ArticleInternational journal of health policy and management2015
Governance, Government, and the Search for New Provider Models.
Article in International journal of health policy and management, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed.
- Study on regional disparities and influencing factors of public health service supply in China from the perspective of fairness.BMC health services research · 2025Article
- Reforming medical career progression: a call for merit-based systems.Frontiers in medicine · 2025Article
- [New management models or traditional hospital management? Transition of a hospital-foundation in a Euroregion].Anales del sistema sanitario de Navarra · 2024Article
- Analyzing the 20-year declining trend of hospital length-of-stay in European countries with different healthcare systems and reimbursement models.International journal of health economics and management · 2024Article
- Article
- Limiting open science? Three approaches to bottom-up governance of dual-use research of concern.Pathogens and global health · 2024Review
- Health data hubs: an analysis of existing data governance features for research.Health research policy and systems · 2023Article
- Fifteen years with patient choice and free establishment in Swedish primary healthcare: what do we know?Scandinavian journal of public health · 2022Review
- COVID-19 Pandemic-Revealed Consistencies and Inconsistencies in Healthcare: A Medical and Organizational View.Healthcare (Basel, Switzerland) · 2022Article
- Divided by choice? For-profit providers, patient choice and mechanisms of patient sorting in the English National Health Service.Health economics · 2021Article
- The development and validation of a scale to explore staff experience of governance of economic efficiency and quality (GOV-EQ) of health care.BMC health services research · 2018Article
- Governance Must Dive Into Organizations to Make a Real Difference Comment on "Governance, Government, and the Search for New Provider Models".International journal of health policy and management · 2017Article
- Re-thinking barriers to organizational change in public hospitals.Israel journal of health policy research · 2017Article
- New Provider Models for Sweden and Spain: Public, Private or Non-profit? Comment on "Governance, Government, and the Search for New Provider Models".International journal of health policy and management · 2016Article
- Provider Governance; A Basic Blackbox Seldom Looked at Properly: A Response to Recent Commentaries.International journal of health policy and management · 2016Article
- Governance: Blending Bureaucratic Rules with Day to Day Operational Realities Comment on "Governance, Government, and the Search for New Provider Models".International journal of health policy and management · 2016Article
- Governance in Health - The Need for Exchange and Evidence Comment on "Governance, Government, and the Search for New Provider Models".International journal of health policy and management · 2016Article
- Risks and Opportunities of Reforms Putting Primary Care in the Driver's Seat Comment on "Governance, Government, and the Search for New Provider Models".International journal of health policy and management · 2016Article
- Medicine and management: looking inside the box of changing hospital governance.BMC health services research · 2016Article
- Establishing Appropriate Agency Relationships for Providers in China.Inquiry : a journal of medical care organization, provision and financingArticle
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A central problem in designing effective models of provider governance in health systems has been to ensure an appropriate balance between the concerns of public sector and/or government decision-makers, on the one hand, and of non-governmental health services actors in civil society and private life, on the other. In tax-funded European health systems up to the 1980s, the state and other public sector decision-makers played a dominant role over health service provision, typically operating hospitals through national or regional governments on a command-and-control basis. In a number of countries, however, this state role has started to change, with governments first stepping out of direct service provision and now de facto pushed to focus more on steering provider organizations rather than on direct public management. In this new approach to provider governance, the state has pulled back into a regulatory role that introduces market-like incentives and management structures, which then apply to both public and private sector providers alike. This article examines some of the main operational complexities in implementing this new governance reality/strategy, specifically from a service provision (as opposed to mostly a financing or even regulatory) perspective. After briefly reviewing some of the key theoretical dilemmas, the paper presents two case studies where this new approach was put into practice: primary care in Sweden and hospitals in Spain. The article concludes that good governance today needs to reflect practical operational realities if it is to have the desired effect on health sector reform outcome.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.