Reforming The Health Care System
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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.
Six Countries Six Reform Models The Healthcare Reform Experience Of Israel The Netherlands New Zealand Singapore Switzerland And Taiwan Healthcare Reforms Under The Radar Screen
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Author : Kieke G Okma
language : en
Publisher: World Scientific
Release Date : 2009-12-23
Six Countries Six Reform Models The Healthcare Reform Experience Of Israel The Netherlands New Zealand Singapore Switzerland And Taiwan Healthcare Reforms Under The Radar Screen 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 2009-12-23 with Medical categories.
This book presents the healthcare reform experiences of six small- to mid-sized, but dynamic, economies spanning the Asia-Pacific, the Middle East and Europe. Usually not given serious consideration in major international comparisons because of their small size, each in fact provides a fascinating case study that illuminates the understanding of the dynamics of healthcare reform. Although dissimilar in historical and cultural backgrounds, they share some important features: all faced very similar pressures for change in the 1970s and 1980s; all considered a very similar range of policy options; and all did not only discuss but actually implemented fundamental changes in their healthcare funding, organization, contracting and governance structures with strikingly different outcomes.All of the authors have lived and worked in one or more of the countries studied in this volume. The analytic frameworks they use reflect their broad range of professional and disciplinary backgrounds in health economics and political science. Beyond mere descriptions of reform processes and superficial analyses based on aggregate data from the usual OECD or WHO sources, they seek to understand — and explain — the variations in country experiences by examining the politico-socio-economic factors driving health reform as seen through the respective country lenses. In coming together in this unique international collaboration, they make an important contribution to the growing field of international comparative health policy studies.Contributors: Tsung-Mei Cheng (Princeton University, USA), David Chinitz (The Hebrew University of Jerusalem, Israel), Luca Crivelli and Iva Bolgiani (University of Lugano, Switzerland), Meng-Kin Lim (National University of Singapore, Singapore), Kieke G H Okma and Hans Maarse (Maastricht University, The Netherlands), Toni Ashton and Tim Tenbensel (University of Auckland, New Zealand).
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 China S Healthcare System
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Author : China Development Research Foundation
language : en
Publisher: Routledge
Release Date : 2017-10-16
Reforming China S Healthcare System written by China Development Research Foundation and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-10-16 with Social Science categories.
Although China’s new healthcare reform, launched in 2009, has achieved remarkable results in improving China’s medical and healthcare system, it is recognised that there is still room for further improvement. This is especially important as China’s population ages, the prevalence of chronic diseases increases and environment-related health risks worsen. This book reports on a major international research project which examined health trends, modes of health promotion, health finance systems, medical and healthcare innovations and environment-related health risks in China. For each of these key areas, the book considers the current situation in China and likely future trends, explores best practice from a wide range of foreign countries and puts forward proposals for improvements. Overall, the book provides a major assessment of China’s medical and healthcare system and how it should be reformed.
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.
Implementing Change In Health Systems
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Author : Michael I Harrison
language : en
Publisher: SAGE
Release Date : 2004-03-27
Implementing Change In Health Systems written by Michael I Harrison and has been published by SAGE this book supported file pdf, txt, epub, kindle and other format this book has been release on 2004-03-27 with Medical categories.
Implementing Change in Health Systems brings fresh thinking and evidence to the continuing debate about market reforms of health care and other public services. The book examines the development and implementation of national cost-containment programs and health system reorganizations in the UK, Sweden and the Netherlands countries that have been leaders in health system reform. The book provides a new framework for analyzing public policy implementation and system change, synthesizing diverse streams of academic research and thinking. It explores the processes of implementing market reforms in each country and considers the outcomes, both expected and unintended. In all three countries competitive reform encountered serious technical, organizational and political obstacles. Yet they triggered important system changes and paved the way for significant new health policies. The complex outcomes of the reforms included changes in the quality, efficiency and costs of care growing managerial and political control over physicians and other health care professionals increased influence and centrality of community-based care Diffusion of ideas and practices from business management into health care. Implementing Change in Health Systems sheds new light on crucial policy issues that are currently being debated in the United States and many other countries. The book will be of value to students, researchers, and practitioners in health policy and public policy.
Healthcare Reform In China
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Author : Carine Milcent
language : en
Publisher: Springer
Release Date : 2018-02-14
Healthcare Reform In China written by Carine Milcent and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-02-14 with Business & Economics categories.
How efficient is the Chinese healthcare system? Milcent examines the medication market in China against the global picture of healthcare organization, and how public healthcare insurance plans have been implemented in recent years, as well as reforms to tackle hospital inefficiency. Healthcare reforms, demographic changes and an increase in wealth inequity have altered healthcare preferences, which need to be addressed. Significantly, the patient–medical staff relationship is analysed, with new proposals for different lines of communication. Milcent puts forward digital healthcare in China as a tool to solve inefficiency and rising tensions, and generate profit. Where China is leading in the digitalization of healthcare, other countries can learn important lessons. Chinese social models are also put into context with respect to current reforms and experimentation.
Reforming Healthcare
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Author : Lindsay Lee Pratt
language : en
Publisher: iUniverse
Release Date : 2003-12
Reforming Healthcare written by Lindsay Lee Pratt and has been published by iUniverse this book supported file pdf, txt, epub, kindle and other format this book has been release on 2003-12 with Medical categories.
Wake up America! Have you given any thought to who will be providing your healthcare services in the next decade? Any healthcare delivery system, whether it is a National Health Service, an HMO, or a private delivery system, can offer healthcare services, but only a physician can provide those services. Will replacing the private healthcare delivery system with a National Health Service or with an HMO delivery system attract the best from among our youth into healthcare to become the providers of the public's healthcare services? Over the past three decades, neither Medicare nor the HMO industry have been provider friendly. This book discusses the importance of a private healthcare delivery system to the future quality and availability of the public's healthcare services. Furthermore, it discusses the existing private delivery system's problems and how easily those problems can be corrected by six changes to regulate a private delivery system. Three addenda are discussed: 1. Healthcare price controls. 2. Healthcare is not a business. 3. The HMO: Patients Beware.
Health Care Reform
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Author : Christopher Ham
language : en
Publisher:
Release Date : 1997
Health Care Reform written by Christopher Ham and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1997 with Business & Economics categories.
This book provides an up-to-date review and analysis of health care reform in five countries: Germany, Sweden, the Netherlands, the United Kingdom and the United States. It reviews the experience of introducing competition into the health service as well as policies to strengthen management and change methods of paying hospitals and doctors. The experience of each country is described by experts from the countries concerned. In this lucid introduction, Chris Ham sets out the context of reform, and in the conclusion identifies the emerging lessons. The book provides an authoritative introduction to health care reform in Europe and North America at a time of increasing political and public interest in this field. It has been designed for students of social policy and the full range of health service practitioners on courses of professional training.
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.