Doctors and the State: The Politics of Health Care in France and the United States
All advanced health care systems face severe difficulties in financing the delivery of today's sophisticated medical care. In this study David Wilsford compares the health systems in France and the United States to demonstrate that some political systems are considerably more effective at contr...
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Elektronisch E-Book |
| Sprache: | English |
| Veröffentlicht: |
Durham
Duke University Press
[1991]
|
| Schriftenreihe: | Duke Press policy studies
|
| Schlagworte: | |
| Online-Zugang: | FAB01 FAW01 FCO01 FHA01 FKE01 FLA01 UPA01 UBG01 Volltext |
| Zusammenfassung: | All advanced health care systems face severe difficulties in financing the delivery of today's sophisticated medical care. In this study David Wilsford compares the health systems in France and the United States to demonstrate that some political systems are considerably more effective at controlling the cost of care than others. He argues that two variables-the autonomy of the state and the strength and cohesiveness of organized medicine-explain this variance.In France, Wilsford shows, the state is strong in the health policy domain, while organized medicine is weak and divided. Consequently, physicians exercise little influence over health care policymaking. By contrast, in the United States the state is weak, the employers and insurers who pay for health care are fragmented, and organized medicine is strong and well financed. As a result, medical professionals are able to exert a greater influence on policymaking, thus making cost control more difficult.Wilsford extends his comparison to health care systems in the United Kingdom, West Germany, Italy, Canada, and Japan. Whether the private or public sector finances health care, he discovers, there is now an important trend in all of the advanced industrial countries toward controlling escalating costs by curbing both the medical profession's clinical autonomy and physicians' incomes |
| Beschreibung: | Description based on online resource; title from PDF title page (publisher's Web site, viewed 12. Dez 2020) |
| Beschreibung: | 1 online resource (376 pages) |
| ISBN: | 9780822378655 |
| DOI: | 10.1515/9780822378655 |
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Datensatz im Suchindex
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| indexdate | 2024-07-10T09:02:57Z |
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| isbn | 9780822378655 |
| language | English |
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| spelling | Wilsford, David Verfasser aut Doctors and the State The Politics of Health Care in France and the United States David Wilsford Durham Duke University Press [1991] © 1991 1 online resource (376 pages) txt rdacontent c rdamedia cr rdacarrier Duke Press policy studies Description based on online resource; title from PDF title page (publisher's Web site, viewed 12. Dez 2020) All advanced health care systems face severe difficulties in financing the delivery of today's sophisticated medical care. In this study David Wilsford compares the health systems in France and the United States to demonstrate that some political systems are considerably more effective at controlling the cost of care than others. He argues that two variables-the autonomy of the state and the strength and cohesiveness of organized medicine-explain this variance.In France, Wilsford shows, the state is strong in the health policy domain, while organized medicine is weak and divided. Consequently, physicians exercise little influence over health care policymaking. By contrast, in the United States the state is weak, the employers and insurers who pay for health care are fragmented, and organized medicine is strong and well financed. As a result, medical professionals are able to exert a greater influence on policymaking, thus making cost control more difficult.Wilsford extends his comparison to health care systems in the United Kingdom, West Germany, Italy, Canada, and Japan. Whether the private or public sector finances health care, he discovers, there is now an important trend in all of the advanced industrial countries toward controlling escalating costs by curbing both the medical profession's clinical autonomy and physicians' incomes In English MEDICAL / Health Care Delivery bisacsh Cross-cultural studies Medical economics France Medical economics United States Medical policy France Medical policy United States https://doi.org/10.1515/9780822378655 Verlag URL des Erstveröffentlichers Volltext |
| spellingShingle | Wilsford, David Doctors and the State The Politics of Health Care in France and the United States MEDICAL / Health Care Delivery bisacsh Cross-cultural studies Medical economics France Medical economics United States Medical policy France Medical policy United States |
| title | Doctors and the State The Politics of Health Care in France and the United States |
| title_auth | Doctors and the State The Politics of Health Care in France and the United States |
| title_exact_search | Doctors and the State The Politics of Health Care in France and the United States |
| title_exact_search_txtP | Doctors and the State The Politics of Health Care in France and the United States |
| title_full | Doctors and the State The Politics of Health Care in France and the United States David Wilsford |
| title_fullStr | Doctors and the State The Politics of Health Care in France and the United States David Wilsford |
| title_full_unstemmed | Doctors and the State The Politics of Health Care in France and the United States David Wilsford |
| title_short | Doctors and the State |
| title_sort | doctors and the state the politics of health care in france and the united states |
| title_sub | The Politics of Health Care in France and the United States |
| topic | MEDICAL / Health Care Delivery bisacsh Cross-cultural studies Medical economics France Medical economics United States Medical policy France Medical policy United States |
| topic_facet | MEDICAL / Health Care Delivery Cross-cultural studies Medical economics France Medical economics United States Medical policy France Medical policy United States |
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