Comparative health policy:
Gespeichert in:
| Hauptverfasser: | , |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Basingstoke [u.a.]
Palgrave Macmillan
2004
|
| Ausgabe: | 1. publ. |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | Includes bibliographical references and index. |
| Beschreibung: | XII, 260 S. |
| ISBN: | 0333985982 0333985990 |
Internformat
MARC
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| 245 | 1 | 0 | |a Comparative health policy |c Robert H. Blank and Viola Burau |
| 250 | |a 1. publ. | ||
| 264 | 1 | |a Basingstoke [u.a.] |b Palgrave Macmillan |c 2004 | |
| 300 | |a XII, 260 S. | ||
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| 500 | |a Includes bibliographical references and index. | ||
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Datensatz im Suchindex
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| adam_text | Contents
List of Boxes, Figures and Tables vii
Preface x
List of Abbreviations xii
1 Comparative Health Policy: An Introduction 1
The problem of ageing populations 2
Medical technology and health policy 8
Rising public expectations and demands 10
Types of health care 13
Health care as public policy 15
Comparative health policy 19
Why study these countries? 21
Health care systems 22
Classifications of health care systems 23
Conclusions 27
2 Political, Historical and Cultural Contexts 29
Contrasting political systems 32
The comparative wealth of countries 35
Population size and diversity 36
Cultural/historical factors shaping health care 41
Legal systems 49
Different approaches to defining health 52
Culture and traditional medicine 55
The context of health care 58
3 Funding, Provision and Governance 59
Comparing funding of health systems 60
National health services and the commitment to public
funding 64
Public funding through social insurance 66
Private insurance and the emphasis on individual
responsibility 67
Control of funding and pressures for reform 70
Health services and patient choice 74
Welfare mixes in the provision of health care 77
Models of contracting health services 79
Health governance between centre and locality 81
The authority of governments in health policy 84
v
vi Contents
4 Setting Priorities and Allocating Resources 87
The goals of health policy 87
Cost containment strategies 92
The government and the marketplace 102
Allocation and rationing: the need to set priorities 106
Rationing and the individual 115
Efforts to control new medical technologies 117
Trends in priority setting 120
5 The Medical Profession 122
Who doctors are 124
Types and settings of medical practice 127
Reforming medical practice 132
Paying for medical care 137
The organization of doctors interests and access to the
policy process 143
Doctors, the state and health policy 147
6 Beyond the Hospital: Health Care in the Home 149
Home care statistics 152
Providing home health care 156
Funding home health care 161
The interface between formal and informal care 167
Policy trends and developments 172
7 Public Health 174
The case of Severe Acute Respiratory Syndrome 175
Framing a public health policy 177
Public health responsibility and funding 180
Health promotion 184
Occupational health 188
Other dimensions of public health 191
Social and economic determinants of health 200
Public health: putting medicine in context 203
8 Understanding Health Policy Comparatively 208
Policy embeddedness and the importance of differences 209
Policy convergence and the predominance of similarities 211
The complexities of health policy 213
Identifying best practices and cross national learning 214
Contribution to the comparative study of health policy 220
Guide to Further Reading 222
Appendix: Websites 225
Bibliography 228
Index 251
List of Boxes, Figures and Tables
Boxes
1.1 A warning: profound consequences as the EU grows
older 4
1.2 Media campaigns for treatment denied 11
1.3 The unique Singapore system: low in public funding,
high on individual responsibility 27
2.1 Policies for older people in Sweden 38
2.2 Asylum seekers and the National Health Service in
Britain 38
2.3 Health care in the USA 47
3.1 The social insurance system in Japan 68
3.2 Medicare in the USA: public insurance in a private
system 69
3.3 Welfare mix: mixed meanings and policies 77
4.1 What is moral hazard? 105
4.2 Medical triage 109
4.3 Rationing and technology assessment in Oregon 113
4.4 A ,000 bill and climbing 117
5.1 Understanding professions 123
5.2 Professional self regulation of medical work 134
6.1 Public funding of home care in the USA 166
7.1 San Francisco Department of Public Health 184
7.2 Homelessness, poor housing and health in Britain 195
Figures
1.2 Types of health care system by provision and funding 24
2.1 Health policy context of developed nations 30
2.2 Institutional power in political systems 33
2.3 The strength of judicial review 35
3.1 The sub systems of health care 59
3.2 Sources of health care funding 70
