There is a broad consensus that governments have a responsibility for the health of their people that can be fulfilled by adequate health and social measures. However, the crucial question is, in which ways and to what extent is government involvement desirable? This volume examines:
- Different perspectives on the role of government, including market based health care reforms and competition in the financing and delivery of health care
- Emerging trends recent reforms and social issues
- Keys issues in the financing and organization of health services
- Issues related to the health sector workforce
- The development and diffusion of health technologies
Governments and Health Systems will be an invatuable source-book for all health care providers, policy makers, managers and researchers.
List of Contributors xi(10) