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Health Care Systems in Transition
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Health Care Systems in Transition
An International Perspective

Edited by:

November 1998 | 440 pages | SAGE Publications, Inc

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 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.

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.


 
PART ONE: INTRODUCTION
Albert F Wessen
The Comparative Study of Health Care Reform
David Mechanic
Lessons from Abroad
A Comparative Perspective  
Mark Field
Comparative Health Systems and the Convergence Hypothesis
The Dialectics of Universalism and Particularism  
 
PART TWO: THE GERMAN EXPERIENCE
Christa Altenstetter
From Solidarity to Market Competition
Values, Structure and Strategy in German Health Policy 1883-1997  
Bradford Kirkman-Liff
Health Care Cost Containment in Germany
Bradley Scharf
Germany Unity and Health Care Reform
 
PART THREE: THE CANADIAN EXPERIENCE
Catherine Charles and Robin Badgley
Canadian National Health Insurance
Evolution and Unresolved Policy Issues  
Catherine Fooks
Will Power, Cost Control and Health Reform in Canada, 1987-1992
Francois Béland
Preventive and Primary Care Access Systems
CLSCs as Neighborhood and Social Service Centers in Quebec  
 
PART FOUR: THE SWEDISH EXPERIENCE
Ellen Immergut
Historical and Institutional Foundations of the Swedish Health Care System
Richard Saltman
Evolving Roles of the National and Regional Governments in the Swedish Health Care System
Casten von Otter
Cost Control in the Swedish Health Sector
 
PART FIVE: THE BRITISH EXPERIENCE
Patricia Day and Rudolf Klein
Britain's Health Care Experiment
John Appleby
The Reforms of the British National Health Service
Donald W Light
Policy Lessons from the British Health Care System
 
PART SIX: HEALTH CARE REFORM: TOWARD A SYNTHESIS
Albert F Wessen
Structural Differences and Health Care Reform
Francis D Powell
Patterns of Health Care System Change

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