University of Twente Student Theses
How can we explain the use of evidence by policymakers and experts leading up to the introduction of the G-DRG healthcare financing system? A Process Tracing Investigation
Flother, F. (2021) How can we explain the use of evidence by policymakers and experts leading up to the introduction of the G-DRG healthcare financing system? A Process Tracing Investigation.
|
PDF
509kB |
| Abstract: | The thesis investigates the use of evidence by experts and policymakers leading up to the introduction of the current healthcare financing mechanism, the G-DRG. Starting point are three theoretical considerations explaining the use of evidence by policymakers and experts: Cherry picking of evidence by policymakers, Loss of epistemic Diversity within scientific practice and Policy paradigms. The different explanations were captured in three hypotheses. The analysis concerned qualitative policy and expert documents, which were coded for economic, social and quality of care values. Furthermore, the discussion of alternatives and the relationship between the actors stand at the center of the process tracing investigation. With the help of a timeline, values and assumptions inherent in the evidence used in the process of introducing the G-DRG were retraced from 1985-2003. The findings partly support the cherry picking as well as the policy paradigm explanation, while a loss of epistemic diversity could not be detected. Looking back, the research finds the origin of values and path dependencies, which still influence the G-DRG. Thinking about further development of the German healthcare system, a new balance between economic and medical values has to be found in order to tackle the negative effects of the system. |
| Item Type: | Essay (Bachelor) |
| Faculty: | BMS: Behavioural, Management and Social Sciences |
| Subject: | 70 social sciences in general, 89 political science |
| Programme: | Management Society and Technology BSc (56654) |
| Link to this item: | https://purl.utwente.nl/essays/87671 |
| Export this item as: | BibTeX EndNote HTML Citation Reference Manager |
Show download statistics for this publication
Show download statistics for this publicationRepository Staff Only: item control page