Professionalism 3.0 Flashcards
Trends in policy change in western welfare cultures
Privatization
Activation
Selective targeting
Conditoinal solidarity
Privatization
Shift from public provision of services towards private provision
Introducing price mechanisms and competition
Activation
Protection of labor is traded for the promotion of work
Selective targeting
Universal entitlements are replaced by more selective targeting
Conditional solidarity
Solidarity of citizenship is exchanged for the solidarity of membership
Paradox of new public management
Increasing freedom by giving choice to customers
Increasing control by reducing discretion and by increasing duties and obligations
Personal Budget (PGB)
Demand-driven care
One who receives care, decides what care is to be given
Seen as a threat to professionalism, makes patients independent of service options provided by institutionalized care
Quasi-markets
Patients are free to choose health insurer
Health insurers free in choice of hospitals and doctors
Managed competition to produce controlled service delivery
Threat to professional autonomy & discretion