Implementing Planned Markets in Health Care (State of Health Series): Balancing Social and Economic Responsibilities

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What lessons can be learned from the health reform process to date? What direction will future health reforms take in the industrialized world? Implementing Planned Markets in Health Care brings together an international team of experts to address these important questions. Drawing on experiences in Northern Europe and the United States, it examines the key concepts behind the present push toward health reform in the industrialized world: contracting and solidarity, contestable v. competitive markets, the role of...
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Overview

What lessons can be learned from the health reform process to date? What direction will future health reforms take in the industrialized world? Implementing Planned Markets in Health Care brings together an international team of experts to address these important questions. Drawing on experiences in Northern Europe and the United States, it examines the key concepts behind the present push toward health reform in the industrialized world: contracting and solidarity, contestable v. competitive markets, the role of vouchers, and physicians' clinical autonomy. Also included are case studies of planned market approaches based on contracts, patient choice, and on quality of care. The book concludes with a broad comparative assessment of the main themes and points towards the most likely developments in future planned market models of health care.

Examines contracting & solidarity/contestable v. competitive markets/the role of vouchers/physicians' clinical autonomy.

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Editorial Reviews

Booknews
Presents a variety of perspectives on the accomplishments and dilemmas of planned markets for medical care either implemented or proposed in Britain, Sweden, Finland, the Netherlands, Austria, and the US, primarily considering the broad conceptual notions that underlie them. Empirically and conceptually reviews the political issues in designing and introducing a system of contracted medical services, the trade-offs between incentives and accountability to increase efficiency, and the practical challenges of constructing entrepreneurial providers. The 11 papers are revised from presentations at a September 1993 workshop in Stockholm. Distributed by Taylor & Francis. Annotation c. Book News, Inc., Portland, OR (booknews.com)
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Product Details

  • ISBN-13: 9780335194261
  • Publisher: Universal Press
  • Publication date: 6/28/1995
  • Series: State of Health Series
  • Format: Library Binding
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 260

Table of Contents

Series editor's introduction
Acknowledgements
List of contributors
Introduction 1
1 Contracting and the purchaser-provider split 25
2 Contracting and solidarity: Market-oriented changes in Dutch health insurance schemes 45
3 Regulation of planned markets in health care 65
4 Contracting and political boards in planned markets 86
5 Costs, productivity and financial outcomes of managed care 113
6 Vouchers in planned markets 134
7 Clinical autonomy and planned markets: The British case 156
8 Self-governing Trusts and GP fundholders: The British experience 177
9 Implementing planned markets in health services: The Swedish case 209
10 Competitive hospital markets based on quality: The case of Vienna 227
11 Balancing social and economic responsibility 239
Index 252
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