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"This volume examines the public/private sector mix in a number of national healthcare systems and their interface with the goals of health equity and quality of healthcare. Moreover, there is a consideration of public accountability. The unique significance of this collection of national studies involving the public/private sector mix of healthcare services and/or finances is that it provides insights into the factors that enhance the public/private sector mix in fulfilling the goals of health equity and the quality of healthcare services as well as an understanding of the circumstances in which elements of the public/private sector mix may be harmful for the achievement of such goals in a variety of national settings. The contributions to this volume provide a variety of perspectives in dealing with these objectives"--
The U.S. health care system faces well-known problems: 47 million people without health insurance, rapidly rising costs that consume 16 percent of the country's economic output, and widely uneven quality of care. Even many people with coverage are experiencing serious problems paying for the rapidly rising costs of health care and insurance.This book - a joint product of the National Academy of Public Administration and the National Academy of Social Science - undertakes a sweeping analysis of the management and administrative issues that arise in expanding health care coverage. The book identifies the core administrative functions that need to be performed in assuring access to health cover...
Recovery and growth.
Examining the changing nature of health care federalism within a competitive global context, Comparative Health Care Federalism provides a rich and nuanced account of the way in which the interplay of federal relationships impact health care within an array of systems. The editors have gathered together some of the leading international health policy scholars to provide detailed accounts of the dynamics of federal health policy-making within their respective jurisdictions. Complementing the theoretical and methodological objectives, this book provides a detailed, empirical description of the challenges faced by different states and the ways in which health policy-making works within the federal, quasi-federal, and functional federal systems presented. In chapters on the United States, Australia, Canada, Germany, Spain, Italy, Austria, the United Kingdom, the EU, India, China, Brazil, and the Russian Federation the authors consider what variables contribute to, and stand in the way of, the formation of robust and sustainable health care systems.
Over the past three decades, market reforms have transformed public services such as education, health, and care of the elderly. Whereas previous studies present markets as having similar and largely non-political effects, this book shows that political parties structure markets in diverse ways to achieve distinct political aims. Left-wing attempts to sustain the legitimacy of the welfare state are compared with right-wing wishes to limit the state and empower the private sector. Examining a broad range of countries, time periods, and policy areas, Jane R. Gingrich helps readers make sense of the complexity of market reforms in the industrialized world. The use of innovative multi-case studies and in-depth interviews with senior European policymakers enriches the debate and brings clarity to this multifaceted topic. Scholars and students working on the policymaking process in this central area will be interested in this new conceptualization of market reform.
In Europe and around the world, social policies and welfare services have faced increasing pressure in recent years as a result of political, economic, and social changes. Just as Europe was a leader in the development of the welfare state and the supportive structures of corporatist politics from the 1920s onward, Europe in particular has experienced stresses from globalization and striking innovation in welfare policies. While debates in the United Kingdom, Germany, and France often attract wide international attention, smaller European countries—Belgium, Denmark, Austria, or Finland—are often overlooked. This volume seeks to correct this unfortunate oversight as these smaller countries serve as models for reform, undertaking experiments that only later gain the attention of stymied reformers in the larger countries.
The Patient Protection and Affordable Care Act marked a watershed in U.S. health policy, but controversy over its passage rages on, and much uncertainty surrounds the law’s transformation from blueprint into operational program. How can the experience of other nations help us to reconcile the competing goals of universal coverage, cost control, and high quality care? Following an analysis of the 2010 statute, this book surveys developments in different parts of the globe to identify important lessons in health politics, policy design, and program implementation. A concluding chapter examines the issue of resistance to foreign remedies within the process of U.S. health reform.
1. Israel : partial health care reform as laboratory of ongoing change / David Chinitz and Rachel Meislin -- 2. Change and continuity in Dutch health care : origins and consequences of the 2006 health insurance reforms / Kieke G.H. Okma and Hans Maarse -- 3. Reform and re-reform of the New Zealand system / Toni Ashton and Tim Tenbensel -- 4. Health care reforms in Singapore / Meng-Kin Lim -- 5. Consumer-driven versus regulated health insurance in Switzerland / Luca Crivelli and Iva Bolgiani -- 6. Taiwan's national health insurance system : high value for the dollar / Tsung-Mei Cheng -- Conclusions : debates, reforms, and policy adjustments / Kieke G.H. Okma and Luca Crivelli
Two towering figures in the field of health care policy analysis, Theodore R. Marmor and Rudolf Klein, reflect on a lifetime of thought in this wide-ranging collection of essays published in the wake of President Obama’s health care reform. Presented as a kind of dialogue between the two, the book offers their recent writings on the future of Medicare; universal health insurance; conflicts of interest among physicians, regulators, and patients; and many other topics.
The aging of society is a growing concern in all advanced nations, and at the forefront of concern is long-term care for frail older people. Enactment of a new public long-term care insurance program by the Japanese government in 1997 provided an excellent opportunity for a conference focusing on an ideal long-term care system for frail older people. The conference was organized around four major themes: Social aspects, including family dynamics and the role of formal providers; Clinical aspects, including effective treatments for physical and mental disabilities; Macroeconomic and macropolitical settings for public policy; Program design and management issues. With contributions from the fields of medicine, nursing, social work, gerontology, political science, economics, and sociology, this volume provides an overview of key problems and possible solutions in programs for frail older people from a unique international perspective.