1st Edition

Toward Sustainable Transitions in Healthcare Systems

Edited By Jacqueline Broerse, John Grin Copyright 2017
    332 Pages
    by Routledge

    348 Pages
    by Routledge

    Health systems have long been considered key determinants of well-being within modern societies, a valuable resource which have faced a series of reform initiatives throughout the past decades. These reforms have been used to manage the cost of development, measure the tenability of health systems in globalizing economies and promote the increasing importance of health problems related to lifestyle and living conditions, yet they have failed to provide a true resolution to the persistent economical and logistical problems facing modern-day health systems.

    This rich, interdisciplinary work explores the hypothesis that many of these problems cannot be adequately addressed without structural changes to our health systems, and examines the embedded features of our health systems that underlie contemporary challenges as well as how, and under what conditions, our health systems can be made more sustainable. Combining and building upon theoretical approaches from transition and innovation studies for analysing health system deficits, Toward Sustainable Transitions in Healthcare Systems raises fundamental questions about how new research, new needs and exogenous trends are transforming current health innovation systems.

    Providing an original and substantial analysis of the complex structural features of the health innovation system, this book will be of interest to students and practitioners of the politics of health, social epidemiology, medical sociology and those with an interest in transition theory.


    Chapter 1. Introduction
    John Grin and Jacqueline E.W. Broerse

    Part I Historical Studies on Health System Changes

    Chapter 2. Historical Studies on Health System Changes
    Eric Berkers

    Chapter 3 .Key Features of Modern Health Systems; Nature and Historical Evolution
    Roel van Raak and Fjalar J. de Haan

    Part II Innovative Practices at the Niche Level

    Chapter 4. Unraveling Persistent Problems through Analyzing Innovative Practices in Healthcare Tjerk Jan Schuitmaker and Erica ter Haar

    Chapter 5. System Innovation: Workplace Health Development
    Lenneke Vaandrager, Ingrid Bakker, Maria Koelen, Paul Baart and Tamara Raaijmakers

    Chapter 6. Towards a Sustainable Welfare and Health System in Spain. Experiences with the Case Management Program
    Jordi Garcés and Francisco Ródenas

    Chapter 7. The Making of a Transition Program in the Dutch Care Sector
    Suzanne van den Bosch and Jord Neuteboom

    Chapter 8. Trying to Transform Structure, Culture and Practice: Comparing Two Innovation Projects of the Transition Program in Long-Term Care
    Erica ter Haar-van Twillert and Suzanne van den Bosch

    Chapter 9. Contextualizing Evidence in Canadian Healthcare The EXTRA Program
    David Clements and Dirk Essink

    Chapter 10. Towards a Needs-Oriented Health Research System Involving Patients in Health Research
    Janneke E. Elberse, Willem I. de Boer and Jacqueline E.W. Broerse

    Part III Reflections

    Chapter 11. The future of health systems: beyond the persistence of contemporary challenges

    Jacqueline Broerse and John Grin






    Jacqueline E. W. Broerse is Professor of Innovation and Communication in the Health and Life Sciences, and Director of the Athena Institute at Vrije Universiteit Amsterdam.

    John Grin is Professor of Policy Science, with a focus on System Innovation, at the Department of Political Science at the University of Amsterdam.