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丹麦的卫生政策:是否要背离分散式福利道路?

Health policy in Denmark: leaving the decentralized welfare path?

作者信息

Vrangbaek Karsten, Christiansen Terkel

机构信息

University of Copenhagen, Institute of Political Science.

出版信息

J Health Polit Policy Law. 2005 Feb-Apr;30(1-2):29-52. doi: 10.1215/03616878-30-1-2-29.

Abstract

In this article, we investigate developments in Danish health care policy. After a short presentation of its historical roots, we focus on the decades after the administrative reform of 1970, which shaped the current decentralized public health care system. Theories of path dependency and institutional inertia are used to explain the relative stability in the overall structure, and theories of policy process and reform are used to discuss gradual changes within the overall framework. Although comprehensive reforms have not taken place in Denmark, many gradual changes may pave the way for more radical changes in the future. The political climate currently seems to be more favorable toward structural reform than in the past.

摘要

在本文中,我们研究丹麦医疗保健政策的发展情况。在简要介绍其历史根源之后,我们将重点关注1970年行政改革后的几十年,那次改革塑造了当前分散化的公共医疗保健系统。路径依赖理论和制度惯性理论被用于解释整体结构的相对稳定性,而政策过程理论和改革理论则被用于讨论在整体框架内的渐进变化。尽管丹麦尚未进行全面改革,但许多渐进变化可能为未来更激进的变革铺平道路。目前的政治气候似乎比过去更有利于结构改革。

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