Fighting sectional interests in health care.
In the 1970s policy making in The Netherlands took place in sectoral networks, consisting of professional interest groups and like minded civil servants, advisory councils, mp's and departmental ministers. In this article the author examines whether such a sectoral policy network still exists in Dutch health care by comparing past and present data on the background of civil servants, mp's and departmental ministers. Next she describes the political fight against the health care sectoral network, which has gone on for decades. She concludes that the health care sectoral network has been severely weakened, although it remains to be seen whether this will lead to a substantial reduction of health care costs, which was one of the main reasons why politicians fought against sectoral interests in the first place.
Trappenburg
Margo
M
Utrecht School of Governance/Institute of Health Policy and Management, Erasmus University Rotterdam. M.Trappenburg@usg.uu.nl
D003659:Decision Making, Organizational; D003695:Delivery of Health Care / Q000379:methods*; D006077:Government Agencies / Q000639:trends; D018166:Health Care Reform; D006291:Health Policy / Q000639:trends; D006298:Health Services Administration / Q000639:trends; D006801:Humans; D007348:Insurance, Health; D009426:Netherlands; D010344:Patient Advocacy; D028701:Patient Rights; D011057:Politics; D011369:Professional-Patient Relations