15 results on '"Vrangbæk, Karsten"'
Search Results
2. Voluntary associations and co-production of health promoting activities for older adults: Experiences and policy lessons from Denmark.
- Author
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Vrangbæk K, Scheele CE, and Kriegbaum M
- Subjects
- Denmark, Humans, Politics, Population Dynamics, Surveys and Questionnaires, Volunteers, Aging, Community Networks organization & administration, Cooperative Behavior, Health Policy, Health Promotion methods, Local Government
- Abstract
Demographic transitions in Europe accentuate the need to develop innovative solutions for healthy ageing. One increasingly popular policy approach is co-production between local governments and voluntary community associations (VCOs) to promote activities for health and wellbeing among older adults. While co-production has been studied from the perspective of local governments there is limited knowledge regarding how voluntary associations perceive their conditions. This study aims to fill this gap using survey data from voluntary associations in Denmark. The investigation is based on an electronic survey (n = 263) of VCOs engaged in activities relevant for healthy ageing in three Danish municipalities. The survey addressed 13 issues and potential problems within four categories - ''members and volunteers', 'economics, 'media and the public' and '´politics and the local government'. The paper presents a relatively positive picture of the potentials in municipal-VCO collaboration. However, we also find that a sizeable number of VCOs point to problems and obstacles particular in regards to recruitment of members and economics. While the municipalities in our study have all developed strategies to support VCOs and to promote coproduction it seems that there are deficits in the implementation of the strategies. This leads us to conclude that municipalities must pay close attention to the issues and conditions for VCOs in order to succeed with their policy initiatives in this area., (Copyright © 2018 Elsevier B.V. All rights reserved.)
- Published
- 2018
- Full Text
- View/download PDF
3. Evaluation of a policy to strengthen case management and quality of diabetes care in general practice in Denmark.
- Author
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Rudkjøbing A, Vrangbaek K, Birk HO, Andersen JS, and Krasnik A
- Subjects
- Case Management standards, Denmark, General Practice organization & administration, Group Practice organization & administration, Group Practice standards, Humans, Program Evaluation, Quality Assurance, Health Care standards, Reimbursement, Incentive organization & administration, Case Management organization & administration, Diabetes Mellitus therapy, General Practice standards, Health Policy, Quality Assurance, Health Care organization & administration
- Abstract
Objectives: To evaluate the utilization of a policy for strengthening general practitioner's case management and quality of care of diabetes patients in Denmark incentivized by a novel payment mode. We also want to elucidate any geographical variation or variation on the basis of practice features such as solo- or group practice, size of practice and age of the GP., Methods: On the basis registers encompassing reimbursement data from GPs and practice specific information about geographical location (region), type of practice (solo- or group-practice), size of practice (number of patients listed) and age of the GP were are able to determine differences in use of the policy in relation to the practice-specific information., Results: At the end of the study period (2007-2012) approximately 30% of practices have enrolled extending services to approximately 10% of the diabetes population. There is regional--as well as organizational differences between GPs who have enrolled and the national averages with enrolees being younger, from larger practices and with more patients listed., Conclusions: Our study documents an organizationally and regionally varied and limited utilization with the overall incentive structure defined in the policy not strong enough to move the majority of GPs to change their way of delivering and financing care for patients with diabetes within a period of more than 5 years., (Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.)
- Published
- 2015
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- View/download PDF
4. The reactions to macro-economic crises in Nordic health system policies: Denmark, Finland and Sweden, 1980-2013.
- Author
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Lehto J, Vrangbæk K, and Winblad U
- Subjects
- Cost Sharing, Denmark, Efficiency, Organizational, Finland, Health Care Sector economics, Health Expenditures, Humans, Medical Assistance, National Health Programs economics, Socioeconomic Factors, Sweden, Economic Recession, Health Care Sector organization & administration, Health Policy, National Health Programs organization & administration, Politics
- Abstract
Denmark, Finland and Sweden have experienced two major recessions during the last 25 years. The adjustments to the earlier crisis in the late 1980s (Denmark) and early 1990s (Finland and Sweden) resembled the policies in many other European countries during the present crisis. The analysis of relationship of deep economic crises and growth period between them to the health system policies and institutions in the three countries from the 1980s to 2013 is based on a categorisation of reactions to external shocks as path conforming or path breaking. The results of the empirical long-term trends show that the reactions to deep recessions have been mainly temporary adjustments and acceleration of changes already prepared before economic crisis. The economic crisis in the three countries has not been 'good enough' to enable paradigmatic changes in the Nordic public, decentralised and equity-oriented health systems. Changes such as the slow privatisation in care funding and production and the adoption of new management practices indicate an ongoing paradigmatic change related to longer-term societal, ideological and political developments rather than directly to economic crises or growth.
