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Public and private roles in health care systems : reform experience in seven OECD countries / Claudia Scott.

Van Pelt Library RA395.O28 S36 2001
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Format:
Book
Author/Creator:
Scott, Claudia, 1945-
Series:
State of health series
Language:
English
Subjects (All):
Medical policy--OECD countries.
Medical policy.
Medical economics--OECD countries.
Medical economics.
Health care reform--OECD countries.
Health care reform.
OECD countries.
Physical Description:
x, 184 pages : illustrations ; 23 cm.
Place of Publication:
Buckingham [England] ; Philadelphia : Open University Press, 2001.
Contents:
Health outcomes 6
Health policy goals 9
Efficiency 9
Cost containment 10
Equity 11
Choice 13
2 Public and private roles in health care 17
The funding role 18
The purchasing role 20
The provider role 21
The ownership and regulatory roles 22
Regulation 22
Ownership 24
Market failure in health care 25
Public goods 26
Externalities 27
Insurance markets 27
Provider markets 28
Income distribution 29
Government failure 29
The purchaser-provider split, managed competition and managed care 30
Defining public entitlements 32
Classifying health care systems 35
3 Roles and interfaces: Germany and the Netherlands 38
Germany 39
Public and private roles 40
Proposals for reform 45
System impacts 47
Efficiency 47
Cost containment 48
Equity 49
Choice 50
The Netherlands 51
Public and private roles 52
Proposals for reform 54
System impacts 57
Efficiency 58
Cost containment 59
Equity 60
Choice 60
4 Roles and interfaces: United States, Canada and Australia 63
United States 64
Public and private roles 64
Proposals for reform 70
System impacts 72
Efficiency 72
Cost containment 75
Equity 76
Choice 77
Canada 78
Public and private roles 79
Proposals for reform 83
System impacts 84
Efficiency 84
Cost containment 87
Equity 88
Choice 89
Australia 90
Public and private roles 91
Proposals for reform 96
System impacts 98
Efficiency 98
Cost containment 101
Equity 101
Choice 103
5 Roles and interfaces: United Kingdom and New Zealand 105
United Kingdom 106
Public and private roles 106
Proposals for reform 109
System impacts 115
Efficiency 115
Cost containment 121
Equity 122
Choice 125
New Zealand 127
Public and private roles 128
Proposals for reform 131
System impacts 137
Efficiency 137
Cost containment 140
Equity 141
Choice 142
6 Public policy choices 145
Trends and influences 145
Learning from international experiences 149
Choosing roles and interfaces 151
Funding choices 152
Purchasing choices 153
Providing choices 155.
Notes:
Includes bibliographical references (pages [164]-178) and index.
ISBN:
0335204600
0335204597
OCLC:
45136547

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