Abstract:
:Renewed debates about the superiority of either predominantly public or predominantly private health services arrangements have tended to be more ideologically charged than conceptually precise. Historically, the public/private split in European systems has often been more sharply defined in principle than in practice. This real-world variation was further complicated during the 1990s by reforms that enabled publicly owned hospitals and health centres to manage their daily operations more independently. Most recently, several new initiatives have established complex cross-boundary arrangements that cannot easily be characterized as either public or private. This article presents a conceptually rigorous four-part classification of past public/private arrangements that can provide a theoretical baseline from which to judge future cross-boundary developments.
journal_name
Eur J Public Healthjournal_title
European journal of public healthauthors
Saltman RBdoi
10.1093/eurpub/13.1.24subject
Has Abstractpub_date
2003-03-01 00:00:00pages
24-9issue
1eissn
1101-1262issn
1464-360Xjournal_volume
13pub_type
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