Accidental Logics: The Dynamics of Change in the Health Care Arena in the United States, Britain, and Canada / Edition 1

Accidental Logics: The Dynamics of Change in the Health Care Arena in the United States, Britain, and Canada / Edition 1

by Carolyn Hughes Tuohy
     
 

ISBN-10: 0195128214

ISBN-13: 9780195128215

Pub. Date: 05/28/1999

Publisher: Oxford University Press, USA

Health care reform has become one of the most prevalent topics in recent policy discourse within and across nations. In the 1990s, common features of the health care arena elevated the importance of bargaining relationships among large, sophisticated entities as the dominant mode of decision-making, fundamentally challenging the traditional dominance of the medical

…  See more details below

Overview

Health care reform has become one of the most prevalent topics in recent policy discourse within and across nations. In the 1990s, common features of the health care arena elevated the importance of bargaining relationships among large, sophisticated entities as the dominant mode of decision-making, fundamentally challenging the traditional dominance of the medical profession, which had been grounded in individualized "agency" relationships between providers and patients. These developments have played out in varying ways around the globe. Carolyn Hughes Tuohy looks at the experiences of the United States, Britain, and Canada, offering an international comparative study of public policy systems, as well as a recent history of the evolution of each national health care system.
What drives change in health care systems? Why do certain changes occur in some nations and not in others? Tuohy argues that the answer lies in understanding the "accidents" of history that have shaped national systems at critical moments and in the distinctive "logics" of these systems. Her study carefully delineates both the common logic of the health care arena, deriving from micro-economic characteristics and technological change, and the particular logics of national systems, put in place by specific episodes of policy change. She goes on to explore how in the wake of these episodes, the mixed market in the United States, hierarchical corporatism in Britain, and the single-payer system in Canada determined the subsequent direction and pace of change in all three countries. Finally, Tuohy provides suggestions to guide the strategic judgments that decision-makers must make within the health care system of each country. Accidental Logics uniquely departs from the descriptive literature currently available by presenting an extensive review of the evidence regarding the evolution of the health care arenas in the United States, Britain, and Canada, integrated within an explanatory framework. It is essential up-to-date reading for political scientists working in comparative politics and public policy, health policy analysts, government agency officials, and students in political science, health policy, and administration programs.

Read More

Product Details

ISBN-13:
9780195128215
Publisher:
Oxford University Press, USA
Publication date:
05/28/1999
Edition description:
New Edition
Pages:
328
Product dimensions:
9.10(w) x 6.30(h) x 1.20(d)
Lexile:
1560L (what's this?)

Table of Contents

Introduction
Ch. 1. Understanding the Dynamics of Change in the Health Care Arena
Part I: Episodes of Policy Change
Ch. 2. The Establishment of the Welfare State in the Health Care Arena
Ch. 3. The Reforms of the 1990s
Ch. 4. Ideas, Institutions, Interests, and Actors and the Accidents of Policy Episodes
Part II: The Distinctive Logics of National Systems
Ch. 5. The US: The Logic of the Mixed Market
Ch. 6. Britain: The Logic of Corporatism Meets the Internal Market
Ch. 7. Canada: The Logic of the Single-Payer System
Ch. 8. Conclusion
References
Index

Customer Reviews

Average Review:

Write a Review

and post it to your social network

     

Most Helpful Customer Reviews

See all customer reviews >