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dc.contributor.authorNoort, BAC
dc.contributor.authorAhaus, K
dc.contributor.authorvan der Vaart, T
dc.contributor.authorChambers, N
dc.contributor.authorSheaff, Rod
dc.date.accessioned2020-05-13T12:03:20Z
dc.date.available2020-05-13T12:03:20Z
dc.date.issued2020-05-11
dc.identifier.issn0168-8510
dc.identifier.issn1872-6054
dc.identifier.urihttp://hdl.handle.net/10026.1/15673
dc.description.abstract

Healthcare purchasing organisations in both insurance-based and tax-based healthcare systems struggle to improve chronic care. A key challenge for purchasers is to deal with the chain of multiple providers involved in caring for patients with complex needs. To date, most research has focused on differences between healthcare systems in terms of regulation, tools and the freedom that healthcare purchasers have. However, this does not explain how such different healthcare system characteristics lead to different purchasing strategies and actions. A better understanding of this link between system characteristics and purchaser behaviour would assist policymakers seeking to improve healthcare purchasing. This multiple case study conducted in England, Sweden and the Netherlands examines the link between the different healthcare systems' characteristics and the purchasers' strategies and actions when managing chronic care chains. Purchasers' strategies and actions varied in terms of the purchaser's engagement, strategic lens and influencing style. Our findings suggest that differences in purchaser competition, purchaser governance and patient choice in healthcare systems are key factors in explaining a purchaser's strategies and actions when pursuing improvements in chronic care. This study contributes to knowledge on what shapes the purchaser's role, and shows how policymakers in both insurance- and tax-based regimes can improve healthcare purchasing.

dc.format.extent628-638
dc.format.mediumPrint-Electronic
dc.languageen
dc.language.isoen
dc.publisherElsevier BV
dc.rightsAttribution-NonCommercial-ShareAlike 4.0 International
dc.rightsAttribution-NonCommercial-ShareAlike 4.0 International
dc.rightsAttribution-NonCommercial-ShareAlike 4.0 International
dc.rightsAttribution-NonCommercial-ShareAlike 4.0 International
dc.rightsAttribution-NonCommercial-ShareAlike 4.0 International
dc.rightsAttribution-NonCommercial-ShareAlike 4.0 International
dc.rightsAttribution-NonCommercial-ShareAlike 4.0 International
dc.rightsAttribution-NonCommercial-ShareAlike 4.0 International
dc.rightsAttribution-NonCommercial-ShareAlike 4.0 International
dc.rightsAttribution-NonCommercial-ShareAlike 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/
dc.subjectHealthcare purchasing
dc.subjectManaging chronic care chains
dc.subjectHealthcare system characteristics
dc.titleHow healthcare systems shape a purchaser’s strategies and actions when managing chronic care
dc.typejournal-article
dc.typeJournal Article
plymouth.author-urlhttps://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000543558500007&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008
plymouth.issue6
plymouth.volume124
plymouth.publication-statusPublished
plymouth.journalHealth Policy
dc.identifier.doi10.1016/j.healthpol.2020.03.009
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/Peninsula Medical School
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA20 Social Work and Social Policy
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/FoH - Community and Primary Care
plymouth.organisational-group/Plymouth/Research Groups/Institute of Health and Community
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
plymouth.organisational-group/Plymouth/Users by role/Researchers in ResearchFish submission
dc.publisher.placeIreland
dcterms.dateAccepted2020-03-29
dc.rights.embargodate2021-5-11
dc.identifier.eissn1872-6054
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.1016/j.healthpol.2020.03.009
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/
rioxxterms.licenseref.startdate2020-05-11
rioxxterms.typeJournal Article/Review


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