Title
Health region development from the perspective of system theory : an empirical cross-regional case study Health region development from the perspective of system theory : an empirical cross-regional case study
Author
Faculty/Department
Faculty of Social Sciences. Sociology
Publication type
article
Publication
Oxford ,
Subject
Sociology
Human medicine
Source (journal)
Social science and medicine (1982). - Oxford
Volume/pages
124(2015) , p. 321-330
ISSN
0277-9536
ISI
000348255800039
Carrier
E
Target language
English (eng)
Full text (Publishers DOI)
Affiliation
University of Antwerp
Abstract
Governments are increasingly establishing health regions to deal with current challenges of public health service. These regions are seen as instruments to balance public and private stakeholders, and offer health care to regional citizens as well as to medical/health tourists. However, it is still unclear how the development of such health regions as well as their governance may be conceptualized. We apply Luhmann's system theory approach in the context of a cross-regional case study that compares health region developments in the Autonomous Province of BolzanoSouth Tyrol (Italy) with particular regard to the Eastern Dolomites and in the province of Zeeland (the Netherlands). We suggest that Luhmann's system theory provides a useful set of criteria to evaluate and judge health region development. Fully developed health regions can be understood as auto-poietic systems. By emphasizing programs, personnel, and communication channels, these case studies illustrate the suitability of the system theory toolset to analyze the governance and spatial embeddedness of health regions. Additionally, the study contributes to literature by indicating that health regions are closely related to identity issues and to decision making in regions.
E-info
https://repository.uantwerpen.be/docman/iruaauth/fb2e00/0f6b8026389.pdf
Full text (open access)
https://repository.uantwerpen.be/docman/irua/321fe2/9624.pdf
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