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- W1970920003 abstract "In this article, we analyze recent dynamics of the Dutch health care sector, a hybrid system of public, private and professional elements, in terms of clashing discourses. Although these elements are intricately interwoven, this does not mean that the system is stable. Most notably, since the eighties the introduction of more market elements in the health care system has been widely debated. Hospitals introduced different methods commonly used in businesses, for instance. The position of managers in the institutions of health care has become more central. A discourse analysis shows the concomitant patterns of institutional change in the health care sector. We distinguish four different discourses concerning health care: economic, political, medical-professional and caring discourses. These different discourses give rise to, for example, different views of good care, the character and position of the patient, and leadership in health care organizations--views that sometimes clash intensely." @default.
- W1970920003 created "2016-06-24" @default.
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- W1970920003 date "2002-09-01" @default.
- W1970920003 modified "2023-09-25" @default.
- W1970920003 title "The Dynamics of the Dutch Health Care System--A Discourse Analysis" @default.
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- W1970920003 doi "https://doi.org/10.1080/0034676021000013377" @default.
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