The development of Demand-driven care as a new governance concept
2004-10-19
Research Paper
| Related Files |
|---|
View PDF Version
(NIG4-02.pdf, 0.2MB) |
Session 4: Public Management
Demand-driven care is oriented towards an empowerment of patients/consumers through a redistribution of responsibilities and control among government, healthcare providers, insurers and patients. Different normative approaches can be distinguished in the discussion about the implementation and development of demand-driven care. The economic approach is aimed at competition and consumerism. The democratic approach of demand-driven care focuses on shared social responsibilities and accountability between the actors involved. In practice both approaches don’t get full meaning. The characteristics of sub-sectors within the healthcare system, institutional inertia and conflicting interests hamper a real shift form supply-oriented towards demand-oriented health care.
- patient
- demand-driven care
- health
- health care
- insurer
- provider
- demand-driven
- organization
- hospital
- approach
- actor
- policy
- government
- development
- responsibility
- perspective
- competition
- home care organization
- system
- professional
