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  • Kapitola se zabývá změnami profesního postavení lékařů v USA a Evropě v důsledku reforem zdravotnických systémů a procesem europeanizace. Marketizace v Evropě původně veřejných zdravotnických služeb vede ve svých důsledcích k rostoucím podobnostem mezi evropským a severoamerickým zdravotnictvím, i když celkový hodnotový a politický kontext zdravotnictví je v Evropě stale podstatně odlišný. Marketizace v Evropě obvykle vede pouze ke vzniku kvazitrhů či ?vnitřních? trhů, a Europeanizace pouze rozšiřuje celkové pole, na němž se marketizace, spuštěná díky krizím veřejných rozpočtů, odehrává. Marketizace zdravotnictví vede k přísné ekonomické kontrole nákladů, jež obvykle snižuje klinickou i stavovskou autonomii lékařů. Stejný důsledek ale může mít přísná regulace, jež je zaváděna v tržních, kvazitržních, ale i státních zdravotnictvích. Celkově, jakmile ekonomická měřítka ovlivňují přílišným způsobem klinická rozhodování .nebo se dokonce řadí nad ně, autonomie lékařů je výrazně zasažena. Nicméně vysoce o (cs)
  • The paper deals with changes in professional status of physicians in the US and Europe which is affected by reforms of the health care system with special attention paid to Europeanization. Marketization of the originally public health care sector in Europe leads in the outcomes to some similarities with the US health care, on the other hand the entire context of the health care system as well as the moral and cultural preconditions still remain principally different. Marketization in European health care usually leads to quasi-markets or internal markets, whereas Europeanization broadened the playground and provided for additional context for the processes which were already initiated earlier and were justified by the crisis of public budgets and shifts in moral values. Marketization of health care leads to strict economic cost control which may reduce the clinical and corporate autonomy of physicians. The same effect (i.e. decline in professional autonomy) does regulation have which is introd
  • The paper deals with changes in professional status of physicians in the US and Europe which is affected by reforms of the health care system with special attention paid to Europeanization. Marketization of the originally public health care sector in Europe leads in the outcomes to some similarities with the US health care, on the other hand the entire context of the health care system as well as the moral and cultural preconditions still remain principally different. Marketization in European health care usually leads to quasi-markets or internal markets, whereas Europeanization broadened the playground and provided for additional context for the processes which were already initiated earlier and were justified by the crisis of public budgets and shifts in moral values. Marketization of health care leads to strict economic cost control which may reduce the clinical and corporate autonomy of physicians. The same effect (i.e. decline in professional autonomy) does regulation have which is introd (en)
Title
  • Marketization of healthcare and changes in the professional status of the medical profession
  • Marketizace zdravotnictví a změny v profesním postavení lékařské profese (cs)
  • Marketization of healthcare and changes in the professional status of the medical profession (en)
skos:prefLabel
  • Marketization of healthcare and changes in the professional status of the medical profession
  • Marketizace zdravotnictví a změny v profesním postavení lékařské profese (cs)
  • Marketization of healthcare and changes in the professional status of the medical profession (en)
skos:notation
  • RIV/00216208:11120/08:00000878!RIV09-MSM-11120___
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  • 377819
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  • RIV/00216208:11120/08:00000878
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  • marketization; health care reforms; Europeanization; medical profession (en)
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  • [3CBDCFE2B9C4]
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  • Den Haag
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  • Professions under pressure
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  • Křížová, Eva
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  • Boom Juridische Uitgevers
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  • 978-90-5454-844-7
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  • 11120
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