Aggie Paulus, Arno van Raak, Frits van Merode and Eddy Adang
In many countries, health care reforms are being made with the purpose of stimulating actors to make economically sound decisions. Recent attempts in The Netherlands encompass the…
Abstract
In many countries, health care reforms are being made with the purpose of stimulating actors to make economically sound decisions. Recent attempts in The Netherlands encompass the development and introduction of integrated health care arrangements. Since these arrangements are directly tailored to care demand, it is generally expected that integrated health care will enhance efficiency. This paper analyses whether a shift towards integrated health care actually represents a Pareto‐optimal change. An analysis of the consequences shows that care demanders, providers and informal care givers, to some extent and under certain conditions, can be expected to benefit from the introduction of integrated health care. Under long‐term considerations, the introduction of integrated care may be categorised as a potential Pareto‐improvement.
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Arno van Raak, Aggie Paulus and Ingrid Mur‐Veeman
Throughout Europe, there is an increasing number of independently living chronically ill patients who suffer from multiple and complex health problems. Several organisations…
Abstract
Throughout Europe, there is an increasing number of independently living chronically ill patients who suffer from multiple and complex health problems. Several organisations which, individually, are not able to deliver all of the necessary services to these so‐called multiple problem patients, are involved in providing for their care. In countries like Sweden, the UK and The Netherlands, national governments consider co‐operation between providers to be essential in meeting the demands of these patients. In order to promote co‐operation, governments must know why and how particular relationships between providers come about. We argue that the nature of (resource) dependencies that are conditioned, shaped and secured by institutions determine the characteristics of these relationships. Using Dutch data, we illustrate the effect of legislation and government policies on dependencies and relationships. We indicate how government policy makers can shape dependence that is favourable to co‐operation.
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Arno van Raak, Aggie Paulus, Frits van Merode and Ingrid Mur‐Veeman
Delivery of integrated care by interorganisational networks attracts much attention in Europe. Such care is required to meet the demands of multi‐problem patients. Many efforts…
Abstract
Delivery of integrated care by interorganisational networks attracts much attention in Europe. Such care is required to meet the demands of multi‐problem patients. Many efforts are made to establish networks. Often, established networks do not deliver integrated care. Managers must understand the background of this problem, in order to deal with it. The issue addressed here concerns behaviour control in networks of autonomous care‐providing organisations. So far, publications have focused on behaviour control in single organisations. Based on empirical data we argue that, due to an essential distinction between networks and single organisations, behaviour control in the former should be approached differently. In addition, we discuss the implications of our findings for the management of integrated care delivery.
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The Netherlands, Women Gives a historical perspective on theeconomic position of women and the participation of women in the labourmarket, starting with Mill and Taylor′s The…
Abstract
The Netherlands, Women Gives a historical perspective on the economic position of women and the participation of women in the labour market, starting with Mill and Taylor′s The Subjection of Women. Reviews the current position, particularly in The Netherlands. Briefly summarises other papers from a conference held at the University of Limburg in February 1991. Finally, represents eight possible avenues for future research: the impact of taxes other than income tax and of tax deductions on women′s participation in the labour market; the effect of temporary regulations which are never relaxed; whether or not services relevant to the working mother should be directly connected with employment; the effect of economic activities inside the household; entry barriers into politics; the dysfunctional effects of Dutch tax reforms on women′s labour participation; analysis of Dutch fiscal and social policy from an ordo point of view; and joint analysis of the tax and social security systems.