Comparative Analysis of Decision-Making Models in National Healthcare Systems of EU Member-States: Change-Drivers’ Identification

Abstract

AbstractThe paper is aiming to outline the typical decision-making models, applicable at the healthcare systems of EU member-state, through comparing key features of clinical and non-clinical decisions, related to the decision-making processes at a national level. An assessment of the identified models in terms of their relevance to the dynamic context of Industry 4.0 and Industry 5.0. was performed, based on a comparative analysis of the predominant decision-making models of six national healthcare systems. The sample includes two old democracies, two countries from the enlargement in 2004 and two countries from the wave in 2007. The central issue is finding out how the applied decision-making models ensure the conformity between the national and the European healthcare priorities, and how these models refer to the ability of rapid and elastic adaptiveness of the national systems to the ethical, information and socio-economic needs of the stakeholders of the healthcare systems. The national models were also compared to a range of existing decision support systems (DSS) with the purpose to identify change-drivers and gaps.KeywordsHealthcare policyDecision-making modelsHealthcare technology assessmentComparative analysis