Healthcare governance, professions and populism: is there a relationship? An explorative comparison of five European countries

Emmanuele Pavolini, Ellen Kulhman, Tuba I. Agartan, Viola Burau, Russell Mannion, Ewen Speed

Research output: Contribution to journalArticlepeer-review

15 Citations (Scopus)
187 Downloads (Pure)

Abstract

A new wave of support for populist parties and movements represents a serious threat to universal healthcare coverage in traditional liberal democracies and beyond. This article aims to contribute empirical material on the relationships between healthcare governance, professions and populism. It applies an explanatory cross-country comparative approach and uses mixed methods, including micro-level data garnered from international comparative databases and documents. Denmark, England, Germany, Italy and Turkey have been selected for comparison, reflecting different types of healthcare systems and populist movements. The results reveal variety in the ways populist discourses impact in healthcare. Abundant economic resources, network-based governance, high levels of trust in healthcare providers and doctors participating as insiders in the policy process seem to work as a bulwark against populist attacks on healthcare and professional expertise. On the other hand, poorly resourced NHS systems with doctors as outsiders in the policy process and major NPM reforms together with low to medium levels of trust in healthcare providers may be fertile ground for populist discourse to flourish. Our explanatory data provide hints of correlations, which may inform further studies to investigate causality. Yet the research highlights that healthcare governance and professions matter, and brings into view capacity for counteracting populist attacks on universal healthcare and professional knowledge.
Original languageEnglish
Pages (from-to)1140-1148
JournalHealth Policy
Volume122
Issue number10
Early online date7 Sept 2018
DOIs
Publication statusPublished - Oct 2018

Keywords

  • health policy
  • health professions
  • healthcare governance
  • populism
  • new public management reforms
  • European comparison

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