Institutional Arrangements Make the Difference: A Comparative Study of Health Care Policy and Provision in the Netherlands and France

Location

CSU 253/4

Start Date

21-4-2008 8:00 AM

End Date

21-4-2008 10:00 AM

Student's Major

Government

Student's College

Social and Behavioral Sciences

Mentor's Name

Tomasz Inglot

Mentor's Department

Government

Mentor's College

Social and Behavioral Sciences

Description

France and the Netherlands are very similar countries in how they view social welfare provision, but a closer examination shows that both have taken an increasingly divergent path from one another in the area of health care. The institutional arrangements in the respective countries have had an indelible mark on how each provides health care, and because of the effects from these institutions, the Netherlands has developed a sophisticated managed care system, while France remains a social-central health care provision system. New institutionalism theory is applied to these case studies, which states that initial common systems will eventually morph into entirely different systems. This transformation of health care systems is based on the fact that a state doesn't just provide cash benefits, but also actual health care services to its citizenry. France's centralized decision-making and service provider system has led to a less adaptable way of providing health care in an ever-changing environment of health care technology, while the Netherlands' fragmented system has let the health care providers become innovative and to specialize so as to save costs overall.

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Apr 21st, 8:00 AM Apr 21st, 10:00 AM

Institutional Arrangements Make the Difference: A Comparative Study of Health Care Policy and Provision in the Netherlands and France

CSU 253/4

France and the Netherlands are very similar countries in how they view social welfare provision, but a closer examination shows that both have taken an increasingly divergent path from one another in the area of health care. The institutional arrangements in the respective countries have had an indelible mark on how each provides health care, and because of the effects from these institutions, the Netherlands has developed a sophisticated managed care system, while France remains a social-central health care provision system. New institutionalism theory is applied to these case studies, which states that initial common systems will eventually morph into entirely different systems. This transformation of health care systems is based on the fact that a state doesn't just provide cash benefits, but also actual health care services to its citizenry. France's centralized decision-making and service provider system has led to a less adaptable way of providing health care in an ever-changing environment of health care technology, while the Netherlands' fragmented system has let the health care providers become innovative and to specialize so as to save costs overall.

Recommended Citation

Madden, Nathan J.. "Institutional Arrangements Make the Difference: A Comparative Study of Health Care Policy and Provision in the Netherlands and France." Undergraduate Research Symposium, Mankato, MN, April 21, 2008.
https://cornerstone.lib.mnsu.edu/urs/2008/oral-session-03/7