- Published
- 2015
- Full Text
- View/download PDF
5. Choice policies in Northern European health systems.
- Author
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Vrangbaek K, Robertson R, Winblad U, Van de Bovenkamp H, and Dixon A
- Subjects
- Choice Behavior, Cross-Cultural Comparison, Delivery of Health Care economics, Delivery of Health Care organization & administration, Denmark, Efficiency, Organizational, England, Europe, Health Policy economics, Humans, Netherlands, Patient Preference, Patient Rights standards, Political Systems, Power, Psychological, Quality of Health Care economics, Quality of Health Care organization & administration, Sweden, Delivery of Health Care trends, Health Policy trends, Patient Rights trends, Quality of Health Care trends
- Abstract
This paper compares the introduction of policies to promote or strengthen patient choice in four Northern European countries - Denmark, England, the Netherlands and Sweden. The paper examines whether there has been convergence in choice policies across Northern Europe. Following Christopher Pollitt's suggestion, the paper distinguishes between rhetorical (discursive) convergence, decision (design) convergence and implementation (operational) convergence (Pollitt, 2002). This leads to the following research question for the article: Is the introduction of policies to strengthen choice in the four countries characterised by discursive, decision and operational convergence? The paper concludes that there seems to be convergence among these four countries in the overall policy rhetoric about the objectives associated with patient choice, embracing both concepts of empowerment (the intrinsic value) and market competition (the instrumental value). It appears that the institutional context and policy concerns such as waiting times have been important in affecting the timing of the introduction of choice policies and implementation, but less so in the design of choice policies. An analysis of the impact of choice policies is beyond the scope of this paper, but it is concluded that further research should investigate how the institutional context and timing of implementation affect differences in how the choice policy works out in practice., (© Cambridge University Press 2012)
- Published
- 2012
- Full Text
- View/download PDF
6. Health policy in Denmark: leaving the decentralized welfare path?
- Author
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Vrangbaek K and Christiansen T
- Subjects
- Consensus, Decision Making, Organizational, Democracy, Denmark, Health Policy economics, Hospital Administration trends, Humans, Public Health Administration economics, Social Welfare, Health Policy trends, Policy Making, Politics, Public Health Administration trends
- Abstract
In this article, we investigate developments in Danish health care policy. After a short presentation of its historical roots, we focus on the decades after the administrative reform of 1970, which shaped the current decentralized public health care system. Theories of path dependency and institutional inertia are used to explain the relative stability in the overall structure, and theories of policy process and reform are used to discuss gradual changes within the overall framework. Although comprehensive reforms have not taken place in Denmark, many gradual changes may pave the way for more radical changes in the future. The political climate currently seems to be more favorable toward structural reform than in the past.
- Published
- 2005
- Full Text
- View/download PDF
7. Health policy - the best evidence for better policies
- Author
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Quentin, Wilm, Achstetter, Katharina, Barros, Pedro Pita, Blankart, Carl Rudolf, Fattore, Giovanni, Jeurissen, Patrick, Kwon, Soonman, Laba, Tracey, Or, Zeynep, Papanicolas, Irene, Polin, Katherine, Shuftan, Nathan, Sutherland, Jason, Vogt, Verena, Vrangbaek, Karsten, Wendt, Claus, Quentin, Wilm, Achstetter, Katharina, Barros, Pedro Pita, Blankart, Carl Rudolf, Fattore, Giovanni, Jeurissen, Patrick, Kwon, Soonman, Laba, Tracey, Or, Zeynep, Papanicolas, Irene, Polin, Katherine, Shuftan, Nathan, Sutherland, Jason, Vogt, Verena, Vrangbaek, Karsten, and Wendt, Claus
- Subjects
All institutes and research themes of the Radboud University Medical Center ,Health Policy ,610 Medizin und Gesundheit ,Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] - Abstract
Contains fulltext : 290919.pdf (Publisher’s version ) (Closed access) 01 januari 2023
- Published
- 2023
8. COMMENTARY: Denmark's health reforms are part of a wider trend
- Author
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Saltman, Richard B, Vrangbaek, Karsten, Lehto, Juhani, and Winblad, Ulrika
- Published
- 2012
9. Co-location as a Driver for Cross-Sectoral Collaboration with General Practitioners as Coordinators: The Case of a Danish Municipal Health Centre.
