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The healthy development of economies: A strategic framework for competitiveness in the health industry

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  • J. Robert Branston
  • Lauretta Rubini
  • Roger Sugden
  • James Wilson

Abstract

Applying a strategic decision-making perspective on the economics of business, we suggest that a competitive locality in the health industry is one that, relative to other localities, is effective in: (1) providing the healthcare that enables everyone to participate fully in the democratic development of the locality; (2) providing the healthcare that is democratically identified as a direct objective of this development; (3) contributing through the health industry to any other democratically determined objectives of the locality's development. The paper hypothesizes that strategic decision-making in organizations is an especially significant determinant of the impacts of the health industry. We conclude that: (i) a locality that suffers concentration in the power to determine the objectives of its health industry could not be strictly competitive in that industry; (ii) the first best way to achieve competitiveness in the health industry would be to democratize its strategic decision-making. What this would entail in practice is discussed in some detail.

Suggested Citation

  • J. Robert Branston & Lauretta Rubini & Roger Sugden & James Wilson, 2006. "The healthy development of economies: A strategic framework for competitiveness in the health industry," Review of Social Economy, Taylor & Francis Journals, vol. 64(3), pages 301-329.
    • Handle: RePEc:taf:rsocec:v:64:y:2006:i:3:p:301-329
    DOI: 10.1080/00346760600892717
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    References listed on IDEAS

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    1. Christos Pitelis, 1994. "Industrial Strategy: For Britain, in Europe and the World," Journal of Economic Studies, Emerald Group Publishing, vol. 21(5), pages 3-92, October.
    2. Marc R. Tool, 1990. "Some Reflections on Social Value Theory and Regulation," Journal of Economic Issues, Taylor & Francis Journals, vol. 24(2), pages 535-544, June.
    3. Cowling, Keith & Sugden, Roger, 1998. "The Essence of the Modern Corporation: Markets, Strategic Decision-Making and the Theory of the Firm," The Manchester School of Economic & Social Studies, University of Manchester, vol. 66(1), pages 59-86, January.
    4. Roger Sugden & James R. Wilson, 2005. "Economic Globalisation: Dialectics, Conceptualisation And Choice," Contributions to Political Economy, Cambridge Political Economy Society, vol. 24(1), pages 13-32, August.
    5. J. Robert Branston & Keith Cowling & Roger Sugden, 2006. "Corporate Governance and the Public Interest," International Review of Applied Economics, Taylor & Francis Journals, vol. 20(2), pages 189-212.
    6. Marc R. Tool, 1977. "A Social Value Theory in Neoinstitutional Economics," Journal of Economic Issues, Taylor & Francis Journals, vol. 11(4), pages 823-846, December.
    7. Roger Sugden & James R. Wilson, 2003. "Economic 'prosperity' and 'globalisation': an agenda and perspective," Chapters, in: Roger Sugden & Rita Hartung Cheng & G. Richard Meadows (ed.), Urban and Regional Prosperity in a Globalised New Economy, chapter 1, Edward Elgar Publishing.
    8. Roger Sugden & James R. Wilson, 2002. "Economic Development in the Shadow of the Consensus: A Strategic Decision-Making Approach," Contributions to Political Economy, Cambridge Political Economy Society, vol. 21(1), pages 111-134, December.
    9. J. Robert Branston & Roger Sugden & Pedro Valdez & James Wilson, 2006. "Generating Participation and Democracy: An Illustration from Electricity Reform in Mexico," International Review of Applied Economics, Taylor & Francis Journals, vol. 20(1), pages 47-68.
    10. Jan, Stephen, 1998. "A holistic approach to the economic evaluation of health programs using institutionalist methodology," Social Science & Medicine, Elsevier, vol. 47(10), pages 1565-1572, November.
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    Cited by:

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    2. Wilfred Dolfsma & Deborah Figart & Robert McMaster & Martha Starr, 2012. "Promoting Research on Intersections of Economics, Ethics, and Social Values: Editorial," Review of Social Economy, Taylor & Francis Journals, vol. 70(2), pages 155-163, June.
    3. David Bailey & Nigel Driffield, 2007. "Industrial Policy, FDI and Employment: Still ‘Missing a Strategy’," Journal of Industry, Competition and Trade, Springer, vol. 7(3), pages 189-211, December.
    4. Michael Carr & Aurelie Charles & Wilfred Dolfsma & Robert McMaster & Tonia Warnecke, 2015. "Effective Contributions to the Review of Social Economy and Social Economics—Editorial," Review of Social Economy, Taylor & Francis Journals, vol. 73(2), pages 139-145, June.
    5. Roger Sugden, 2013. "Space in an inferno? The organization of modern universities and the role of academics," Chapters, in: Roger Sugden & Marcela Valania & James R. Wilson (ed.), Leadership and Cooperation in Academia, chapter 4, pages 43-57, Edward Elgar Publishing.

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