Toward Sustainable Transitions in Healthcare Systems: 1st Edition (Hardback) book cover

Toward Sustainable Transitions in Healthcare Systems

1st Edition

Edited by Jacqueline Broerse, John Grin


332 pages

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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.


Table of Contents

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





About the Editors

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.

About the Series

Routledge Studies in Sustainability Transitions

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Subject Categories

BISAC Subject Codes/Headings:
HEALTH & FITNESS / Health Care Issues
SOCIAL SCIENCE / Disease & Health Issues