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Are European health models still different?

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  • Liberati, P.

Abstract

This paper discusses the applicability of the traditional classification of welfare systems described in Three Worlds of Welfare Capitalism by Esping-Andersen (1990) when applied to the health sector in Europe. To this purpose, we use a cluster analysis on 26 European countries from 2001 to 2021, to identify, if any, distinct health models. Our main findings suggest that, in Europe, the original typology of Esping-Andersen is hardly confirmed, and sometimes dismissed; second, in certain cases, only an Eastern European model emerges; third, a neat separation between the Nordic and the Continental model disappears, giving some evidence, in Europe, of a weak form of convergence of health systems driven more by economic constraints than by political and social attitudes.

Suggested Citation

  • Liberati, P., 2024. "Are European health models still different?," Cambridge Working Papers in Economics 2441, Faculty of Economics, University of Cambridge.
  • Handle: RePEc:cam:camdae:2441
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    1. Carnazza, Giovanni & Liberati, Paolo & Resce, Giuliano, 2023. "Income-related unmet needs in the European countries," Socio-Economic Planning Sciences, Elsevier, vol. 87(PA).
    2. Hacker, Jacob S., 2004. "Privatizing Risk without Privatizing the Welfare State: The Hidden Politics of Social Policy Retrenchment in the United States," American Political Science Review, Cambridge University Press, vol. 98(2), pages 243-260, May.
    3. Vasilis Sarafidis & Neville Weber, 2015. "A Partially Heterogeneous Framework for Analyzing Panel Data," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 77(2), pages 274-296, April.
    4. Thomas I. Palley, 2018. "Re-theorizing the welfare state and the political economy of neoliberalism's war against it," FMM Working Paper 16-2018, IMK at the Hans Boeckler Foundation, Macroeconomic Policy Institute.
    5. Theo Hitiris & John Nixon, 2001. "Convergence of health care expenditure in the EU countries," Applied Economics Letters, Taylor & Francis Journals, vol. 8(4), pages 223-228.
    6. Elina De Simone & Giuseppe Lucio Gaeta & Salvatore Ercolano, 2012. "Exploring Public Social Expenditure Trends in the Globalization Era," European Research Studies Journal, European Research Studies Journal, vol. 0(1), pages 23-42.
    7. Joakim Palme & Walter Korpi, 1998. "The Paradox of Redistribution and Strategies of Equality: Welfare State Institutions, Inequality and Poverty in the Western Countries," LIS Working papers 174, LIS Cross-National Data Center in Luxembourg.
    8. repec:cup:cbooks:9780521806688 is not listed on IDEAS
    9. Castles, Francis G., 2004. "The Future of the Welfare State: Crisis Myths and Crisis Realities," OUP Catalogue, Oxford University Press, number 9780199273928, December.
    10. Peter Zweifel & Lukas Steinmann & Patrick Eugster, 2005. "The Sisyphus Syndrome in Health Revisited," International Journal of Health Economics and Management, Springer, vol. 5(2), pages 127-145, June.
    11. 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.
    12. Brady, David & Bostic, Amie, 2015. "Paradoxes of Social Policy: Welfare Transfers, Relative Poverty, and Redistribution Preferences," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 80(2), pages 268-298.
    13. M. Panić, 2003. "Globalization and National Economic Welfare," Palgrave Macmillan Books, Palgrave Macmillan, number 978-0-230-51248-1, March.
    14. repec:cup:cbooks:9780521001441 is not listed on IDEAS
    15. Glenn Milligan & Martha Cooper, 1985. "An examination of procedures for determining the number of clusters in a data set," Psychometrika, Springer;The Psychometric Society, vol. 50(2), pages 159-179, June.
    16. Niels Ploug, 1995. "The welfare state in liquidation?," International Social Security Review, John Wiley & Sons, vol. 48(2), pages 61-71, April.
    17. Bertin, Giovanni & Carrino, Ludovico & Pantalone, Marta, 2021. "Do standard classifications still represent European welfare typologies? Novel evidence from studies on health and social care," Social Science & Medicine, Elsevier, vol. 281(C).
    18. Demetris Christodoulou & Vasilis Sarafidis, 2017. "Regression clustering for panel-data models with fixed effects," Stata Journal, StataCorp LP, vol. 17(2), pages 314-329, June.
    19. Tine Rostgaard & Frode Jacobsen & Teppo Kröger & Elin Peterson, 2022. "Correction to: Revisiting the Nordic long-term care model for older people—still equal?," European Journal of Ageing, Springer, vol. 19(4), pages 1641-1641, December.
    20. M. Panić, 2003. "Globalization and National Economic Welfare," Palgrave Macmillan Books, Palgrave Macmillan, number 978-0-230-28659-7, March.
    21. Terris, M., 1978. "The three world systems of medical care: Trends and prospects," American Journal of Public Health, American Public Health Association, vol. 68(11), pages 1125-1131.
    22. Javier Bilbao-Ubillos, 2023. "The Social Dimension of the European Union: A Means to lock out Social Competition?," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 165(1), pages 267-281, January.
    23. Tine Rostgaard & Frode Jacobsen & Teppo Kröger & Elin Peterson, 2022. "Revisiting the Nordic long-term care model for older people—still equal?," European Journal of Ageing, Springer, vol. 19(2), pages 201-210, June.
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    More about this item

    Keywords

    Health; Welfare State; Cluster; Europe; Esping-Andersen;
    All these keywords.

    JEL classification:

    • H11 - Public Economics - - Structure and Scope of Government - - - Structure and Scope of Government
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I1 - Health, Education, and Welfare - - Health

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