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Structural Brakes on Europeanization of Health Care in Austria

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Europeanization and European Integration

Part of the book series: Palgrave Studies in European Union Politics ((PSEUP))

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Abstract

In line with the general subject of this volume, this chapter1 will address the relationship between European integration and Europeanization in health-care policies. Starting from the assumption that European integration and Europeanization cannot be considered separately, the main research question of this chapter is whether a leap forward of European integration in welfare can also trigger the structural Europeanization of member states’ welfare systems. In order to answer this question, a case study approach has been adopted in order to highlight how ‘structural brakes’ at national level can lead to no more than incremental Europeanization during a period when European integration has been advancing considerably. The case study presented here will deal with European integration in the health-care policy field and the resulting Europeanization of regional actors’ interests in the Austrian health-care system.

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References

  • Blank, R.H. and Burau, V. (2010) Comparative Health Policy (3rd ed.) (Basingstoke: Palgrave Macmillan).

    Google Scholar 

  • Braun, D. (2011) ‘How Centralized Federations Avoid Over-Centralization’, Regional and Federal Studies, 21(1), pp. 35–54.

    Article  Google Scholar 

  • Büchel-Germann, M. and Kraft, H. (2011) ‘Länderbeteiligungsverfahren dargestellt an der Patientenmobilitätsrichtlinie’, in A. Rosner and P. Bussjäger (eds.) Schriftenreihe des Instituts für Föderalismus: Vol. 112. Im Dienste der Länder, im Interesse des Gesamtstaates. Festschrift 60 Jahre Verbindungsstelle der Bundesländer (Vienna: Braumüller), pp. 539–572.

    Google Scholar 

  • Dirninger, C. (2003) ‘Wer zahlt und wer schafft an?: Traditionen — Positionen-Konfliktzonen im finanz-und wirtschaftspolitischen Föderalismus Österreichs seit 1945’, in H. Dachs, E. Hanisch, H. Rumpler and R. Kriechbaumer (eds.) Geschichte der österreichischen Bundesländer seit 1945. Der Bund und die Länder, über Dominanz, Kooperation und Konflikte im österreichischen Bundesstaat (Vienna,: Böhlau), pp. 229–308.

    Google Scholar 

  • Fallend, F. (2002) ‘Europäisierung, Föderalismus und Regionalismus: Die Auswirkungen der EU-Mitgliedschaft auf bundesstaatliche Strukturen und regionale Politik in Österreich’, in H. Neisser (ed.) Europäisierung der österreichischen Politik. Konsequenzen der EU-Mitgliedschaft (Vienna: WUV-Univ.-Verl), pp. 201–230.

    Google Scholar 

  • Fallend, F. (2003) ‘Föderalismus — eine Domäne der Exekutiven?’, in H. Dachs, E. Hanisch, H. Rumpler and R. Kriechbaumer (eds.) Geschichte der österreichischen Bundesländer seit 1945. Der Bund und die Länder, über Dominanz, Kooperation und Konflikte im österreichischen Bundesstaat (Vienna [u.a.]: Böhlau), pp. 17–68.

    Google Scholar 

  • Ferrera, M. (2005) The Boundaries of Welfare: European Integration and the New Spatial Politics of Social Protection (reprint) (Oxford: Oxford University Press).

    Book  Google Scholar 

  • Freeman, R. (2000) The Politics of Health in Europe (Manchester: Manchester University Press).

    Google Scholar 

  • George, A.L. and Bennett, A. (2005) Case Studies and Theory Development in the Social Sciences (Cambridge, MA: MIT Press).

    Google Scholar 

  • Glinos, I.A. (2011) ‘Cross-Border Collaboration’, in M. Wismar (ed.) Cross-Border Health Care in the European Union. Mapping and Analysing Practices and Policies (Copenhagen: WHO, Regional Office for Europe), pp. 217–254.

    Google Scholar 

  • Gönenç, R., Hofmarcher, M.M. and Wörgötter, A. (2011) ‘Reforming Austria’s Highly Regarded But Costly Health System’ (OECD Economics Department Working Papers No. 895), http://www.oecd-ilibrary.org/economics/reforming-austria-s-highly-regarded-but-costly-health-system_5kg51mbntk7j-en

  • Graziano, P., Jacquot, S. and Palier, B. (2011) ‘Introduction: The Usages of Europe in National Employment-Friendly Welfare State Reforms’, in P. Graziano, S. Jacquot and B. Palier (eds.) The EU and the Domestic Politics of Welfare State Reforms. Europa, Europae (Basingstoke: Palgrave Macmillan), pp. 1–18.

