The role of professional groups in policy change: Physician's organizations and the issue of local medical provision shortages in France and Germany - Archive ouverte HAL Access content directly
Journal Articles European Policy Analysis Year : 2019

The role of professional groups in policy change: Physician's organizations and the issue of local medical provision shortages in France and Germany

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Abstract

This article proposes an endogenous perspective on policy change, combining the analysis of the policy process (policy framing, decision and implementation) with the analysis of the transformation of professional groups and their organizational representation. It deals with the case of territorial undersupply in primary care provision, which has become a key issue in healthcare policies in France and Germany since 2000 (the analysis goes up to 2018). Policy changes in these two health insurances systems cannot be explained only by the salience of the problem, framed as “medical deserts” in France and as “lack of physicians” in Germany. We propose an explanation based on the internal fragmentation of the medical profession, playing a paradoxical role: as limiters of change (for the established and institutionalized organizations) and as promoters of change (for the medical entrepreneurs shaping new organizations defining and supporting new primary care service structures).
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Dates and versions

hal-02392317 , version 1 (03-12-2019)

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Patrick Hassenteufel, François-Xavier Schweyer, Thomas Gerlinger, Rüdiger Henkel, Caspar Lückenbach, et al.. The role of professional groups in policy change: Physician's organizations and the issue of local medical provision shortages in France and Germany. European Policy Analysis, 2019, ⟨10.1002/epa2.1073⟩. ⟨hal-02392317⟩
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