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Networked Health Care Governance in the European Union.

Authors
  • Martinsen, Dorte Sindbjerg1
  • Schrama, Reini1
  • 1 University of Copenhagen.
Type
Published Article
Journal
Journal of health politics, policy and law
Publication Date
Oct 14, 2020
Identifiers
DOI: 10.1215/03616878-8706627
PMID: 33085962
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

The European Union (EU) increasingly resorts to new forms of governance to establish unified health and welfare policies without member states having to transfer their sovereignty to a supranational level. European Administrative Networks are important instruments in the toolbox of new forms of governance, dealing with rulemaking, rule monitoring, and rule enforcement. Operating beyond, but not above, the state, European networks of national administrative units allow for interaction and exchange to coordinate national responses to increased interaction across their borders. The authors use social network analysis to uncover the pattern of interaction among national representatives in two central EU health care networks. Their analysis finds not only that the network in the area of pharmacovigilance has more competences, resources, and capacity to improve the enforcement of EU rules than the network regarding cross-border health care but also that the driving forces behind network interaction appear to differ quite a bit as well. While the supranational character becomes apparent in the former network, network interactions in the latter seem aimed at mitigating the impact of patient mobility rather than improving cross-border health care take up. Copyright © 2021 by Duke University Press.

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