Healthcare Reforms and Fiscal Discipline in Europe: Responsibility or Responsiveness?
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|dc.date.copyright||2018 Policy Studies Organization||en_US|
|dc.identifier.citation||European Policy Analysis||en_US|
|dc.description.abstract||This paper asks how governments across Europe have responded to the dilemma between ﬁnancial responsibility and political responsiveness against the background of heightened ﬁscal pressure. Focusing on the domestic politics of healthcare reforms in four contrasted cases (England, France, Hungary, and Ireland), we investigate how governments frame and legitimize these reforms. We ﬁnd that references to input legitimacy vary greatly according to prevailing values of governments and party politics in the respective national realms. With regard to output legitimacy, efﬁciency and ﬁnancial sustainability tend to prevail over concerns related to quality in those countries that are more affected by debt. Across all cases, governments rely on an instrumentalist conception of throughput legitimacy, meaning that they use consultation with different stakeholders as a way to prevent adverse politicization and to support their framing of the reforms.||en_US|
|dc.description.sponsorship||European Commission Horizon 2020||en_US|
|dc.description.sponsorship||European Research Council||en_US|
|dc.rights||This is the peer reviewed version of the following article: Crespy, A. and Szabó, I. (2018), Healthcare Reforms and Fiscal Discipline in Europe: Responsibility or Responsiveness?. European Policy Analysis, which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1002/epa2.1041. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.||en_US|
|dc.title||Healthcare Reforms and Fiscal Discipline in Europe: Responsibility or Responsiveness?||en_US|
|Appears in Collections:||Business Research Collection|
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