000			01414pab a2200181 454500
008			180718b2013 xxu||||| |||| 00| 0 eng d
100			_aMattei, Paola et al
245			_aReshaping public accountability: Hospital reforms in Germany, Norway and Denmark
260			_c2013
300			_ap.249-270.
362			_aJun
520			_aThe article contributes to the literature on multi-level welfare governance and public accountability in the context of recent European hospital reforms. Focusing on the changing dynamics between regional and central governance of hospitals in Germany, Norway and Denmark, we raise concerns about the reshaping of traditional public accountability mechanisms. We argue that, triggered by growing financial pressures, corporatization and professionalization have increasingly removed decision-making power from regional political bodies in hospital funding and planning. National governments have tightened their control over the overall trajectory of their hospital systems, but have also shifted significant responsibility downwards to the hospital level. This has reshaped public accountability relationships towards more managerial or professional types embedded within multi-level forms of governance. - Reproduced.
650			_aAccountability
650			_aHealth services
773			_aInternational Review of Administrative Sciences
908			_aN
909			_a101201
999			_c101200 _d101200