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Health System Typologies

  • Claus Wendt
Living reference work entry
Part of the Health Services Research book series (HEALTHSR)

Abstract

Since the early 1970s, scholars have been working on typologies for the comparison of healthcare systems. Typologies enable scholars to more easily replicate existing studies and contrast findings from a comparative study with those of other studies that cover different years and countries. Typologies might also help to identify institutional indicators that seem to be of particular promise when comparing healthcare systems and reform processes. This contribution provides an overview of health system typologies and can be roughly divided into two areas of research: (1) classifications that focus on modes of governance, actors, and institutions and (2) classifications that try to capture how healthcare is financed, provided, and regulated. This chapter identifies prominent examples of both areas of research and also describes and characterizes types of healthcare systems and country classifications.

References

  1. Bambra C. Cash versus services: ‘worlds of welfare’ and the decommodification of cash benefits and health care services. J Soc Policy. 2005;34(2):195–213.CrossRefGoogle Scholar
  2. Beckfield J, Olafsdottir S, Sosnaud V. Healthcare systems in comparative perspective: classification, convergence, institutions, inequalities, and five missed turns. Annu Rev Sociol. 2013;39:127–46.CrossRefPubMedPubMedCentralGoogle Scholar
  3. Böhm K, Schmid A, Götze R, Landwehr C, Rothgang H. Five types of OECD healthcare systems: empirical results of a deductive classification. Health Policy. 2013;113(3):258–69.CrossRefPubMedGoogle Scholar
  4. Burau V, Blank RH. Comparing health policy: an assessment of typologies of health systems. J Comp Policy Anal. 2006;8(1):63–76.Google Scholar
  5. Burau V, Blank RH, Pavolini E. Typologies of healthcare systems and policies. In: Kuhlmann E, Blank RH, Bourgeault IL, Wendt C, editors. The Palgrave international handbook of healthcare policy and governance. Basingstoke: Palgrave Macmillan; 2015. p. 101–15.CrossRefGoogle Scholar
  6. Conley D, Springer KW. Welfare state and infant mortality. Am J Sociol. 2001;107(3):768–807.CrossRefGoogle Scholar
  7. Eikemo TA, Bambra C, Judge K, Ringdal K. Welfare state regimes and differences in self-perceived health in Europe: a multilevel analysis. Soc Sci Med. 2008;66:2281–95.CrossRefPubMedGoogle Scholar
  8. Esping-Andersen G. The three worlds of welfare capitalism. Cambridge: Polity Press; 1990.Google Scholar
  9. Freeman R, Frisina L. Health care systems and the problem of classification. J Comp Policy Anal Res Pract. 2010;12(1):163–78.CrossRefGoogle Scholar
  10. Frenk J, Donabedian A. State intervention in medical care: types, trends and variables. Health Policy Plan. 1987;2(1):17–31.CrossRefPubMedGoogle Scholar
  11. Gelissen J. Worlds of welfare, worlds of consent? Public opinion on the welfare state. Leiden: Brill; 2002.Google Scholar
  12. Hassenteufel P, Palier B. Towards neo-Bismarckian health care states? Comparing health insurance reforms in Bismarckian welfare systems. Soc Policy Adm. 2007;41(6):574–96.CrossRefGoogle Scholar
  13. Marmor T, Wendt C. Conceptual frameworks for comparing healthcare politics and policy. Health Policy. 2012;107(1):11–20.CrossRefPubMedGoogle Scholar
  14. Moran M. Governing the health care state. A comparative study of the United Kingdom, the United States and Germany. Manchester: Manchester University Press; 1999.Google Scholar
  15. OECD. Financing and delivery of health care. A comparative analysis of OECD countries. Paris: OECD; 1987.Google Scholar
  16. Reibling N. Healthcare systems in Europe: towards an incorporation of patient access. J Eur Soc Policy. 2010;20(1):5–18.CrossRefGoogle Scholar
  17. Weber M. The methodology of the social sciences. New York: The Free Press; 1949.Google Scholar
  18. Wendt C. Mapping European healthcare systems. A comparative analysis of financing, service provision, and access to healthcare. J Eur Soc Policy. 2009;19(5):432–45.CrossRefGoogle Scholar
  19. Wendt C. Changing healthcare system types. Soc Policy Adm. 2014;48(7):864–88.CrossRefGoogle Scholar
  20. Wendt C, Frisina L, Rothgang H. Health care system types. A conceptual framework for comparison. Soc Policy Adm. 2009;43(1):70–90.CrossRefGoogle Scholar

Further Reading

  1. Freeman R. The politics of health in Europe. Manchester: Manchester University Press; 2000.Google Scholar
  2. Freeman R, Moran M. Reforming health care in Europe. West Eur Polit. 2000;23(2):35–59.CrossRefGoogle Scholar
  3. Gauld R. The new health policy. Maidenhead: Open University Press; 2009.Google Scholar
  4. Giaimo S, Manow P. Adapting the welfare state – the case of health care reform in Britain, Germany, and the United States. Comp Pol Stud. 1999;32(8):967–1000.CrossRefGoogle Scholar
  5. Immergut EM. Health politics: interests and institutions in Western Europe. Cambridge: Cambridge University Press; 1992.Google Scholar
  6. Marmor T, Wendt C, editors. Reforming healthcare systems. Two Volumes. Cheltenham/Northampton: Edward Elgar Publishing; 2011.Google Scholar
  7. Montanari I, Nelson K. Social service decline and convergence: how does healthcare fare? J Eur Soc Policy. 2012;23(1):102–16.CrossRefGoogle Scholar
  8. Moran M. Understanding the welfare state: the case of health care. Br J Polit Int Relat. 2000;2(2):135–60.CrossRefGoogle Scholar
  9. Rothgang H, Cacace M, Frisina L, Grimmeisen S, Schmid A, Wendt C. The state and healthcare. Comparing OECD countries. Basingstoke: Palgrave Macmillan; 2010.Google Scholar
  10. Smith P, Anell A, Busse R, Crivelli L, Healy J, Lindahl AK, et al. Leadership and governance in seven developed health systems. Health Policy. 2012;106:37–49.CrossRefPubMedGoogle Scholar
  11. Tuohy C. Accidental logics: the dynamics of change in the health care arena in the United States, Britain, and Canada. New York: Oxford University Press; 1999.Google Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.University of SiegenSiegenGermany

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