    Chapter  Google Scholar 

  • Greer, S.L. and Rauscher, S. (2011a) ‘Destabilization Rights and Restabilization Politics: Policy and Political Reactions to European Union Healthcare Services Law’, Journal of European Public Policy, 18(2), pp. 220–240.

    Article  Google Scholar 

  • Greer, S.L. and Rauscher, S. (2011b) ‘When Does Market-Making Make Markets? EU Health Services Policy at Work in the United Kingdom and Germany’, Journal of Common Market Studies, 49(1), pp. 1–26.

    Article  Google Scholar 

  • Harvey, T.K. and McHale, J.V. (2004) Health Law and the European Union (Cambridge: Cambridge University Press).

    Book  Google Scholar 

  • Hatzopoulos, V.G. (2007) ‘Current Problems of Social Europe’ (Research Papers in Law), Bruges, www.coleurop.be

  • Healthacross. (2010) Healthacross Report I: Handlungsleitfäden für die grenzüberschreitende Gesundheitsversorgung, Vienna, www.healthacross.eu

  • Heigl, A. (10 December 2012) ‘Herumdoktern gegen ärztlichen Rat: Kosten sparen und auf Zuständigkeiten keine Rücksicht mehr nehmen: Das will die heftig bekämpfte Gesundheitsreform’, Der Standard, http://derstandard.at/1353208748750/Herumdoktern-gegen-aerztlichen-Rat

  • Hofmarcher, M.M. and Rack, H.M. (2006) Austria: Health System Review (Health Systems in Transition) (Copenhagen: World Health Organization).

    Google Scholar 

  • Jacquot, S. and Woll, C. (2003) ‘Usage of European Integration: Europeanisation from a Sociological Perspective’, European Integration Online Papers, 7(12), pp. 1–18.

    Google Scholar 

  • Jacquot, S. and Woll, C. (eds.) (2004) Les usages de l’Europe: Acteurs et transformations européennes (Paris: L’Harmattan).

    Google Scholar 

  • Jacquot, S. and Woll, C. (2008) ‘Action publique europénne: Les acteurs stratégiques face à l’Europe’, Politique européenne, 25, pp. 161–192.

    Article  Google Scholar 

  • Jenson, J. and Mérand, F. (2010) ‘Sociology, Institutionalism and the European Union’, Comparative European Politics, 8(1), pp. 74–92.

    Article  Google Scholar 

  • Kostera, T. (2012) ‘Europeanisation within Austria’s Healthcare System: Path-Dependent Usages of Europe in Border Regions’, Österreichische Zeitschrift für Politikwissenschaft (ÖZP), 41(3), pp. 299–314.

    Google Scholar 

  • Kostera, T. (2013) ‘Subnational Responsibilities for Healthcare and Austria’s Rejection of the EU’s Patients’ Rights Directive’, Health Policy, 111, pp. 149–156

    Article  Google Scholar 

  • Leibfried, S. and Pierson, P. (1995) ‘Semisovereign Welfare States: Social Policy in a Multitiered Europe’, in S. Leibfried and P. Pierson (eds.) European Social Policy. Between Fragmentation and Integration (Washington, DC: Brookings Institution), pp. 43–77.

    Google Scholar 

  • Merrien, F.-X., Parchet, R. and Kernen, A. (2005) L’État social: Une perspective internationale. Science politique (Paris: Colin).

    Google Scholar 

  • Obermaier, A.J. (2008) ‘Fine-Tuning the Jurisprudence: The ECJ’s Judicial Activism and Self-Restraint’ (Working Paper Series No. 02/2008), Vienna, http://eif.univie.ac.at/downloads/workingpapers/wp2008-02.pdf

  • Obermaier, A.J. (2009) The End of Territoriality?: The Impact of ECJ Rulings on British, German and French Social Policy (Farnham and Burlington: Ashgate).

    Google Scholar 

  • Obinger, H., Leibfried, S. and Castles, F.G. (eds.) (2005) Federalism and the Welfare State: New World and European Experiences (Cambridge: Cambridge University Press).

