Please use this identifier to cite or link to this item: https://hdl.handle.net/10419/303365 
Year of Publication: 
2014
Series/Report no.: 
LEQS Paper No. 82
Publisher: 
London School of Economics and Political Science (LSE), European Institute, London
Abstract: 
We examine the role of political economy drivers of the choice agenda in European health systems including middle class electoral support. Building on the reform trajectories and current institutional framework in eight western European countries where there have been significant choice reforms, we explore the preferences for choice and health system satisfaction in those countries. We find provider choice to be supported by middle class demands and health systems satisfaction, but weak evidence of other alternative political motivations for the expansion of provider choice. We conclude that in addition to efficiency improvements, provider choice is largely correlated with the demands for choice among the middle class. The provider choice agenda responds as much to political economy consideration as it does to efficiency arguments.
Subjects: 
provider choice
health system satisfaction
tax funded health systems
middle class demands
Document Type: 
Working Paper

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