Health Care Systems In Transition / Edition 1

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Overview

Can the United States learn from other health care systems? This is the question Francis D. Powell and Albert F. Wessen and their colleagues address in this new volume on comparative health care systems. Health Care Systems in Transition presents a framework for examining and comparing health care reform, as well as attempts in Germany, Canada, Sweden, and Great Britain to maximize their populations' health through efforts involving such factors as access to care, cost containment, and national payment programs.

The editors begin by offering guidelines for comparing health care reforms, exploring the issues and components of health care reform and the kinds of challenges reform will continue to face in the United States. The next four sections examine health care and efforts toward reform abroad. The final section considers how structural differences in health care systems may impact efforts at reform and how national reform measures in the countries studied might be reflected in regional and state programs in the United States.

Health Care Systems in Transition will prove invaluable reading for scholars, administrators, and students in health care policy, public health, health services administration and research, public administration, and political science.

The book contains black-and-white illustrations.

Can the United States learn from other health care systems? This is the question Francis D. Powell and Albert F. Wessen and their colleagues address in this new book on comparative health care systems. Health Care Systems in Transition presents a framework for examining and comparing health care reform, as well as attempts in Germany, Canada, Sweden, and Great Britain to maximize their populations’ health through efforts involving such factors as access to care, cost containment, and national payment programs. The editors begin by offering guidelines for comparing health care reforms, exploring the issues and components of health care reform and the kinds of challenges reform will continue to face in the United States. The next four sections examine health care and attempts at health care reform in Germany, Canada, Sweden, and Great Britain. The final section considers how structural differences in health care systems may impact efforts at reform and how national reform measures in the countries studied might be reflected in regional and state programs in the United States.

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Editorial Reviews

Eugene C. Rich
This multiauthored book analyzes the healthcare systems of Germany, Canada, Sweden, and Great Britain. Three introductory chapters reflect on the comparative study of healthcare systems and healthcare reform. Following this introduction are four sections, one each devoted to the German, Canadian, Swedish, and British experiences with healthcare. A concluding section presents two chapters by the editors identifying common themes and patterns of healthcare system change. The purpose is the analysis of the healthcare systems, stressing unique ways in which each country has responded to common problems facing all contemporary health systems. Healthcare policy makers, health services researchers, as well as healthcare administration and health profession educators interested in understanding the healthcare systems and healthcare reform processes of industrialized countries. Particularly helpful are the four sections devoted to different national health systems. Each includes three chapters written by different contributors who provide different perspectives. There are also several excellent chapters describing the context for recent reforms for several of these countries, as well as insightful assessments of these reforms. This is a very helpful book for those interested in understanding the history and recent reforms of the healthcare systems of other industrialized nations. While the original impetus for this book came from an international conference held in October of 1993, the contributors and editors have updated the material nicely. Nonetheless, some chapters are somewhat dated, an almost inevitable problem given the rapid changes in healthcare technology and health system reform.Those interested in the most current information on international trends in the organization and financing of healthcare may wish to turn to the May/June 1999 Health Affairs which reports on international health reform in Canada, Great Britain, Germany, and elsewhere.
Booknews
Presents a framework for examining and comparing health care reform and looks at lessons to be learned from the ways in which Germany, Canada, Sweden, and Great Britain have attempted to maximize their populations' health through efforts involving such factors as access to care, cost containment, and national payment programs. Considers how structural differences in health care systems may impact efforts at reform and how national reform measures in countries studied might be reflected in regional and state programs in the US. Material originated from an October 1993 conference held in Boston. Annotation c. by Book News, Inc., Portland, Or.
Doody's Review Service
Reviewer: Eugene C. Rich, MD (Creighton University Medical Center)
Description: This multiauthored book analyzes the healthcare systems of Germany, Canada, Sweden, and Great Britain. Three introductory chapters reflect on the comparative study of healthcare systems and healthcare reform. Following this introduction are four sections, one each devoted to the German, Canadian, Swedish, and British experiences with healthcare. A concluding section presents two chapters by the editors identifying common themes and patterns of healthcare system change.
Purpose: The purpose is the analysis of the healthcare systems, stressing unique ways in which each country has responded to common problems facing all contemporary health systems.
Audience: Healthcare policy makers, health services researchers, as well as healthcare administration and health profession educators interested in understanding the healthcare systems and healthcare reform processes of industrialized countries.
Features: Particularly helpful are the four sections devoted to different national health systems. Each includes three chapters written by different contributors who provide different perspectives. There are also several excellent chapters describing the context for recent reforms for several of these countries, as well as insightful assessments of these reforms.
Assessment: This is a very helpful book for those interested in understanding the history and recent reforms of the healthcare systems of other industrialized nations. While the original impetus for this book came from an international conference held in October of 1993, the contributors and editors have updated the material nicely. Nonetheless, some chapters are somewhat dated, an almost inevitable problem given the rapid changes in healthcare technology and health system reform. Those interested in the most current information on international trends in the organization and financing of healthcare may wish to turn to the May/June 1999 Health Affairs which reports on international health reform in Canada, Great Britain, Germany, and elsewhere.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780761910817
  • Publisher: SAGE Publications
  • Publication date: 9/1/1998
  • Edition number: 1
  • Pages: 444
  • Product dimensions: 6.00 (w) x 9.00 (h) x 1.13 (d)

Table of Contents

Preface
Pt. I Introduction
1 The Comparative Study of Health Care Reform 3
2 Lessons From Abroad: A Comparative Perspective 25
3 Comparative Health Systems and the Convergence Hypothesis: The Dialectics of Universalism and Particularism 35
Pt. II The German Experience
4 From Solidarity to Market Competition? Values, Structure, and Strategy in German Health Policy, 1883-1997 47
5 Health Care Cost Containment in Germany 89
6 German Unity and Health Care Reform 101
Pt. III The Canadian Experience
7 Canadian National Health Insurance: Evolution and Unresolved Policy Issues 115
8 Will Power, Cost Control, and Health Reform in Canada, 1987-1992 151
9 Preventive and Primary Care Access Systems: CLSCs as Neighborhood and Social Service Centers in Quebec 173
Pt. IV The Swedish Experience
10 Historical and Institutional Foundations of the Swedish Health Care System 201
11 Evolving Roles of the National and Regional Governments in the Swedish Health Care System 243
12 Cost Control in the Swedish Health Sector 255
Pt. V The British Experience
13 Britain's Health Care Experiment 281
14 The Reforms of the British National Health Service 305
15 Policy Lessons From the British Health Care System 327
Pt. VI Health Care Reform: Toward a Synthesis
16 Structural Differences and Health Care Reform 369
17 Patterns of Health Care System Change 393
Index 414
About the Editors 423
About the Contributors 424
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