The author's thesis is; in health systems primarily controlled by the state there is an emphasis on (primary) general care and less on (secondary level) specialised services, both in supply of medical staff and in facilities. The opposite is predicted for health systems with less state control and more room for control by the medical profession. Empirical support is found for this thesis, but it needs to be underlined that this conclusion is preliminary, because much work needs to be done to get more and better data.
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