taf:pubmmg:v:36:y:2016:i:6:p:409-416
    DOI: 10.1080/09540962.2016.1206748
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    References listed on IDEAS

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    1. Or, Zeynep & Cases, Chantal & Lisac, Melanie & Vrangbæk, Karsten & Winblad, Ulrika & Bevan, Gwyn, 2010. "Are health problems systemic? Politics of access and choice under Beveridge and Bismarck systems," Health Economics, Policy and Law, Cambridge University Press, vol. 5(3), pages 269-293, July.
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    Cited by:

    1. Tynkkynen, Liina-Kaisa & Alexandersen, Nina & Kaarbøe, Oddvar & Anell, Anders & Lehto, Juhani & Vrangbӕk, Karsten, 2018. "Development of voluntary private health insurance in Nordic countries – An exploratory study on country-specific contextual factors," Health Policy, Elsevier, vol. 122(5), pages 485-492.
    2. Footman, Katy, 2024. "The illusion of treatment choice in abortion care: A qualitative study of comparative care experiences in England and Wales," Social Science & Medicine, Elsevier, vol. 348(C).

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