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

Files in This Item:
File Description SizeFormat 
Crespy_Szabo_2018_healthcare_reforms_repository_version new.pdf424.98 kBAdobe PDFDownload
Title: Healthcare Reforms and Fiscal Discipline in Europe: Responsibility or Responsiveness?
Authors: Crespy, AmandineSzabó, Imre
Permanent link:
Date: 2018
Online since: 2018-10-01T11:25:28Z
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.
Funding Details: European Commission Horizon 2020
European Research Council
Type of material: Journal Article
Publisher: Wiley
Journal: European Policy Analysis
Volume: 4
Issue: 2
Start page: 214
End page: 233
Copyright (published version): 2018 Policy Studies Organization
Keywords: AusterityHealthcareLegitimacyResponsibilityResponsiveness
DOI: 10.1002/epa2.1041
Language: en
Status of Item: Peer reviewed
Appears in Collections:Business Research Collection

Show full item record

Citations 50

Last Week
Last month
checked on May 23, 2020

Page view(s)

Last Week
Last month
checked on May 29, 2020


checked on May 29, 2020

Google ScholarTM



This item is available under the Attribution-NonCommercial-NoDerivs 3.0 Ireland. No item may be reproduced for commercial purposes. For other possible restrictions on use please refer to the publisher's URL where this is made available, or to notes contained in the item itself. Other terms may apply.