Health care and reform in industrialized countries:
Saved in:
| Format: | Book |
|---|---|
| Language: | English |
| Published: |
University Park, Pa.
Pennsylvania State Univ. Press
1997
|
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | XVIII, 303 S. graph. Darst. |
| ISBN: | 0271016205 0271016442 |
Staff View
MARC
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| 245 | 1 | 0 | |a Health care and reform in industrialized countries |c ed. by Marshall W. Raffel |
| 264 | 1 | |a University Park, Pa. |b Pennsylvania State Univ. Press |c 1997 | |
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| 650 | 4 | |a Developed Countries | |
| 650 | 4 | |a Health Care Costs | |
| 650 | 4 | |a Health Care Reform |x organization & administration | |
| 650 | 4 | |a Health insurance |z Developed countries | |
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Record in the Search Index
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|---|---|
| adam_text | Contents
Introduction xi
About the Authors xiii
International Exchange Rates xix
Canada, Peggy Leatt and A. Paul Williams 1
Introduction 1
Canadian Government and Society 2
Evolution of the Canadian Health System 3
Health Costs 5
Physicians 7
Hospitals 12
Dentists, Nurses, and Other Health Practitioners 15
Nursing Homes, Care Homes, Community Ambulatory Care Programs, Mental
Health Facilities, and Other Community Health Agencies 17
Public Health 19
Conclusion 20
Denmark, Allan Krasnik and Signild Vallgdrda 29
Historical Background 29
Medical Practice 31
Hospitals 33
Structure, Organization, and Financing 33
Activities 36
vi Contents
Waiting Times 37
Quality Assurance 37
Medical Education 37
Other Health Practitioners 38
Nursing Homes, Community Ambulatory Care Programs, Mental Health Facilities,
and Other Community Health Agents 39
Mental Health Facilities 39
Other Community Agencies 40
Public Health 40
Health Costs and Health Insurance 41
Conclusions 42
France, Marie Pascal Pomey and Jean Pierre Poullier 49
Geopolitical Considerations 50
Medical Practice: A Patchwork of Different Concepts 52
Unshackling the Hospitals 57
Public Health: Which Way? 61
Medical Education 63
Health Costs and Health Insurance 64
Can Adjustment Be Painless? Is There a Will to Change? 69
Germany, Wolfgang Greiner and J. Matthias Grafv.d. Schulenburg 11
Introduction 77
Financing the Costs of Health Care 78
Health Costs 78
Sickness Funds and Private Health Insurers 80
Providers of Medical Services 83
Ambulatory Care 84
Quality Assurance 87
Inpatient Care 88
Medical Education 91
Physicians 91
Dentists 92
Nurses 92
Care for the Elderly 92
Public Health 94
Conclusion 95
Recent Reforms in Health Care Financing 95
Outlook 96
Japan, Toshitaka Nakahara 105
Introduction 105
General Description 105
A Short History of the Health System 106
The Current Government System 107
Medical Practice 107
Physicians and Their Distribution 107
i Contents vii
j
i
; Private Practitioners 108
Patient Access to Care 109
Hospitals 110
Historical Overview 110
Hospitalization 110
Medical Service Planning and Hospitals 111
General Hospitals 112
Special Hospitals 112
Hospital Licensure and Inspection 113
Hospital Finance and Policy 113
Medical Education 114
Historical Overview 114
Medical Education 115
Graduate Education 115
Medical School Teaching Hospitals 115
Dentists, Nurses, Physicians Assistants, Physical Therapists, and Other Health
Practitioners 116
Dentists 116
Nurses, Midwives, and Public Health Nurses 116
Physical Therapists and Other Health Care Practitioners 117
Nursing Homes, Care Homes, Community Ambulatory Care Programs, Mental
Health Facilities, and Other Community Health Agencies 117
Care Facilities and Community Ambulatory Care Programs for the Aged 117
Mental Health Facilities 118
Other Community Health Agencies 119
Public Health 119
Historical Overview 119
Present Status 121
Ministry of Health and Welfare 121
Prefectural Government and Health Centers 122
City, Town, and Village Governments 123
Community Health Law 123
Grassroots Organizations and Community Participation 124
Health Costs and Health Insurance 124
Social Health Insurance Scheme 124
National Medical Care Expenditure 127
Conclusion 129
Netherlands, J. A. M. (Hans) Maarse 135
Introduction 135
Medical Practitioners 136
Payment of Medical Practitioners 138
The Royal Dutch Medical Association 140
Hospitals 141
Hospital Planning 142
Hospital Funding 143
Hospital Administration 144
Medical Education 145
viii Contents
Other Health Institutions and Health Professionals 146
Health Care Finance 149
Health Care Costs and Health Care Cost Containment 151
Health Care Reform: Toward Managed Competition 152
The Future of Dutch Health Care Reform 155
New Zealand, Claudia D. Scott 163
Introduction 163
Funding and Delivery Arrangements 163
Primary Care 165
Medical Practice 165
Hospitals 167
The National Government s 1991 Health Reforms 168
Implementing the Reforms 170
Service Delivery in the Post Reform Era 173
Medical Education 177
Care for the Elderly 177
Care for the Mentally 111 and Impaired 178
Care of Infants 179
Public Health 179
Analysis of the Reforms 180
Efficiency 180
Equity 181
Choice and the Role of Core Services 181
Conclusion 183
Sweden, Stefan Hdkansson and Sara Nordling 191
Introduction 191
The National Level of Health Care 192
The Regional and Local Levels of Health Care 194
The Health Care System 194
Primary Care 195
Hospital Care 195
Diffusion of High Technologies 197
Medical Practice 198
Reimbursement to Physicians 198
