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Public Policy and Administration
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Cost-containment in Health Care: a comparison of policies in the Netherlands and England

Rob Flynn

Department of Sociology, University of Salford

Jan Simonis

Department of Planning, Organisation & Policy University of Utrecht, The Netherlands

Cost-containment in health care has become an increasingly important objective for governments in most industrialised societies, irrespective of differences in systems of finance and service-delivery. Policies for cost-containment and retrenchment in the intra-mural (hospital) sector are described and compared in two ostensibly different health care systems - the mixed social insurance model in the Netherlands, and the National Health Service in England. Close similarities are observed, but the claim that cost-control and cutbacks are more easily implemented in nationalised public systems receives some support.

Public Policy and Administration, Vol. 5, No. 3, 48-62 (1990)
DOI: 10.1177/095207679000500305
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