Healthcare Reforms and Fiscal Discipline in Europe: Responsibility or Responsiveness?

DC FieldValueLanguage
dc.contributor.authorCrespy, Amandine-
dc.contributor.authorSzabó, Imre-
dc.date.accessioned2019-05-15T10:26:10Z-
dc.date.available2019-05-15T10:26:10Z-
dc.date.copyright2018 Policy Studies Organizationen_US
dc.date.issued2018-06-11-
dc.identifier.citationEuropean Policy Analysisen_US
dc.identifier.urihttp://hdl.handle.net/10197/10466-
dc.description.abstractThis 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.sponsorshipEuropean Commission Horizon 2020en_US
dc.description.sponsorshipEuropean Research Councilen_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.rightsThis 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.subjectAusterityen_US
dc.subjectHealthcareen_US
dc.subjectLegitimacyen_US
dc.subjectResponsibilityen_US
dc.subjectResponsivenessen_US
dc.titleHealthcare Reforms and Fiscal Discipline in Europe: Responsibility or Responsiveness?en_US
dc.typeJournal Articleen_US
dc.internal.authorcontactotherszaboi@ucd.ieen_US
dc.statusPeer revieweden_US
dc.identifier.volume4en_US
dc.identifier.issue2en_US
dc.identifier.startpage214en_US
dc.identifier.endpage233en_US
dc.neeo.contributorCrespy|AAIS|aut|-
dc.date.updated2018-10-01T14:19:53Z-
dc.identifier.grantid649456-
dc.identifier.grantid725240-
item.fulltextWith Fulltext-
item.grantfulltextopen-
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