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This book analyses recent reform trends of European health care systems. Using eight European countries case studies it connects policy reforms with a healthcare quadrilemma, and compares how well these systems perform in terms of economic efficiency, medical achievements, social inequalities, and responsiveness to patients and workers.

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Introduction PART I: THE COUNTRY CASE STUDIES 1. Sweden: Continued Marketization within a Universalist System; Paula Blomqvist and Ulrika Winblad 2. England: Health Reforms have Improved the NHS; Sean Boyle 3. Spain: Quo Vadis? From Cost Containment to Structural Reforms; Eduardo Fidalgo and Juan Ventura 4. Italy: A Strange NHS with its Paradoxes; Emmanuele Pavolini and Giovanna Vicarelli 5. France: Squaring the Health Spending Circle?; Bruno Palier and Alban Davesne 6. Germany: Mixing Rescaling, Privatization and Managerialism; Patrick Hassenteufel and Tanja Klenk 7. Austria: A Health Care System Between Continuity and Gradual Changes; August Österle 8. Poland: Decentralization, Privatization and Managerialization of the Healthcare System; Monika Ewa Kaminska PART II: THE COMPARATIVE ANALYSIS 9. The Health Care Policy Quadrilemma and Comparative Institutional Reforms; Emmanuele Pavolini, Bruno Palier and Ana M. Guillén 10. The Performance of the European Health Care Systems; Emmanuele Pavolini and August Österle 11. Health Care Provision: An Exploratory Analysis of Increase, Decline, Converging Trends and Driving Forces in Comparative Perspective; Ingalill Montanari and Kenneth Nelson Conclusion

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Paula Blomquist, Uppsala University, Sweden Seán Boyle, London School of Economics and Political Science, UK Alban Davesne, Sciences Po, France Eduardo González Fidalgo, University of Oviedo, Spain Patrick Hassenteufel, University of Versailles , France Monika Ewa Kaminska, University of Bremen, Germany Tanja Klenk, University of Potsdam, Germany Ingalill Montanari, Stockholm University, Sweden Kenneth Nelson, Stockholm University, Sweden August Österle, Vienna University of Economics and Business, Austria Bruno Palier, Sciences Po, France Giovanna Vicarelli, Politecnica delle Marche University, Italy Juan Ventura Victoria, University of Oviedo, Spain Ulrika Wildblat, Uppsala University, Sweden

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