Critical Challenges for Health Care Reform

Overview

This volume explores the central issues driving the present process of healthcare reform in Europe. More than 30 scholars and policy makers from all parts of Europe draw together the available evidence from epidemiology and public health, economics, public policy, organizational behavior and management theory as well as real world policy making experience, to lay out the options that health sector decision-makers confront. Through its cross-disciplinary, cross-national approach, the book highlights the underlying...
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Overview

This volume explores the central issues driving the present process of healthcare reform in Europe. More than 30 scholars and policy makers from all parts of Europe draw together the available evidence from epidemiology and public health, economics, public policy, organizational behavior and management theory as well as real world policy making experience, to lay out the options that health sector decision-makers confront. Through its cross-disciplinary, cross-national approach, the book highlights the underlying trends that now influence health policy formulation across Europe. An authoritative introduction provides a broad synthesis of present trends and strategies in European health policy.
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Editorial Reviews

Booknews
A selection of 17 revised background papers commissioned by the World Health Organization Regional Office for Europe as part of an analysis of the challenges confronting national health policy decision makers in the second half of the 1990s. They contributed to policy recommendations made at the 1996 WHO conference in Ljubljana. They explore such avenues as macroeconomic constraints and health challenges, demand-side strategies such as balancing competition and solidarity in financing health care, and patient cost sharing; supply- side strategies such as contracting models and provider competition, and regulating expenditures on medicines; the roles of the state, citizens, and society; and implementing reform. A conclusion assesses the evidence presented. Distributed in the US by Taylor and Francis. Annotation c. by Book News, Inc., Portland, Or.
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Product Details

  • ISBN-13: 9780335199716
  • Publisher: Open University Press
  • Publication date: 6/28/1998
  • Series: State of Health Series
  • Format: Library Binding
  • Pages: 424
  • Product dimensions: 5.62 (w) x 8.81 (h) x 1.28 (d)

Table of Contents

Series editor's introduction
Foreword
Acknowledgements
List of contributors
Introduction 1
Pt. I The Context for Health Reform 21
1 Macroeconomic constraints and health challenges facing European health systems 23
Pt. II Demand-Side Strategies 53
2 Balancing competition and solidarity in health care financing 55
3 The appropriate role for patient cost sharing 78
4 Priority setting and rationing health services 113
5 Reforming public health services 135
Pt. III Supply-Side Strategies 155
6 Contracting models and provider competition 157
7 The allocation of capital and health sector reform 179
8 Performance-tied payment systems for physicians 196
9 Finance operating costs for acute hospital services 218
10 Changing hospital systems 236
11 Regulating expenditure on medicines in European Union countries 261
Pt. IV On State, Citizen and Society 287
12 The role of the state in health care reform 289
13 Optimal balance of centralized and decentralized management 308
14 Citizen participation and patient choice in health reform 325
15 Values, norms and the reform of health care systems 339
Pt. V Implementing Health Reform 363
16 Implementing health care reform: A framework for discussion 365
17 Implementing health care reform: A review of current experience 385
Assessing the evidence 400
Index 409
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