{"id":"https://openalex.org/W69446489","doi":null,"title":"Commercializing German Hospital Care? Effects of New Public Management and Managed Care under Neoliberal Conditions","display_name":"Commercializing German Hospital Care? Effects of New Public Management and Managed Care under Neoliberal Conditions","publication_year":2009,"publication_date":"2009-03-22","ids":{"openalex":"https://openalex.org/W69446489","mag":"69446489"},"language":"en","primary_location":{"id":"mag:69446489","doi":null,"is_oa":false,"landing_page_url":"https://www.questia.com/library/journal/1G1-243377682/commercializing-german-hospital-care-effects-of-new","pdf_url":null,"source":{"id":"https://openalex.org/S2764982830","display_name":"German policy studies/Politikfeldanalyse","issn_l":"1523-9764","issn":["1523-9764"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"German policy studies/Politikfeldanalyse","raw_type":null},"volume":null,"type":"article","indexed_in":[],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5029838147","display_name":"Kai Mosebach","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Kai Mosebach","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5029838147"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":1.2143,"has_fulltext":false,"cited_by_count":26,"citation_normalized_percentile":{"value":0.82729923,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":98},"biblio":{"volume":"5","issue":"1","first_page":"65","last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13896","display_name":"Health Services Management and Policy","score":0.5059000253677368,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T13896","display_name":"Health Services Management and Policy","score":0.5059000253677368,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.28929999470710754,"subfield":{"id":"https://openalex.org/subfields/2003","display_name":"Finance"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T14186","display_name":"Healthcare Systems and Practices","score":0.06400000303983688,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/marketization-of-healthcare","display_name":"marketization of health care","score":0.828000009059906},{"id":"https://openalex.org/keywords/new-public-management","display_name":"New Public Management","score":0.8199999928474426},{"id":"https://openalex.org/keywords/managed-care","display_name":"managed care","score":0.9950000047683716},{"id":"https://openalex.org/keywords/neoliberalism","display_name":"neoliberalism","score":0.9179999828338623},{"id":"https://openalex.org/keywords/hospital-privatization","display_name":"hospital privatization","score":0.6169999837875366},{"id":"https://openalex.org/keywords/hospital-governance","display_name":"hospital governance","score":0.375},{"id":"https://openalex.org/keywords/quality-of-care","display_name":"quality of care","score":0.7829999923706055},{"id":"https://openalex.org/keywords/health-care-access","display_name":"health care access","score":0.8009999990463257},{"id":"https://openalex.org/keywords/economization","display_name":"economization","score":0.5080000162124634},{"id":"https://openalex.org/keywords/health-care-reform","display_name":"health care reform","score":0.3889999985694885},{"id":"https://openalex.org/keywords/german-healthcare-system","display_name":"German health care system","score":0.47200000286102295},{"id":"https://openalex.org/keywords/institutional-change","display_name":"institutional change","score":0.328000009059906},{"id":"https://openalex.org/keywords/health-care-delivery","display_name":"health care delivery","score":0.3160000145435333}],"concepts":[{"id":"https://openalex.org/C2780625559","wikidata":"https://www.wikidata.org/wiki/Q5152592","display_name":"Commercialization","level":2,"score":0.6549875736236572},{"id":"https://openalex.org/C154775046","wikidata":"https://www.wikidata.org/wiki/Q188","display_name":"German","level":2,"score":0.5767109990119934},{"id":"https://openalex.org/C147859227","wikidata":"https://www.wikidata.org/wiki/Q294217","display_name":"Public sector","level":2,"score":0.5708363056182861},{"id":"https://openalex.org/C45237549","wikidata":"https://www.wikidata.org/wiki/Q1376796","display_name":"Restructuring","level":2,"score":0.5573736429214478},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5497704744338989},{"id":"https://openalex.org/C39389867","wikidata":"https://www.wikidata.org/wiki/Q380767","display_name":"Corporate