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Learning from others: The diffusion of hospital financing reforms in OECD countries |
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Abstract:
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The increase in health-care expenditures is a major problem of all welfare states. To counter this trend, since the early 1980s most OECD countries have changed the way hospitals are financed. While these reforms are certainly linked to country-specific factors, our main argument is that they are in part due to a diffusion process: policy change in one country is influenced by previous changes in other countries. More specifically, we argue that policymakers learn from the experience of others. We rely on an original data set and use event-history methods to test our arguments. Our results show that policy change is more likely when the existing policy is ineffective and when the experience of other countries shows that the reform leads to the desired results. In addition, we find that the effects of learning grow over time, and that early adopters tend to be countries with few veto players. |
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polici (136), system (74), countri (66), polit (64), patient (64), reform (63), di (60), learn (59), e (56), cation (55), classi (53), chang (51), health (47), expenditur (43), patient-classi (43), usion (43), state (40), 2006 (39), hospit (37), time (36), welfar (35), |
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Association:
Name: American Political Science Association URL: http://www.apsanet.org
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Citation:
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MLA Citation:
| Gilardi, Fabrizio. "Learning from others: The diffusion of hospital financing reforms in OECD countries" Paper presented at the annual meeting of the American Political Science Association, Hyatt Regency Chicago and the Sheraton Chicago Hotel and Towers, Chicago, IL, Aug 30, 2007 <Not Available>. 2011-06-08 <http://www.allacademic.com/meta/p208825_index.html> |
APA Citation:
| Gilardi, F. , 2007-08-30 "Learning from others: The diffusion of hospital financing reforms in OECD countries" Paper presented at the annual meeting of the American Political Science Association, Hyatt Regency Chicago and the Sheraton Chicago Hotel and Towers, Chicago, IL Online <APPLICATION/PDF>. 2011-06-08 from http://www.allacademic.com/meta/p208825_index.html |
Publication Type: Conference Paper/Unpublished Manuscript Abstract: The increase in health-care expenditures is a major problem of all welfare states. To counter this trend, since the early 1980s most OECD countries have changed the way hospitals are financed. While these reforms are certainly linked to country-specific factors, our main argument is that they are in part due to a diffusion process: policy change in one country is influenced by previous changes in other countries. More specifically, we argue that policymakers learn from the experience of others. We rely on an original data set and use event-history methods to test our arguments. Our results show that policy change is more likely when the existing policy is ineffective and when the experience of other countries shows that the reform leads to the desired results. In addition, we find that the effects of learning grow over time, and that early adopters tend to be countries with few veto players. |
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application/pdf |
| Page count: |
26 |
| Word count: |
9213 |
| Text sample: |
| Learning from others: The diffusion of hospital financing reforms in OECD countries∗ Fabrizio Gilardi† Katharina F¨glister‡ u St´phane Luyet§ e August 28 2007 Abstract The increase in health-care expenditures is a major problem of all welfare states. To counter this trend since the early 1980s most OECD countries have changed the way hospitals are financed. While these reforms are certainly linked to country-specific factors our main argument is that they are in part due to a diffusion process: policy |
| Soule (1998). Diffusion in organizations and social movements: From hybrid corn to poison pills. Annual Review of Soci- ology 24 265–290. Swank D. (2006). Tax policy in an era of internationalization: Explaining the spread of neoliberalism. International Organization 60 (4) 847–882. Tsebelis G. (2002). Veto Players: How Political Institutions Work. Prince- ton: Princeton University Press. Volden C. (2006). States as policy laboratories: Emulating success in the children’s health insurance program. American Journal of Political Science 50 (2) 294–312. 25 |
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