- Author
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Scheele, Christian Elling and Vrangbæk, Karsten
- Subjects
- *
GENERAL practitioners , *MEDICAL centers , *HEALTH policy , *HEALTH care industry , *MEDICAL personnel - Abstract
The issue of integrated care and inter-sectoral collaboration is on the health policy agenda in many countries. Yet, there is limited knowledge about the effects of the different policy instruments used to achieve this. This paper studies co-location as a driver for cross-sectoral collaboration with general practitioners (GPs) acting as coordinators in a municipal health centre. The purpose of the health centre, which is staffed by health professionals from municipal, regional and private sectors, is to provide primary health services to the citizens of the municipality. Co-locating these professionals is supposed to benefit e.g., elder citizens and patients with chronic diseases who frequently require services from health professionals across administrative sectors. Methodologically, the analysis is based on qualitative data in the form of semi-structured interviews with the health professionals employed at the health centre and with administrative managers from municipal and regional government levels. The study finds that co-location does not function as a driver for cross-sectoral collaboration in a health centre when GPs act as coordinators. Cross-sectoral collaboration is hampered by the general practitioners' work routines and professional identity, by organisational factors and by a lack of clarity concerning the content of collaboration with regard to economic and professional incentives. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
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10. Organised Interests, Authority Structures and Political Influence: Danish and Norwegian Patient Groups Compared.
- Author
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Opedal, Ståle, Rommetvedt, Hilmar, and Vrangbæk, Karsten
- Subjects
PATIENTS' associations ,PEOPLE with disabilities ,PRESSURE groups ,HEALTH policy ,MEMBERSHIP ,SOCIETIES - Abstract
The article presents a comparative analysis of the strategies applied by Danish and Norwegian patient organisations and organisations for disabled persons in order to promote the interests of their members. Three research questions are addressed: Are Danish and Norwegian patient organisations service organisations operating according to a 'logic of membership' or political pressure groups acting according to a 'logic of influence'? Do patient organisations apply 'insider' or 'outsider' strategies in their efforts to influence healthcare policies? What impact do different authority structures have on the patient organisations' influencing strategies? The latter question is related to recent reforms in the public healthcare systems of the two countries. The major responsibility for public hospitals now rests with regional authorities in Denmark and central government in Norway. The study is based on a survey among nationwide patient organisations in the two countries and shows that most patient groups are 'polyvalent''venue shoppers' combining a variety of influencing strategies. [ABSTRACT FROM AUTHOR]
- Published
- 2012
- Full Text
- View/download PDF
11. Coordination between primary and secondary healthcare in Denmark and Sweden.
- Author
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Wadmann, Sarah, Strandberg-Larsen, Martin, and Vrangbæk, Karsten
- Subjects
INTEGRATED health care delivery ,PRIMARY care ,HEALTH policy ,INTERORGANIZATIONAL networks ,HOSPITAL care ,FAMILY medicine - Abstract
Introduction: Insights into effective policy strategies for improved coordination of care is needed. In this study we describe and compare the policy strategies chosen in Denmark and Sweden, and discuss them in relation to interorganisational network theory. Policy practice: The policy initiatives to improve collaboration between primary and secondary healthcare in Denmark and Sweden include legislation and agreements aiming at clarifying areas of responsibility and defining requirements, creation of links across organisational boarders. In Denmark many initiatives have been centrally induced, while development of local solutions is more prominent in Sweden. Many Danish initiatives target the administrative level, while in Sweden initiatives are also directed at the operational level. In both countries economic incentives for collaboration are weak or lacking, and use of sanctions as a regulatory mean is limited. Discussion and conclusion: Despite a variety of policy initiatives, lacking or poorly developed structures to support implementation function as barriers for coordination. The two cases illustrate that even in two relatively coherent health systems, with regional management of both the hospital and general practice sector, there are issues to resolve in regard to administrative and operational coordination. The interorganisational network literature can provide useful tools and concepts for interpreting such issues. [ABSTRACT FROM AUTHOR]
- Published
- 2009
12. THE EUROPEANIZATION OF HEALTH CARE GOVERNANCE: IMPLEMENTING THE MARKET IMPERATIVES OF EUROPE.
- Author
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MARTINSEN, DORTE SINDBJERG and VRANGBÆK, KARSTEN
- Subjects
DANISH politics & government, 1972- ,HEALTH policy ,HEALTH care reform ,GOVERNMENT policy - Abstract
The paper examines the Europeanization process and the impact of the European Union (EU) on national healthcare policies, using the example of Denmark. The analysis reveals that although health policy formally falls within the competence of member states, the impact of the EU is becoming increasingly conspicuous and has contributed to a gradual restructuring of healthcare boundaries as well as of some of its organizing principles. Furthermore, the process and impact have a de-structuring effect on the more traditional governance tools used in relation to healthcare. The paper concludes that the EU has a significant impact and that we may be witnessing the formation of a new institutional legacy that represents the initiation of a Europeanized healthcare model: a model emerging around a new set of stakeholders, principles and structures, which includes the market, principles of free movement, patient choice and patient rights institutionalized and safeguarded by the EU. [ABSTRACT FROM AUTHOR]
- Published
- 2008
- Full Text
- View/download PDF
13. Advocacy coalitions and pharmacy policy in Denmark—Solid cores with fuzzy edges
- Author
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Larsen, Jakob Bjerg, Vrangbæk, Karsten, and Traulsen, Janine M.
