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Zusammenfassung
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The aim of this paper is to explore the scale and scope of economisation and commercialisation processes in OECD health systems. At first I will develop the basic premise of a proliferating hegemonic strategy in national health policy making in OECD countries that is termed competitive cost-containment policy. After that the possible impact of economisation and commercialisation processes will be discussed. Firstly, processes of monetarisation regulating the basic medical social relation of physicians and patients as well as the privatisation of health care provision are described as effects of widespread economisation and commercialisation pressures. Secondly, the double transformation of the physician- patient relationship is understood as a contradictory process of its democratisation and economisation. Thirdly, tendencies of healthism and consumerism in OECD health systems are shown both to have socially exclusive effects while constituting a new culture of health. Finally, based on these explorative considerations I will sketch the framework of a comprehensive research program that integrates descriptive, analytical and normative research interests. Its basic thrust is to explore the dimensions, causes and effects of economisation and commercialisation tendencies in OECD-health (care) systems.
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