Summary: Comparative Health Policy

Read the summary and the most important questions on Comparative Health Policy

• Week 1: Introduction

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• What is health policy (governance)?

  Courses of action (and interaction) that affect the set of institutions, organizations, services, and funding arrangements of the health care system. It includes policy made in the public sector (by the government) as well as policies in the private sector. But there is also an interest in the actions and intended actions of organizations external to the health system which have an impact on health.

• What can a comparison teach us?

  It allows us to get a better idea about the range of variation that exists and also helps to avoid both false particularism and false universalism.

• What are the three purposes of comparative health policy analysis?

  • Learning about
  • Learning why
  • Learning from

• What are the four central debates in comparative literature on health care systems?

  • System typology
    
  • Convergence
  • Institutional boundaries
  • Inequality in access and outcome

• What were the novel three institutionalisms (for policy continuity) in the article by Hall?

  • Historical institutionalism (path dependency)
    
  • Sociological institutionalism
  • Rational choice institutionalism

  
  
  changes can only occur by means of extreme external shocks.

• What is the point of gradual change?

  Change cannot only occur by external shocks. Incremental (slow) changes from within the system play a big role as well. You can notice them especially over a longer period of time.

• What do the theories of institutionalism and gradual change miss according to the theory of institutional work?

  What is the role of actors in the change in institutions? How do they influence/ work the system?

• Week 1: Methods of comparative health policy analysis

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• Name two approaches for comparative analysis

  • Case-oriented research
    
  • Variable-oriented research

• What types of case-oriented design are there?

  • Most similar case comparison: similar in types but with different outcomes
    
  • Most different case comparison: Different in type but with similar outcomes

• Week 2: Institutional Theory

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• What is the focus of sociological institutionalism?

  Matters such as non-codifies, informal conventions and collective scripts that regulate human behavior preferences and identity.