By Carolyn Hughes Tuohy

What drives switch in overall healthiness care structures? Why do sure alterations ensue in a few international locations and never in others? writer Carolyn Hughes Tuohy argues that the reply lies in figuring out the "accidents" of heritage that experience formed nationwide structures at serious moments, and within the exact "logics" of those structures. Tuohy seems to be on the reviews of england, Canada, and the USA, supplying a world comparative learn of public coverage structures, in addition to a contemporary historical past of the situations in every one nation that experience impacted at the buildings of each's nationwide health and wellbeing care method. The guiding concentration of the booklet is Tuohy's learn of choice making structures in each one kingdom, taking a look at the choices made through those that supply, finance, and use future health care prone. eventually, Tuohy studies present concerns within the healthiness care arenas of those 3 international locations and offers feedback to steer the strategic judgments that decision-makers needs to make.

Show description

Read Online or Download Accidental Logics: The Dynamics of Change in the Health Care Arena in the United States, Britain, and Canada PDF

Similar american studies books

America and the political philosophy of common sense

From Aristotle to Thomas Jefferson, seminal thinkers have declared 'common feel' crucial for ethical discernment and civilized residing. but the tale of common-sense philosophy isn't really popular this day. In "America and the Political Philosophy of universal Sense", Scott Segrest strains the background and explores the private and social that means of good judgment as understood particularly in American notion and as mirrored in particular within the writings of 3 paradigmatic thinkers: John Witherspoon, James McCosh, and William James.

John Adams (United States Presidents)

An easy biography of the second one president of the U.S., from his youth and schooling in Massachusetts to his marriage to Abigail Smith and his position within the country's early background.

Why Not Parties?: Party Effects in the United States Senate

Fresh learn at the U. S. condominium of Representatives principally makes a speciality of the results of partisanship, however the strikingly much less common experiences of the Senate nonetheless are likely to deal with events as secondary issues in a chamber that provides its contributors way more person leverage than congressmen have. based on the hot bring up in senatorial partisanship, Why now not events?

Additional resources for Accidental Logics: The Dynamics of Change in the Health Care Arena in the United States, Britain, and Canada

Example text

In Scandinavia, collegial elements were retained within the state system, and the effect of the growing role of the state was not so much to constrain the exercise of professional influence as it was to shift the balance of power within the medical profession itself (Erichsen 1995). In Spain, on the other hand, reforms in the 1980s that drew the system closer to the state hierarchical model reduced substantially the role of professional bodi and the influence of the medical profession (Rodriguez 1995:156-58).

Within broad budgetary parameters established by provincial governments, physicians have been central to decision-making systems at various levels from central joint profession-government "management" committees at the provincial level, to the level of autonomously constituted hospital medical staffs, to the level of independent individual medical practices. Professionally dominated collegial mechanisms, that is, not only survived the introduction of state-sponsored health insurance, but they were also reinforced Understanding the Dynamics of Change in the Health Care Arena 31 and supplemented by other mechanisms.

Second, the state could seek to regulate providers, establishing rules to gov- Understanding the Dynamics of Change in the Health Care Arena 17 em behavior—an essentially hierarchical response. Cross-nationally, physicians are indeed subject to the control of state-sanctioned regulatory bodies. But state actors themselves face information gaps in regulating the behavior of professional groups such as physicians. Accordingly a third way—which in fact characterizes most state-sanctioned systems for the regulation of medical professionals—is self-regulation: placing the control of medical behavior essentially in the hands of the professional group itself.

Download PDF sample

Rated 4.23 of 5 – based on 38 votes