ABSTRACT
In this chapter we draw together the often separate discourses on citizen engagement and patient involvement on one hand and on health systems’ reform on the other, and the evidence from the three case studies. Studies on healthcare reforms have tended to focus on particular aspects such as economics, politics or issue of rights from particular perspectives such as law, sociology or political science. We have also been intrigued by the ways in which policy developments and, in particular, commercialisation of healthcare has taken different routes and emphases in the three countries we studied. We are intrigued with the ways that the rhetoric justifying reforms is more amenable to political orientation than the mechanisms adopted to drive the reform agenda and how some policy ideas seem to have diffused faster than others.
