Skip to Main content Skip to Navigation
Journal articles

Reforming European Health Care States : Programmatic Actors and Policy Change

Abstract : In France, Germany, and Spain, state-strengthening reform of national health policies in the past two decades have been enacted at a time when economic globalization and neo-liberal ideology were combining to encourage the retreat of the state from other areas of economic management and social policy. This article suggests two elements of explanation for that seeming contradiction. The first of these is an increasing reliance on regulatory instruments that allow increased state influence in a context of budgetary rigor. In addition, we find in all three cases that the competition among programmatic for legitimate authority over policy decisions worked to enhance the autonomy of sectoral decision-makers.
Document type :
Journal articles
Complete list of metadatas

Cited literature [42 references]  Display  Hide  Download
Contributor : William Genieys <>
Submitted on : Friday, November 4, 2016 - 5:00:48 PM
Last modification on : Thursday, September 24, 2020 - 2:19:06 PM
Long-term archiving on: : Sunday, February 5, 2017 - 2:32:02 PM


Reforming EuropeanvHealth Care...
Publisher files allowed on an open archive




Patrick Hassenteufel, William Genieys, Marc Smyrl. Reforming European Health Care States : Programmatic Actors and Policy Change. Pôle Sud - Revue de science politique de l'Europe méridionale, ARPoS 2008, L’État providence en Europe du Sud : perspectives comparées, pp.87-107. ⟨10.3917/psud.028.0087⟩. ⟨hal-01392780⟩



Record views


Files downloads