Public Accountability and Health Care Governance

Public Accountability and Health Care Governance

Paola Mattei Editor Public Accountability and Health Care Governance Public Management Reforms Between Austerity and Democracy

Editor Paola Mattei St Antony s College University of Oxford Oxford, UK ISBN 978-1-137-47298-4 ISBN 978-1-137-47299-1 (ebook) DOI 10.1057/978-1-137-47299-1 Library of Congress Control Number: 2016937365 The Editor(s) (if applicable) and The Author(s) 2016 The author(s) has/have asserted their right(s) to be identified as the author(s) of this work in accordance with the Copyright, Design and Patents Act 1988. This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Cover image CVI Textures/Alamy Stock Photo Printed on acid-free paper This Palgrave Macmillan imprint is published by Springer Nature The registered company is Macmillan Publishers Ltd. London

CONTENTS Public Management Reforms and Their Impact on Democratic Processes 1 Paola Mattei German Healthcare in Transition: Global Pressures, Governance and Public Wellbeing 13 Patricia Hogwood Hospital Planning in a Competitive Arena: Sustaining or Suspending Market Forces? 37 Tanja Klenk Marketization and Accountability: Lessons from the Reforming Norwegian Healthcare System 65 Simon Neby From Demigods in White to Normal Employees: Employment Relations and New Incentive Structures in German Hospitals 91 Maximiliane Wilkesmann v

vi CONTENTS Accountability in Multilevel Health Care Services: The Case of Norway 115 Haldor Byrkjeflot, Tom Christensen, and Per Lægreid Organ Transplant Policies and Cultural Worldviews 147 Paola Mattei From Major Decisions to Everyday Life : Direct Accountability to Clients 165 Thomas Schillemans, Hester van de Bovenkamp, and Margo Trappenburg Accountability and Shared Measurement in Health Care: Examples from Israel 193 Yehonatan Almog, Bruce Rosen, and Jack Habib Index 217

CONTRIBUTORS Yehonatan Almog System-wide Impact and Measurement Unit, Myers-JDC- Brookdale Institute, Jerusalem, Israel Hester van de Bovenkamp Institute of Health Policy & Management, Erasmus University, Rotterdam, The Netherlands Haldor Byrkenflot Department of Sociology and Human Geography, University of Oslo, Oslo, Norway Tom Christensen Department of Political Science, University of Oslo, Oslo, Norway Jack Habib The Executive Director of the Myers-JDC-Brookdale Institute, Jerusalem, Israel Patricia Hogwood Department of Politics and International Relations, University of Westminster, Westminster, UK Tanja Klenk Department of Social Work and Social Welfare, University of Kassel, Germany Per Laegreid Department of Administration and Organization Theory, University of Bergen, Bergen, Norway Paola Mattei Associate Professor of Comparative Social Policy, St Antony s College, University of Oxford, Oxford, UK Simon Neby Uni Research, Stein Rokkan Centre for Social Studies, Bergen, Norway vii

viii CONTRIBUTORS Bruce Rosen Smokler Center for Health Policy Research, Myers-JDC-Brookdale Institute, Jerusalem, Israel Thomas Schillemans Faculty of Law, Economics, and Governance, Utrecht University School of Governance, Utrecht, The Netherlands Margo Trappenburg Faculty of Law, Economics, and Governance, Utrecht University School of Governance, Utrecht, The Netherlands Maximiliane Wilkesmann Faculty of Business, Economics, and Social Sciences, TU Dortmund University, Dortmund, Germany

LIST OF FIGURES Chapter 5 Figure 1 Total number of hospitals and hospitals ownership structures over time (compiled by the author) 94 Figure 2 Total number of hospitals and hospitals ownership structures over time (compiled by the author) 101 Figure 3 Trend in hip replacement surgery, selected OECD countries, 2000 2011 (or nearest year). 104 Figure 4 Attitudes among different generations of chief physicians (approval rating; 4 = agree and 5 = strongly agree) 106 Figure 5 Number of physicians in hospitals without direct employment relationship. 109 Chapter 8 Figure 1 Relative contribution of nine external stakeholders to public standing and image of the organization 179 Figure 2 Relative contribution of nine external stakeholders to improving the quality of services 181 Chapter 9 Figure1 From common indicators to shared measurement 196 ix

LIST OF TABLES Chapter 2 Table 1 Selected reforms in German healthcare 1993 2011 22 Chapter 3 Table 1 Ideal types of hospital planning 50 Table 2 Truth table 58 Chapter 6 Table 1 Attention to accountability in legislative history of the Coordination Reform 123 Table 2 Accountability dimensions by reform plans, likely consequences and empirical observations 134 Chapter 8 Table 1 The Major Decisions Model and the Everyday Life Model and how they relate to arguments on participation and accountability 171 Table 2 Institutional design choices relating to direct accountability to clients 186 Chapter 9 Table 1 Main goals of shared measurement by organization category and population served 197 xi