Reforming Our Nation S Health Care System
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Health Reforms Across The World The Experience Of Twelve Small And Medium Sized Nations With Changing Their Healthcare Systems
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Author : Kieke G Okma
language : en
Publisher: World Scientific
Release Date : 2020-02-24
Health Reforms Across The World The Experience Of Twelve Small And Medium Sized Nations With Changing Their Healthcare Systems written by Kieke G Okma and has been published by World Scientific this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-02-24 with Medical categories.
This book presents the health reform experiences over the past three decades of twelve small and medium-sized nations that are not often included in international comparative studies in this field. The major conclusion of the study is that despite many similarities in policy goals, policy challenges and in the menu of policy options for countries that seek to offer universal coverage to their population, the health reforms of the nations in this book did not converge into one direction or model. However, we found several widespread policy experiences that are relevant for others, too.For example, user fees are unpopular everywhere. Governments often try to soften the consequences by exempting large groups of users, thus largely defeating the very purpose of those fees.As a second example, the introduction of new payment modes for medical care — like the shift from fee for service to case-based payment — took much longer than originally expected everywhere, and also failed to deliver their promises of improved transparency or efficiency gains A third example is that proposals are for universal coverage often ignore the challenges of implementing new financing models that elsewhere took decades if not centuries to develop.The conclusions contain both empirical findings and theoretical conclusions of interest to policy-makers and scholars of international comparison. It is accessible for academics, healthcare managers and students as well as a wider audience of readers interested in the changes in healthcare across the world.
Reforming Our Nation S Health Care System
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Author : United States. Congress. Senate. Committee on Labor and Human Resources
language : en
Publisher:
Release Date : 1985
Reforming Our Nation S Health Care System written by United States. Congress. Senate. Committee on Labor and Human Resources and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1985 with Medical care categories.
Six Countries Six Reform Models
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Author : Kieke G. H. Okma
language : en
Publisher: World Scientific
Release Date : 2009
Six Countries Six Reform Models written by Kieke G. H. Okma and has been published by World Scientific this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009 with Medical categories.
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
Reforming Health Care In The United States Germany And South Africa
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Author : Susan Giaimo
language : en
Publisher: Springer
Release Date : 2016-04-29
Reforming Health Care In The United States Germany And South Africa written by Susan Giaimo and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-04-29 with Social Science categories.
As countries confront new health care challenges in the 21st century, their health care systems reflect the problems and political settlements of an earlier age. Meeting these new challenges requires reform of existing health care system arrangements while reconciling the goals of equitable access to quality care at an affordable price. This book compares health care reforms in industrialized nations and the Global South to uncover the similarities and differences in their problems and solutions. It examines the struggle over the Affordable Care Act and its alternatives in the United States, major health care reforms in Germany in the new century, and South Africa's efforts to combat AIDS and construct a comprehensive health care system for all. These particular reforms reflect the underlying configuration of politics in each country.
Healthcare Reform Quality And Safety
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Author : Jeffrey Braithwaite
language : en
Publisher: CRC Press
Release Date : 2017-03-02
Healthcare Reform Quality And Safety written by Jeffrey Braithwaite and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-03-02 with Political Science categories.
This book offers a global perspective on healthcare reform and its relationship with efforts to improve quality and safety. It looks at the ways reforms have developed in 30 countries, and specifically the impact national reform initiatives have had on the quality and safety of care. It explores how reforms drive quality and safety improvement, and equally how they act to negate such goals. Every country included in this book is involved in a reform and improvement process, but each takes place in a particular social, cultural, economic and developmental context, leading to differing emphases and varied progress. Methods for tackling common problems - financing, efficiencies, effectiveness, evidence-based practice, institutional reforms, quality improvement, and patient safety initiatives - also differ. Representatives from each nation provide a chapter to convey their own situation. The editors draw a conclusion from these numerous contributions and synthesize the themes emerging into a coherent ’lessons learned’ summary that delivers value to the numerous stakeholders. Healthcare Reform, Quality and Safety forms a compendium of the current ’state of the art’ in global healthcare reform. This is the first book of its type, and offers a unique opportunity for cross-fertilization of ideas to the mutual benefit of countries involved in the project. The content will be of interest to governments, policymakers, managers and leaders, clinicians, teaching academics, researchers and students.
The Truth About Health Care
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Author : David Mechanic
language : en
Publisher: Rutgers University Press
Release Date : 2006-08-04
The Truth About Health Care written by David Mechanic and has been published by Rutgers University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006-08-04 with Political Science categories.