governance","level":2,"score":0.4669296145439148},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.37831082940101624},{"id":"https://openalex.org/C3116431","wikidata":"https://www.wikidata.org/wiki/Q31728","display_name":"Public administration","level":1,"score":0.3720964789390564},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.34720829129219055},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.3383362591266632},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.33240437507629395},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.17756006121635437},{"id":"https://openalex.org/C187736073","wikidata":"https://www.wikidata.org/wiki/Q2920921","display_name":"Management","level":1,"score":0.15158894658088684},{"id":"https://openalex.org/C136264566","wikidata":"https://www.wikidata.org/wiki/Q159810","display_name":"Economy","level":1,"score":0.1451985239982605},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.1112995445728302},{"id":"https://openalex.org/C95457728","wikidata":"https://www.wikidata.org/wiki/Q309","display_name":"History","level":0,"score":0.0},{"id":"https://openalex.org/C166957645","wikidata":"https://www.wikidata.org/wiki/Q23498","display_name":"Archaeology","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"mag:69446489","doi":null,"is_oa":false,"landing_page_url":"https://www.questia.com/library/journal/1G1-243377682/commercializing-german-hospital-care-effects-of-new","pdf_url":null,"source":{"id":"https://openalex.org/S2764982830","display_name":"German policy studies/Politikfeldanalyse","issn_l":"1523-9764","issn":["1523-9764"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"German policy studies/Politikfeldanalyse","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.4000000059604645}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7039018065","https://openalex.org/W2950848374","https://openalex.org/W1965172849","https://openalex.org/W2972292557","https://openalex.org/W2485887688","https://openalex.org/W2990361592","https://openalex.org/W2185394283","https://openalex.org/W3145117133","https://openalex.org/W2052208765","https://openalex.org/W599783634"],"abstract_inverted_index":{"1":[0],"Introduction":[1],"External":[2],"and":[3,36,47,101,115,170,198,217,235,240,269,352,356,363,393,428,439,442,465,498,507,530,550,568,573],"internal":[4],"pressures":[5],"over":[6],"the":[7,23,30,96,128,136,150,154,159,164,171,181,202,221,247,250,254,257,265,316,325,333,358,379,394,397,405,416,432,466,469,482,485,490,516,520,525,528,531,540,544,562,577],"past":[8],"two":[9],"decades":[10],"or":[11,479],"so":[12,296,312],"have":[13,64,349],"led":[14],"to":[15,67,88,102,131,214,261,346,370,437],"hospital":[16,74,138,204,223,243,274,284,341,382],"sector":[17,205],"reorganization":[18],"in":[19,49,201,220,272,282,324,339,431,460,576],"many":[20],"countries":[21],"around":[22],"world.":[24],"The":[25,82,119,140,276,328,386,412],"basic":[26,237],"thrust":[27],"has":[28],"been":[29,310,350],"implementation":[31],"of":[32,39,69,73,84,113,117,122,135,153,161,167,183,191,230,249,253,264,291,294,300,319,336,360,375,381,396,415,424,447,468,484,504,522,527,533],"market-led":[33,61,98,279],"governance":[34,267,280,301,475],"reforms":[35],"business-type":[37],"restructuring":[38],"public":[40],"hospitals,":[41],"although":[42],"on":[43,111,213,246],"a":[44,70,132,287,297,457,513,537,559],"different":[45,292,472,571],"scale":[46],"scope":[48],"each":[50],"country":[51],"(McKee/Healy":[52],"2002;":[53],"Preker/Harding":[54],"2003;":[55],"HOPE/DEXIA":[56],"2009;":[57],"Rechel":[58],"2009).":[59],"These":[60],"reform":[62,99],"strategies":[63,100],"given":[65],"rise":[66],"fears":[68],"progressive":[71],"commercialization":[72,107,162,270,322,337,376],"care":[75,114,173,194,232,285,321,383,418,427,449,463,487,496,579],"(Lister":[76],"2005;":[77,79],"Mackintosh/Koivusalo":[78],"Tritter":[80],"2010).":[81],"aim":[83],"this":[85,123,184],"article":[86,141],"is":[87,125,142,303,471,548,565],"suggest":[89],"an":[90,188],"analytical":[91,129,155,228,413],"framework":[92,130,185,414,532],"that":[93,106,492],"