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| Title |
Health Care System Change
and the Cross-Border
Transfer of Ideas:
Influence of the Dutch Model on the
2007 German Health Reform |
| Author(s) |
Simone Leiber,Stefan Greß, and Maral-Sonja Manouguian - Personal Name
|
Subject |
Health System and Policy |
| Publisher |
Duke University Press |
| Publishing Year |
2010 |
| Specific Detail Info |
To increase understanding of the cross-border
transfer of ideas through
a case study of the 2007 German health reform, this article draws on Kingdon’s
approach of streams and follows two main objectives: first, to understand the extent
to which the German health reform was actually influenced by the Dutch model and,
second, in theoretical terms, to inform inductively on how ideas from abroad enter
government agendas. The results show that the streams of problem recognition and
policy proposals have not been predominantly influenced by the cross-border
transfer
of ideas from the Netherlands to Germany. The Dutch experience was taken into
consideration only after a policy window opened by a shift in politics in the third,
the political, stream: the change of government in 2005. In many respects, the way
Germany learned from the Netherlands in this case sharply contrasts with an image
of solving policy problems by either lesson drawing or transnational deliberation.
Instead, the process was dominated by problem solving in the sphere of politics, that
is, finding a way to prove the grand coalition was capable of acting. |
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