Critical Challenges For Health Care Reform In Europe

Introduction
Part one: The context for health reform


Values, norms and the reform of healthcare systems
Macro-economic constraints and health challenges facing European health systems


Part two: Demand side strategies


Balancing competition and solidarity in healthcare financing
The appropriate role for patient cost-sharing
Priority setting and rationing health services
Reforming public health services


Part three: Supply side strategies


Contracting models and provider competition
The allocation of capital and health sector reform
Performance-tied payment systems for physicians
Financing operating costs for hospital services
Changing hospital systems
The usual suspect and the failure of cost containment
regulating expenditure on medicines in European Union countries


Part four: On state, citizen and society


The role of the state in healthcare reform
Optimal balance of centralized and decentralized management
Citizen participation and patient choice in health reform
Values, norms and the reform of healthcare systems


Part five: Implementing health reform


Implementing healthcare reform
a framework for discussion
Implementing healthcare reform
a review of current experience


Part six: Assessing the evidence


Index.