Article2019

Configurations of New Public Management reforms and the efficiency, effectiveness and equity of public healthcare systems: a fuzzy-set Qualitative Comparative Analysis

Rhys Andrews · Malcolm J. Beynon · Aoife M. McDermott

77 citations0/0 files storedPublic Management Review

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Public Policy and Administration Research Health Services Management and Policy Healthcare Systems and Reforms

Abstract

Fuzzy-set Qualitative Comparative Analysis identifies configurations of New Public Management (NPM) reforms (privatization, consumerism, performance management, and corporatization) associated with perceptions of improvements in healthcare efficiency, effectiveness and equity in 14 European countries. Although these outcomes are pursued concurrently, no combination of the considered reforms appears to support success or failure across the board and the inter-relations between reforms shape their effects. Three NPM reform profiles are evident in Europe; (1) strong reformers, adopting a comprehensive package of reforms that are perceived to perform better than (2) partial reformers, with (3) limited reformers also doing better than partial reformers.

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References

1991A PUBLIC MANAGEMENT FOR ALL SEASONS?2011Building Better Causal Theories: A Fuzzy Set Approach to Typologies in Organization Research 1995Reinventing Government: How the Entrepreneurial Spirit is Transforming the Public Sector 2011Institutional Complexity and Organizational Responses 2009Configurational Comparative Methods: Qualitative Comparative Analysis (QCA) and Related Techniques 1993Reinventing Government 1997The Proper Scope of Government: Theory and an Application to Prisons 2010Standards of Good Practice in Qualitative Comparative Analysis (QCA) and Fuzzy-Sets

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