The introduction of choice in public services, and in health services more specifically, is part of a wider movement to introduce consumerism in health care. In this article, we analyze how citizens perceive the availability of choice of primary care doctors in 22 European countries, and what...

Background Effective health system reform requires support from health care professionals. However, many studies show an increasing discontent among health care professionals toward certain government policies. When professionals resist implementing policies, this may have serious consequences...

Purpose The purpose of this paper is to investigate the roles that employee-initiated Lean improvement projects play in health care. Lean ideas are introduced to improve flow in health care. Although variability is detrimental to flow performance, it is unclear whether Lean initiatives set out...