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A Difficult Encounter – National Health Care Models and the EU
Author(s) -
Martinsen Dorte Sindbjerg,
Vasev Nikolay
Publication year - 2015
Publication title -
social policy and administration
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.972
H-Index - 63
eISSN - 1467-9515
pISSN - 0144-5596
DOI - 10.1111/spol.12141
Subject(s) - europeanisation , protectionism , directive , salience (neuroscience) , outcome (game theory) , member states , health care , political science , economics , public economics , business , public administration , international economics , european union , psychology , microeconomics , law , computer science , cognitive psychology , programming language
This article examines the institutional output and preliminary outcome of the EU Patients' Rights Directive in two health care models: the Beveridge and Bismarck models in D enmark and B ulgaria, respectively. The study applies a most dissimilar system design to explain a similar transposition output through three explanatory variables, namely, institutional misfit, salience and administrative resources. We find that D enmark and B ulgaria have transposed the Directive in protectionist and minimalistic ways, thus far leading to a low outcome, i.e. low patient outflow. The encounter between the EU and the national health care models has not been enthusiastic but has instead been another example of reluctant and restrictive Europeanisation.