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  5. Time for a paradigm change? Incorporating transnational processes into the analysis of the emerging European health-care system
 
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Time for a paradigm change? Incorporating transnational processes into the analysis of the emerging European health-care system

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Author(s)
Stan, Sabina 
Erne, Roland 
Uri
http://hdl.handle.net/10197/12452
Date Issued
01 August 2021
Date Available
07T09:28:45Z September 2021
Abstract
Health services have long been insulated from the process of European integration. In this article, however, we show that we are witnessing their re-configuration in an emerging EU health-care system. The article uncovers the structuring lines of this system by focusing on three interrelated EU-wide processes influencing the integration of national health-care systems into a larger whole. First, the privatisation of health-care services following the constraints of Maastricht economic convergence and the EU accession criteria; second, health-care worker and patient mobility arising from the free movement of workers and services within the European Single Market; and third, new EU laws and country-specific prescriptions on economic governance that the EU has been issuing following the 2008 financial crisis. The article shows that these processes have helped to construct a European health-care system that is uneven in terms of the distribution of patient access to services and of health-care workers’ wages and working conditions, but very similar in terms of EU economic and financial governance pressures on health care across EU Member States.
Sponsorship
European Commission Horizon 2020
European Research Council
University College Dublin
Other Sponsorship
Centre for Advanced Study (CAS)
Type of Material
Journal Article
Publisher
Sage
Journal
Transfer
Volume
27
Issue
3
Start Page
289
End Page
302
Copyright (Published Version)
2021 the Authors
Keywords
  • Health systems

  • Methodological nation...

  • EU governance

  • Patient mobility

  • Labour mobility

  • Privatisation

  • European integration

  • European health polic...

  • Public policy

  • European social polic...

  • European industrial r...

  • Public services

DOI
10.1177/10242589211026815
Language
English
French
German
Status of Item
Peer reviewed
ISSN
1024-2589
This item is made available under a Creative Commons License
https://creativecommons.org/licenses/by-nc-nd/3.0/ie/
Owning collection
Business Research Collection
Scopus© citations
2
Acquisition Date
Jan 29, 2023
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328
Acquisition Date
Jan 29, 2023
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Downloads
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