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Learning From Others The Diffusion of Hospital Financing Reforms in OECD Countries


Gilardi, F; Füglister, K; Luyet, S (2009). Learning From Others The Diffusion of Hospital Financing Reforms in OECD Countries. Comparative Political Studies, 42(4):549-573.

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. Although these reforms are certainly
linked to country-specific factors, the authors’ 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, the authors argue
that policy makers learn from the experience of others. Using an original data
set and event–history methods to test arguments, their results show that policy
change is more likely when the existing policy is ineffective and when the
experience of other countries suggests that the reform leads to the desired
results. In addition, the authors find that the effects of learning grow over time
and that early adopters tend to be countries with few veto players.

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. Although these reforms are certainly
linked to country-specific factors, the authors’ 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, the authors argue
that policy makers learn from the experience of others. Using an original data
set and event–history methods to test arguments, their results show that policy
change is more likely when the existing policy is ineffective and when the
experience of other countries suggests that the reform leads to the desired
results. In addition, the authors find that the effects of learning grow over time
and that early adopters tend to be countries with few veto players.

Citations

31 citations in Web of Science®
37 citations in Scopus®
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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:06 Faculty of Arts > Institute of Political Science
Dewey Decimal Classification:320 Political science
Date:April 2009
Deposited On:17 Jul 2009 15:27
Last Modified:05 Apr 2016 13:17
Publisher:Sage Publications
ISSN:0010-4140
Publisher DOI:10.1177/0010414008327428
Permanent URL: http://doi.org/10.5167/uzh-19673

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