Part one: The context for health reform
Values, norms and the reform of healthcare systems
Macro-economic constraints and health challenges facing European health systems
Part two: Demand side strategies
Balancing competition and solidarity in healthcare financing
The appropriate role for patient cost-sharing
Priority setting and rationing health services
Reforming public health services
Part three: Supply side strategies
Contracting models and provider competition
The allocation of capital and health sector reform
Performance-tied payment systems for physicians
Financing operating costs for hospital services
Changing hospital systems
The usual suspect and the failure of cost containment
regulating expenditure on medicines in European Union countries
Part four: On state, citizen and society
The role of the state in healthcare reform
Optimal balance of centralized and decentralized management
Citizen participation and patient choice in health reform
Values, norms and the reform of healthcare systems
Part five: Implementing health reform
Implementing healthcare reform
a framework for discussion
Implementing healthcare reform
a review of current experience
Part six: Assessing the evidence
Index.