- Subjects
- *
MEDICINE , *PHARMACY , *POLITICIANS , *QUALITATIVE research - Abstract
Abstract: This paper presents the results from a qualitative study in which the Advocacy Coalition Framework (ACF) was used to analyze deregulation of the distribution of medicine in Denmark in October 2001. The study is based on qualitative methods, and it examines the policy process between 1996 and 2001. Data sources were documents and qualitative interviews. The results show that minor modifications of the ACF are needed to make it fully applicable to the case of pharmacy policy, especially when the policy process proceeds in a predominantly corporatist state. We found that the policy process was framed by two coalitions advocating different belief systems. One coalition wanted the pharmacy sector to be controlled by the state, the other wanted a full-scale liberalization. Throughout the process there was a general shift in policy core beliefs among the actors involved—moving from positively disposed towards a market-oriented reform to being more negatively disposed towards such a reform. We argue that two factors contributed to this. First, as the discussions about a reform became more specific, technical matters began to influence the actors. Second, the legitimacy of a solution which did not alter the regulation of the pharmacy sector radically, was reinforced by institutionalized norms that made politicians take onboard pharmacy professionals’ concerns. [Copyright &y& Elsevier]
- Published
- 2006
- Full Text
- View/download PDF
14. Health Policy in Denmark: Leaving the Decentralized Welfare Path?
- Author
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Vrangbæk, Karsten and Christiansen, Terkel
- Subjects
- *
HEALTH policy , *MEDICAL care , *PUBLIC health , *HUMAN services , *PUBLIC welfare - Abstract
In this article, we investigate developments in Danish health care policy. After a short presentation of its historical roots, we focus on the decades after the administrative reform of 1970, which shaped the current decentralized public health care system. Theories of path dependency and institutional inertia are used to explain the relative stability in the overall structure, and theories of policy process and reform are used to discuss gradual changes within the overall framework. Although comprehensive reforms have not taken place in Denmark, many gradual changes may pave the way for more radical changes in the future. The political climate currently seems to be more favorable toward structural reform than in the past. [ABSTRACT FROM AUTHOR]
- Published
- 2005
15. Divergent COVID-19 vaccine policies: Policy mapping of ten European countries.
- Author
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van Kessel, Robin, Forman, Rebecca, Milstein, Ricarda, Mastylak, Alicja, Czabanowska, Katarzyna, Czypionka, Thomas, Durand-Zaleski, Isabelle, Hirche, Anja, Krysinska-Pisarek, Magdalena, Maynou, Laia, Roberts, Bjelle, Torbica, Aleksandra, Vrangbæk, Karsten, Wang, Yuxi, Wouters, Olivier J., and Mossialos, Elias
- Subjects
- *
COVID-19 vaccines , *VACCINATION policies , *HEALTH policy , *COVID-19 pandemic , *BOOSTER vaccines - Abstract
The COVID-19 pandemic highlighted the fragmented nature of governmental policy decisions in Europe. However, the extent to which COVID-19 vaccination policies differed between European countries remains unclear. Here, we mapped the COVID-19 vaccination policies that were in effect in January 2022 as well as booster regulations in April 2022 in Austria, Denmark, England, France, Germany, Ireland, Italy, the Netherlands, Poland, and Spain. National public health and health policy experts from these ten European nations developed and completed an electronic questionnaire. The questionnaire included a series of questions that addressed six critical components of vaccine implementation, including (1) authorization, (2) prioritization, (3) procurement and distribution, (4) data collection, (5) administration, and (6) mandate requirements. Our findings revealed significant variations in COVID-19 vaccination policies across Europe. We observed critical differences in COVID-19 vaccine formulations authorized for use, as well as the specific groups that were provided with priority access. We also identified discrepancies in how vaccination-related data were recorded in each country and what vaccination requirements were implemented. Each of the ten European nations surveyed in this study reported different COVID-19 vaccination policies. These differences complicated efforts to provide a coordinated pandemic response. These findings might alert policymakers in Europe of the need to coordinate their efforts to avoid fostering divergent and socially disruptive policies. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
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