Skip to content

Download Accidental Logics: The Dynamics of Change in the Health Care by Carolyn Hughes Tuohy PDF

By Carolyn Hughes Tuohy

What drives swap in well-being care structures? Why do definite alterations take place in a few international locations and never in others? writer Carolyn Hughes Tuohy argues that the reply lies in realizing the "accidents" of historical past that experience formed nationwide structures at severe moments, and within the exact "logics" of those platforms. Tuohy appears to be like on the reports of england, Canada, and the U.S., delivering a global comparative research of public coverage structures, in addition to a up to date historical past of the conditions in every one state that experience impacted at the constructions of each's nationwide health and wellbeing care procedure. The guiding concentration of the e-book is Tuohy's research of determination making structures in each one nation, taking a look at the choices made via those that offer, finance, and use well-being care companies. eventually, Tuohy studies present matters within the overall healthiness care arenas of those 3 international locations and offers feedback to lead the strategic judgments that decision-makers needs to make.

Show description

Read 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's Forgotten Pandemic: The Influenza of 1918, 2nd edition

Among August 1918 and March 1919 the Spanish influenza unfold around the globe, claiming over 25 million lives, extra humans than these perished within the struggling with of the 1st global battle. It proved deadly to at the very least a half-million americans. but, the Spanish flu pandemic is essentially forgotten this day. during this brilliant narrative, Alfred W.

Dark Victory: The United States and Global Poverty (Transnational Institute)

A critique of why 3rd international poverty is so commonly used. starvation and malnutrition stalk the nations of the South. during the last two decades, because the populations of those international locations have elevated, so too has mass poverty. during this serious research of Western relief giving, Bello bargains a pursuasive argument that re-colonization of the 3rd global has been conducted during the organisations of the overseas Banks.

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

Example text

Until the reforms of the 1990s there was very little potential for competition among providers. Patients enrolled with a local GP, from whom they received all primary care and who functioned as the gatekeeper to the consultant and hospital sector. The private system (oriented primarily to certain "niche" areas of 28 Understanding the Dynamics of Change in the Health Care Arena practice such as hip and knee replacements) operated in parallel to the public system—by paying private fees, individuals could avail themselves of privately provided alternatives to publicly funded services.

For much of the twentieth century the overall pattern of the production of health care services was little more than the aggregate of decisions made by autonomous physicians in their local hospitals and practices, although both small-scale private practice and systems of collegial decision-making were threatened by the rise of large private hierarchical organizations in the 1970s and 1980s (Starr 1982; Salmon 1994). In addition, the heavy reliance on market mechanisms meant that attempts to control medical behavior increasingly took the form of explicit contractual arrangements.

Canadian medicare essentially froze in place the health care delivery system that existed in the 1960s, in which, as at that time in the United States, the distribution of health care was determined by the decisions of independent medical practitioners subject to the norms of the professional group. The federal legislation establishing the medicare program set very broad parameters, requiring that provincial programs, in order to qualify for federal financial contributions, conform to five principles— universality, comprehensiveness, accessibility, portability, and public administration.

Download PDF sample

Rated 4.90 of 5 – based on 5 votes