The choice agenda in European health systems: the role of middle-class demands

Costa-Font, J.ORCID logo & Zigante, V.ORCID logo (2016). The choice agenda in European health systems: the role of middle-class demands. Public Money and Management, 36(6), 409-416. https://doi.org/10.1080/09540962.2016.1206748
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Choice for patients, over varying aspects of healthcare, is becoming an increasingly common feature in Europe, especially in tax-funded healthcare systems. This paper investigates patients’ choice of healthcare provider. The middle class, in countries implementing choice reforms, is shown to have a pronounced preference for the availability of choice as a component of a quality healthcare system. Important implications of this for theory and policy are discussed.

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