New Public Governance, neo-corporatism, and health policy: status quo, constraints, and future directions
本文探讨新公共治理在德国新社团主义卫生系统中的适用性,分析制度匹配、实践障碍和改革路径,对研究卫生治理和公共管理的学者有参考价值。
This paper examines the prospects of New Public Governance (NPG) within Germany’s neo-corporatist health system, focusing on institutional fit, practical barriers, and reform trajectories. While NPG promotes participation, collaboration, and co-creation, its application is constrained by power imbalances and limited cross-sector permeability. Using Integrated Care and Health in All Policies as examples, the paper highlights both partial alignment with NPG principles and structural resistance. Four future scenarios illustrate possible governance pathways. This paper contributes to public management research by showing how NPG reforms interact with entrenched governance modes and emphasizing the role of meta-governance and civic engagement.