'The Choice Agenda' in European Health Systems: The Role of 'Middle Class Demands'

41 Pages Posted: 11 Nov 2014

See all articles by Joan Costa-Font

Joan Costa-Font

London School of Economics & Political Science (LSE)

Valentina Zigante

London School of Economics & Political Science (LSE) - European Institute

Date Written: November 11, 2014

Abstract

We examine the role of political economy drivers of the choice agenda in European health systems including middle class electoral support. Building on the reform trajectories and current institutional framework in eight western European countries where there have been significant choice reforms, we explore the preferences for choice and health system satisfaction in those countries. We find provider choice to be supported by middle class demands and health systems satisfaction, but weak evidence of other alternative political motivations for the expansion of provider choice. We conclude that in addition to efficiency improvements, provider choice is largely correlated with the demands for choice among the middle class. The provider choice agenda responds as much to political economy consideration as it does to efficiency arguments.

Keywords: provider choice, health system satisfaction, tax funded health systems, middle class demands

Suggested Citation

Costa-Font, Joan and Zigante, Valentina, 'The Choice Agenda' in European Health Systems: The Role of 'Middle Class Demands' (November 11, 2014). LEQS Paper No. 82. Available at SSRN: https://ssrn.com/abstract=2522841 or http://dx.doi.org/10.2139/ssrn.2522841

Joan Costa-Font (Contact Author)

London School of Economics & Political Science (LSE) ( email )

Houghton Street
London, WC2A 2AE
United Kingdom

HOME PAGE: http://https://joancostaifont.org/

Valentina Zigante

London School of Economics & Political Science (LSE) - European Institute ( email )

Houghton Street
London WC2A 2AE
United Kingdom

Here is the Coronavirus
related research on SSRN

Paper statistics

Downloads
19
Abstract Views
330
PlumX Metrics