Università della Svizzera italiana

Leadership and governance in seven developed health systems

Smith, Peter C. ; Anell, Anders ; Busse, Reinhard ; Crivelli, Luca ; Healy, Judith ; Lindahl, Anne Karin ; Westert, Gert ; Kene, Tobechukwu

In: Health policy, 2012, vol. 106, no. 1, p. 37-49

This paper explores leadership and governance arrangements in seven developed health systems: Australia, England, Germany, the Netherlands, Norway, Sweden and Switzerland. It presents a cybernetic model of leadership and governance comprising three fundamental functions: priority setting, performance monitoring and accountability arrangements. The paper uses a structured survey to examine...

Università della Svizzera italiana

Statutory health insurance competition in Europe : a four-country comparison

Thomson, Sarah ; Busse, Reinhard ; Crivelli, Luca ; Van de Vend ; Van de Voordee, Carine

In: Health policy, 2013, vol. 109, no. 3, p. 209-225

This article considers the potential for insurer competition to improve health system performance by strengthening purchasing. Economic theory suggests that insurer competition will enhance efficiency if: (1) people have free choice of insurer, (2) competition is based on price and quality rather than risk selection and (3) insurers have tools to influence health care costs and quality. The...