The Paradox of Health State Futures

跨越此次电话会议的五个研究主题，HEALTHDOX旨在通过调查最近医疗改革对医疗不平等、医疗支出以及公众对医疗系统和福利国家的态度的影响，探索欧洲医疗政治和政策的未来轨迹。在最广泛的层面上，该项目提出了一个问题，即健康状况未来是否存在悖论。欧洲化和全球化进程可能会使国民健康服务类型的医疗系统面临越来越大的压力，要求它们向欧洲大陆的医疗保险模式趋同。但是，矛盾的是，国家卫生服务可能是最适合于应对与人口老龄化相关的不断上升的医疗成本，以及在日益多样化的人口中重新获得公众对福利国家的支持的卫生系统类型。该项目将调查爱沙尼亚、德国、爱尔兰、荷兰、葡萄牙和瑞典从1990年到现在的卫生政策发展。这些政策变化的影响将利用在国家和国际来源中找到的量化数据进行分析。我们的团队由来自政治学和社会学领域的定性和定量研究人员组成，他们的综合专业知识包括卫生政治、卫生政策、人口学、移民、比较和欧洲政治，以及福利国家的政治和社会学。该项目的比较和跨国设计将使我们能够深入了解健康不平等、福利国家对个人的意义以及福利国家未来的政治，并为卫生政策制定者提供关于其政策的重要反馈。

Cutting across the five research themes of this Call, HEALTHDOX aims to explore future trajectories of European health politics and policies through an investigation of the impact of recent health reforms on health inequalities, health expenditures, and public attitudes towards both the health system and the welfare state. At its broadest level, the project poses the question of whether there is a paradox of health state futures. Europeanization and globalization processes may be putting National Health Service types of health systems under increasing pressure to converge to the Continental health insurance model. But, paradoxically, National Health Services may be the type of health system best suited both to cope with the rising health costs associated with population aging, and to regenerate public support for the welfare state amongst increasingly diverse populations.This project will investigate health policy developments from 1990 to the present in Estonia, Germany, Ireland, the Netherlands, Portugal and Sweden. The impact of these policy changes will be analysed using quantitative data found in both national and international sources. Our team is comprised of qualitative and quantitative researchers from the fields of Political Science and Sociology, whose combined expertise includes health politics, health policy, demography, migration, comparative and European politics, and the politics and sociology of the welfare state. The comparative and transnational design of the project will allow us to provide insights into health inequalities, the meaning of the welfare state for individuals, and the future politics of the welfare state, as well as to provide health policy-makers with important feedback on their policies.