The United States spends greatly more per person on health care than any other country but the evidence shows that care is often poor and inappropriate. Despite expenditures of 1.7 trillion dollars in 2003, and growing substantially each year, services remain fragmented and poorly coordinated, and more than 46 million people are uninsured. Why can't America, with its vast array of resources, sophisticated technologies, superior medical research and educational institutions, and talented health care professionals, produce higher quality care and better outcomes? In The Truth about Health Care, David Mechanic explains how health care in America has evolved in ways that favor a myriad of economic, professional, and political interests over those of patients. While money has always had a place in medical care, "big money" and the quest for profits has become dominant, making meaningful reforms difficult to achieve. Mechanic acknowledges that railing against these influences, which are here to stay, can achieve only so much. Instead, he asks whether it is possible to convert what is best about health care in America into a well functioning system that better serves the entire population. Bringing decades of experience as an active health policy participant, researcher, teacher, and consultant to the public and private sectors, Mechanic examines the strengths and weaknesses of our system and how it has evolved. He pays special attention to areas often neglected in policy discussions, such as the loss of public trust in medicine, the tragic state of long-term care, and the relationship of mental health to health care. For anyone who has been frustrated by uncoordinated health networks, insurance denials, and other obstacles to obtaining appropriate care, this book will provide a refreshing and frank look at the system's current and future dilemmas. Mechanic's thoughtful roadmap describes how health plans, healthcare professionals, policymakers, and consumer groups can work together to improve access, quality, fairness, and health outcomes in America. About the Author:
Reforming The Health Care Market
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Author : David F. Drake
language : en
Publisher: Georgetown University Press
Release Date : 1994-09-19
Reforming The Health Care Market written by David F. Drake and has been published by Georgetown University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 1994-09-19 with Medical categories.
Examining the health care market in a historical framework, Drake analyzes the forces and events that have shaped American health care in the twentieth century and sheds new light on why and how our health care system has dampened competitive market forces and failed to provide sound value for much of our health care expenditures. He examines the roles that physicians, hospitals, insurance companies, businesses, individual consumers, and government legislation have played in creating a provider-dominated market in which the cost of care has been concealed from consumers. Comparing U.S. health care expenditures with those of other developed countries, he concludes that a significant part of our health care problem is the style of medicine practiced in the United States, which is much more specialized and high tech than in other developed nations. Drake develops proposals for health care financing reform that consider the political and economic difficulties involved. He first examines the Clinton health care reform plan and makes specific recommendations for revisions that would improve its likelihood of controlling costs. He then offers an alternative proposal that would both maintain the principle of universal, noncancelable coverage and eliminate the flaws in the market for health care services by giving consumers a financial stake in cost containment. This timely argument, combining economic and historical analysis with thoughtful consideration of the motivating humanitarian and political concerns, will be of interest to everyone seeking to understand and to reform our ailing health care system.
Evidence Based Medicine And The Changing Nature Of Health Care
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2008-09-06
Evidence Based Medicine And The Changing Nature Of Health Care written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008-09-06 with Medical categories.
Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.
The Challenge To Change
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Author : Rebecca Kolins Givan
language : en
Publisher: Cornell University Press
Release Date : 2016-08-19
The Challenge To Change written by Rebecca Kolins Givan and has been published by Cornell University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-08-19 with Business & Economics categories.
There is constant pressure on hospitals to improve health care delivery and increase cost effectiveness. New initiatives are the order of the day in the dramatically different health care systems of the United States and Great Britain. Often, as we know all too well, these efforts are not successful. In The Challenge to Change, Rebecca Kolins Givan analyzes the successes and failures of efforts to improve hospitals and explains what factors make it likely that the implementation of reforms will rewarded by positive transformation in a particular institution’s day-to-day operation. Givan’s in-depth qualitative case studies of both top-down initiatives and changes first suggested by staff on the front lines of care point clearly to the importance of all hospital workers in effecting change and even influencing national policy. Givan illuminates the critical role of workers, managers, and unions in enabling or constraining changes in policies and procedures and ensuring their implementation. Givan spotlights an Anglo-American model of hospital care and work organization, even while these countries retain their differences in access and payment. Entrenched professional roles, hierarchical workplace organization, and the sometimes-detached view of policymakers all shape the prospects for change in hospitals. Givan provides important examples of how the dedication and imagination of the people who work in hospitals can make all the difference when it comes to providing quality health care even in a challenging economic environment.
Health Care Reform Around The World
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Author : Andrew Twaddle
language : en
Publisher: Bloomsbury Publishing USA
Release Date : 2002-06-30
Health Care Reform Around The World written by Andrew Twaddle and has been published by Bloomsbury Publishing USA this book supported file pdf, txt, epub, kindle and other format this book has been release on 2002-06-30 with Medical categories.
Health care reforms around the world—from Europe and North America to Africa, Latin America and Asia—seem to all be market-oriented reforms driven by international business interests and right wing political parties. There seems to be a sudden and broad concern with the efficiency of medical care, with the assertion that democratically or professionally run systems are inherently inefficient. Far less concern is evident for the more traditional values held regarding medical care, effectiveness (or quality) and equity. The fact is that we have little good cross-national research that systematically addresses the reform issue. This book addresses that problem, and attempts to look at health care reforms in a number of countries, representing as wide a spectrum as possible, and using a common conceptual framework that allows for comparable information to be gathered and presented on each, despite differing levels of socio-economic development. The authors agreed on a set of models that were thought to provide reasonable guidance in answering the questions of the source of pressures for reform, the alternative modes of organization that have been found in the world in recent years, and the direction of change among those alternatives.