Strategic purchasing and health systems resilience: Lessons from COVID-19 in selected European countries

被引：7
作者：
Montas, Marie C. [1 ]
Klasa, Katarzyna [1 ]
van Ginneken, Ewout [2 ,3 ]
Greer, Scott L. [1 ,2 ]
机构：
[1] Univ Michigan, Sch Publ Hlth, Dept Hlth Management & Policy, 1415 Washington Hts, Ann Arbor, MI 48109 USA
[2] Tech Univ Berlin EB2 EB 2, European Observ Hlth Syst & Policies, Str 17 Juni 145, D-10623 Berlin, Germany
[3] Berlin Univ Technol, Tech Univ Berlin, Dept Hlth Care Management, Str 17 Juni 145, D-10623 Berlin, Germany
来源：
HEALTH POLICY | 2022年 / 126卷 / 09期
关键词：
Purchasing; Payers; Contracting; European health systems; Health systems resilience; COVID-19; pandemic; POLICY;
D O I：
10.1016/j.healthpol.2022.06.005
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Strategic purchasing is a popular and frequently proposed policy for improving the efficiency and adaptiveness of health systems. The COVID-19 pandemic shocked health systems, creating a test of the adaptability and resil-iency of their key features. This research study explores (i) what role purchasing systems and agents played in the COVID-19 pandemic, (ii) if it was strategic, and (iii) how it has contributed to a resilient health system. We conducted a qualitative, comparative study of six countries in the European Union???focusing on three as in-depth case studies???to understand how and when strategic purchasers responded to seven clearly defined health system ???shocks??? that they all experienced during the pandemic. We found that every case country relied on the federal government to fund and respond to the pandemic. Purchasers often had very limited, and if any then only passive, roles.
引用
收藏
页码：853 / 864
页数：12
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