Visits to Doctors 199
Private Health Care 199
Medical Education and Research 200
Quality and Safety 201
Dental Care 202
Public Health 203
Care of the Elderly 204
The Responsibility for Care 204
Housing 205
Informal Care and Voluntary Organizations 206
Health Care Costs and Health Insurance 206
Costs 206
Contents ix
Productivity and Quality 208
Insurance and Patients Fees 208
International Perspectives on Health Care in Sweden 209
Health Care Reforms in Sweden 211
The Role of the Patient in Health and Medical Care 212
Purchaser Provider 212
Reformed Payment System 212
Maximum Waiting Time Guarantee 213
The Stockholm Model 213
Conclusion 215
United Kingdom, Peter R. Hatcher 227
Introduction 227
Political System 227
Central and Local Government 228
The National Health Service and the 1990 Reforms 228
Hospital and Community Health Services in the Reformed National Health Service 230
Self Governing NHS Trusts 230
Acute Hospital Services 231
Long Term Hospital Care 233
District Health Authorities 234
GP Fundholders 235
Financing of Hospital and Community Health Services 237
Hospital Admission, Discharge, and Utilization 238
Quality and Accreditation 239
Private Hospital and Clinic Care 240
Medical Practice 242
General Practice 242
Specialists 243
Professional Organizations 244
Medical Education 246
Other Health Practitioners 247
Dentists 247
Nurses 248
Pharmacists 248
Opticians 248
Others 249
Continuing Health Care Services 249
Public Health 250
Health Costs and Private Health Insurers 250
Conclusion 252
United States, Marshall W. Raffel and Norma K. Raffel 263
Introduction 263
Medical Practice 265
Managed Care 266
Primary Care Physicians and Other Specialists 267
Rural and Inner City Medical Practice 268
x Contents
Quality of Care 268
Medical Societies 269
Hospitals 269
Hospital Finance and Competition 271
Emergency and Outpatient Departments 271
Special Hospitals 272
Medical Education 272
Dentists, Nurses, and Physician Assistants 273
Medical Services for the Frail Elderly and Disabled 274
Nursing Homes 274
Public Health 275
Health Costs 276
Health Insurance 281
National Health Care Reform 282
Dominant Issues: Convergence, Decentralization, Competition, Health Services,
Marshall W. Raffel 291
Health System Convergence 293
Decentralization and the Freedom to Experiment 295
Competition 296
Health Services 297
Cost Shifting 297
Quality Assurance 299
Hospital Waiting Lists 300
Average Lengths of Stay and Occupancy Rates 301
Home Care 301
Declining Influence of Medical Profession 302
Conclusion 302
i
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| spelling | Health care and reform in industrialized countries ed. by Marshall W. Raffel University Park, Pa. Pennsylvania State Univ. Press 1997 XVIII, 303 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier Financiering gtt Gezondheidszorg gtt Herzieningen gtt Gesundheitswesen Developed Countries Health Care Costs Health Care Reform organization & administration Health insurance Developed countries Medical care, Cost of Developed countries National health services Developed countries Internationaler Vergleich (DE-588)4120509-1 gnd rswk-swf Gesundheitswesen (DE-588)4020775-4 gnd rswk-swf Industriestaaten (DE-588)4026840-8 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Industriestaaten (DE-588)4026840-8 g Gesundheitswesen (DE-588)4020775-4 s Internationaler Vergleich (DE-588)4120509-1 s DE-604 Raffel, Marshall W. Sonstige oth HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=007710154&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Health care and reform in industrialized countries Financiering gtt Gezondheidszorg gtt Herzieningen gtt Gesundheitswesen Developed Countries Health Care Costs Health Care Reform organization & administration Health insurance Developed countries Medical care, Cost of Developed countries National health services Developed countries Internationaler Vergleich (DE-588)4120509-1 gnd Gesundheitswesen (DE-588)4020775-4 gnd |
| subject_GND | (DE-588)4120509-1 (DE-588)4020775-4 (DE-588)4026840-8 (DE-588)4143413-4 |
| title | Health care and reform in industrialized countries |
| title_auth | Health care and reform in industrialized countries |
| title_exact_search | Health care and reform in industrialized countries |
| title_full | Health care and reform in industrialized countries ed. by Marshall W. Raffel |
| title_fullStr | Health care and reform in industrialized countries ed. by Marshall W. Raffel |
| title_full_unstemmed | Health care and reform in industrialized countries ed. by Marshall W. Raffel |
| title_short | Health care and reform in industrialized countries |
| title_sort | health care and reform in industrialized countries |
| topic | Financiering gtt Gezondheidszorg gtt Herzieningen gtt Gesundheitswesen Developed Countries Health Care Costs Health Care Reform organization & administration Health insurance Developed countries Medical care, Cost of Developed countries National health services Developed countries Internationaler Vergleich (DE-588)4120509-1 gnd Gesundheitswesen (DE-588)4020775-4 gnd |
| topic_facet | Financiering Gezondheidszorg Herzieningen Gesundheitswesen Developed Countries Health Care Costs Health Care Reform organization & administration Health insurance Developed countries Medical care, Cost of Developed countries National health services Developed countries Internationaler Vergleich Industriestaaten Aufsatzsammlung |
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