3.3 Public control of funding and provision of health care 85
4.1 Competing goals of health care 88
4.2 Degree of price rationing 110
vii
viii List of Boxes, Figures and Tables
5.1 The organization of doctors interests and access to the
policy process 143
6.1 The provision of home health care 157
6.2 Value orientations in informal care and welfare regimes 168
7.1 Mortality rates and percentage of GDP spent on health
care in the USA, 1900 2000 206
8.1 The goal orientation of actors in health care 216
8.2 Identifying best health systems 217
Tables
1.1 Health expenditure as a per centage of GDP, 1970 98 2
1.2 Percentage of population aged 65 and over 3
1.3 Estimated age structure of the population over the age
of 65 4
1.4 Estimated changes in distribution of social expenditure
by major programme as implied by ageing populations 6
1.5 Percentage of health expenditures and persons agede 65 or
more, 2000 7
1.6 Proportions of public health expenditure going to
population aged 65 and over 7
1.7 Views of the elderly about their health care systems 12
1.8 Categories of health care 14
1.9 Distribution of health expenditures by user groups in the
USA 18
1.10 Public funding as percentage of health expenditures,
1970 98, ranked by 1998 26
2.1 Public satisfaction and percentage of GDP spent on
health care 31
2.2 GDP per capita, 2002, in US dollars 36
2.3 Population characteristics, 2000 37
2.4 Ethnic composition, 2000 39
2.5 Religious composition 40
2.6 Health indicators by race, USA, 2000 41
2.7 Distribution by type of health political culture 42
2.8 The Maori model of health 54
3.1 Per capita expenditure on health care in US dollars, 1998 61
3.2 Changes in health care expenditure as a percentage of
GDP 62
3.3 Changes in public expenditure on health care as a
percentage of total expenditure on health care 62
3.4 Sources of funding as a percentage of health care
expenditure, 1998 63
viii
List of Boxes, Figures and Tables ix
3.5 Types and settings of health services 74
3.6 Expenditure on medical services as a percentage of health
care expenditure, 1998 75
4.1 MRI units per million population, 1995 91
4.2 Supply side controls 97
4.3 Forms of rationing medicine 108
4.4 Lifestyle and self inflicted diseases 115
5.1 Practising doctors, as numbers per 1,000 inhabitants 124
5.2 Female practising doctors, as a percentage of practising
doctors, 1996 126
5.3 Generalist and specialist doctors, as numbers per 1,000
inhabitants, 1996 127
5.4 Types and settings of medical practice 128
5.5 Types of payment for different types of doctor 138
5.6 The involvement of doctors in systems of pay
determination 141
6.1 Estimated spending on long term care (1992 95) as a
percentage of GDP 152
6.2 Population aged 65 and over in different care settings
as a percentage of the total population 153
6.3 The growth of institutionalization rates of people aged
65 and over (%) 154
6.4 Number of long term care beds per 1,000 people 155
6.5 Per capita public expenditure on services for the elderly
and disabled (US $) 155
6.6 Funding home health care 161
6.7 Japan s Gold Plan strategy to promote health and
welfare of the elderly 164
7.1 Smoking rates, men and women (%), ranked by women 192
7.2 Alcohol consumption, per capita in litres, 1996 and
2000 194
7.3 Total health care expenditure, life expectancy at birth
and infant mortality, 1998 205
|
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| language | English |
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| spelling | Blank, Robert H. 1943- Verfasser (DE-588)122399927 aut Comparative health policy Robert H. Blank and Viola Burau 1. publ. Basingstoke [u.a.] Palgrave Macmillan 2004 XII, 260 S. txt rdacontent n rdamedia nc rdacarrier Includes bibliographical references and index. Gesundheitspolitik (DE-588)4113743-7 gnd rswk-swf Internationaler Vergleich (DE-588)4120509-1 gnd rswk-swf Gesundheitspolitik (DE-588)4113743-7 s Internationaler Vergleich (DE-588)4120509-1 s DE-604 Burau, Viola Verfasser aut HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=012910383&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Blank, Robert H. 1943- Burau, Viola Comparative health policy Gesundheitspolitik (DE-588)4113743-7 gnd Internationaler Vergleich (DE-588)4120509-1 gnd |
| subject_GND | (DE-588)4113743-7 (DE-588)4120509-1 |
| title | Comparative health policy |
| title_auth | Comparative health policy |
| title_exact_search | Comparative health policy |
| title_full | Comparative health policy Robert H. Blank and Viola Burau |
| title_fullStr | Comparative health policy Robert H. Blank and Viola Burau |
| title_full_unstemmed | Comparative health policy Robert H. Blank and Viola Burau |
| title_short | Comparative health policy |
| title_sort | comparative health policy |
| topic | Gesundheitspolitik (DE-588)4113743-7 gnd Internationaler Vergleich (DE-588)4120509-1 gnd |
| topic_facet | Gesundheitspolitik Internationaler Vergleich |
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