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Published on International Association of Health Policy (http://www.healthp.org)

Stochkolm 2003 Declaration

By admin
Created 06/26/2007 - 19:42
In the final discussion at the Stockholm conference we tried to synthesise what participants had learned from the conference, with their own experience and understanding.

We produced three themes: a description of health care systems, in terms of their complexity; a critique of health system managerialism; and an agenda for change in European health care systems.

COMPLEXITY. We concluded that:

1. Health care systems are complex, because:

2. This complexity is:

3. To understand a part of a health care system you must understand the whole system.

A CRITIQUE OF MANAGERIALISM. We concluded that:
4. Current managerial approaches to system complexity define health and social care in terms of products (Fordist commodification), with the following consequences:

5. There are two other features of the current situation that are important. This type of managerialism emphasises the importance of regulation, but in practice this tends to be weak. There is a clear lack of vision within the system.


AN AGENDA FOR CHANGE

6. An agenda for change in European health care systems should include:


Stockholm 25/5/03

Source URL:
http://www.healthp.org/node/155