    Google Scholar 

  • Obinger, H. and Tálos, E. (2010) ‘Janus-Faced Developments in a Prototypical Bismarckian Welfare State: Welfare Reform in Austria since the 1970s’, in B. Palier (ed.) A Long Goodbye to Bismarck? The Politics of Welfare Reform in Continental Europe (Amsterdam: Amsterdam University Press), pp. 101–128.

    Google Scholar 

  • Palier, B. (ed.) (2010) A Long Goodbye to Bismarck? The Politics of Welfare Reform in Continental Europe (Amsterdam: Amsterdam University Press), http://books.google.de/books?id=ENo_dRL4_lMC

    Google Scholar 

  • Petersen, K.-U. (2008) Report on the Consultation of the Subsidiarity Monitoring Network on the Proposal for a Directive on the Application of Patients’ Rights in Cross-Border Healthcare (No. DEVE-IV-032), http://portal.cor.europa.eu/subsidiarity/Observations2008/COM2028200829204142044a0e6ad-ede3-4f9a-8252-901693f2a581/cihcffpv_hmd.pdf

  • Pierson, P. (1993) ‘When Effects Become Cause: Policy Feedback and Political Change’, World Politics, 45(4), pp. 595–628.

    Article  Google Scholar 

  • Pierson, P. (ed.) (2001) ‘Coping with Permanent Austerity: Welfare State Restructuring in Affluent Democracies’, in The New Politics of the Welfare State (Oxford: Oxford University Press), pp. 410–456.

    Google Scholar 

  • Radaelli, C.M. (2000) ‘Whither Europeanization?: Concept Stretching and Substantive Change’, European Integration Online Papers, 4(8), pp. 1–28.

    Google Scholar 

  • Radaelli, C.M. (2004) ‘Europeanisation: Solution or Problem?’ European Integration Online Papers, 8(16), pp. 1–26.

    Google Scholar 

  • Rechnungshof. (2010) ‘Problemanalyse Gesundheit und Pflege’, http://www.rechnungshof.gv.at/fileadmin/downloads/2010/beratung/verwaltungsreform/Gesundheit/Problemanalyse_Gesundheit_und_Pflege.pdf.

  • Rosenmöller, M., Baeten, R. and McKee, M. (2006) Patient Mobility in the European Union: Learning from Experience (Copenhagen: World Health Organization).

    Google Scholar 

  • Sieveking, K. (2007) ‘ECJ Rulings on Health Care Services and Their Effects on the Freedom of Cross-Border Patient Mobility in the EU’, European Journal of Migration and Law, 9, pp. 25–51.

    Article  Google Scholar 

  • Sindbjerg Martinsen, D. (2012) ‘The Europeanization of Healthcare: Processes and Factors’, in T. Exadaktylos and C.M. Radaelli (eds.) Research Design in European Studies. Establishing Causality in Europeanization (Basingstoke: Palgrave Macmillan), pp. 141–159.

    Google Scholar 

  • Streeck, W. and Thelen, K. (2005) ‘Introduction: Institutional Change in Advanced Political Economies’, in W. Streeck and K. Thelen (eds.) Beyond Continuity. Institutional Change in Advanced Political Economies (Oxford: Oxford University Press), pp. 1–39.

    Google Scholar 

  • Theurl, E. (1999) ‘Some Aspects of the Reform of the Health Care Systems in Austria, Germany and Switzerland’, Health Care Analysis, 7(4), pp. 331–354.

    Article  Google Scholar 

  • Wismar, M. (ed.) (2011) Cross-Border Health Care in the European Union: Mapping and Analysing Practices and Policies (Copenhagen: WHO, Regional Office for Europe).

    Google Scholar 

  • Woll, C. and Jacquot, S. (2010) ‘Using Europe: Strategic Action in Multi-Level Politics’, Comparative European Politics, 8(1), pp. 110–126.

    Article  Google Scholar 

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Authors
  1. Thomas Kostera
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Editors and Affiliations

  1. Université libre de Bruxelles, Belgium

    Ramona Coman , Thomas Kostera  & Luca Tomini ,  & 

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© 2014 Thomas Kostera

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Kostera, T. (2014). Structural Brakes on Europeanization of Health Care in Austria. In: Coman, R., Kostera, T., Tomini, L. (eds) Europeanization and European Integration. Palgrave Studies in European Union Politics. Palgrave Macmillan, London. https://doi.org/10.1057/9781137325501_6

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