might":[94],"explain":[95],"ubiquitous":[97],"scrutinize":[103],"widespread":[104],"claim":[105],"processes":[108,166,271,307,338,354,377],"impacts":[109],"negatively":[110],"quality":[112],"equality":[116],"access.":[118],"empirical":[120,238,251],"range":[121],"contribution":[124],"limited,":[126],"applying":[127],"case":[133,255],"study":[134],"German":[137,203,222,273,283,340,387],"sector.":[139,580],"arranged":[143],"as":[144],"follows:":[145],"Firstly,":[146],"I":[147,186,210],"lay":[148],"out":[149],"theoretical":[151],"foundations":[152],"framework,":[156],"which":[157,196],"situates":[158],"concept":[160,483],"within":[163,508],"transformation":[165],"modern":[168,517,541,563],"statehood":[169,438],"health":[172,193,231,320,417,426,429,448,462,486,495,578],"state,":[174],"both":[175,509,566],"contextualized":[176],"under":[177,409],"neoliberal":[178],"conditions.":[179],"On":[180],"basis":[182,248],"construct":[187],"ideal":[189,317,574],"model":[190,318],"commercialized":[192],"against":[195],"institutional":[197,216,289,455,510],"organizational":[199,218],"change":[200,219],"will":[206],"be":[207],"assessed.":[208],"Secondly,":[209],"move":[211],"straight":[212],"describe":[215],"sector,":[224],"using":[225],"widely":[226],"applied":[227],"frameworks":[229],"system":[233],"regulation":[234,526],"some":[236],"indicators":[239],"trends":[241],"describing":[242],"care.":[244,275,342],"Thirdly,":[245],"results":[252,335],"study,":[256],"last":[258],"section":[259],"tries":[260],"make":[262],"sense":[263],"changing":[266],"structures":[268],"newly":[277],"evolving":[278],"structure":[281],"displays":[286],"complex":[288],"blend":[290],"forms":[293,476],"governance,":[295],"dichotomous":[298],"understanding":[299],"modes":[302],"completely":[304],"unfounded.":[305],"Commercialization":[306,395],"have,":[308],"however,":[309],"restrained":[311],"far":[313],"compared":[314],"with":[315],"outlined":[323],"first":[326],"section.":[327],"conclusion,":[329],"finally,":[330],"sums":[331],"up":[332],"mixed":[334],"While":[343],"regulatory":[344],"efforts":[345],"strengthen":[347],"economization":[348],"pursued":[351],"privatization":[353],"precipitated":[355],"broadened,":[357],"lack":[359],"appropriate":[361],"data":[362],"systematic":[364],"research":[365],"still":[366],"makes":[367],"it":[368,435],"difficult":[369],"prove":[371],"any":[372],"unfavorable":[373],"impact":[374],"at":[378],"level":[380],"delivery.":[384],"2":[385],"Health":[388,406],"System,":[389],"New":[390],"Public":[391],"Management":[392],"Hospital":[398],"Sector":[399],"2.1.":[400],"Beyond":[401],"False":[402],"Dichotomies:":[403],"Governing":[404],"Care":[407],"State":[408],"Neoliberal":[410],"Conditions":[411],"state":[419,452,470,488,499,515,518,539,542,561,564],"differs":[420],"from":[421,473],"traditional":[422],"ways":[423],"analyzing":[425],"policy":[430,450],"particular":[433],"status":[434],"affords":[436],"statecraft.":[440],"Statehood":[441],"statecraft":[443],"are":[444,553],"general":[445],"features":[446],"because":[451],"involvement--whatever":[453],"its":[454],"shape--plays":[456],"decisive":[458],"role":[459],"every":[461],"system,":[464],"institution":[467],"other":[474],"like":[477],"market":[478],"corporatism.":[480],"Basically,":[481],"entails":[489],"idea":[491],"interaction":[493],"between":[494,506],"institutions":[497,500],"creates":[501],"multiple":[502],"areas":[503],"conflict":[505],"complexes.":[511],"As":[512,536,558],"capitalist":[514],"affects":[519],"development":[521],"medical":[523],"technologies,":[524],"professions":[529,552],"collective":[534,546],"consumption.":[535],"welfare":[538],"influences":[543],"way":[545],"consumption":[547],"organized":[549],"how":[551],"regulated":[554],"for":[555,570],"treating":[556],"patients.":[557],"democratic":[560],"arena":[567],"forum":[569],"material":[572],"interests":[575],"\u2026":[581]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2021,"cited_by_count":3},{"year":2018,"cited_by_count":4},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":5},{"year":2015,"cited_by_count":2},{"year":2014,"cited_by_count":4},{"year":2013,"cited_by_count":3},{"year":2012,"cited_by_count":1}],"updated_date":"2025-10-10T17:16:08.811792","created_date":"2016-06-24T00:00:00"}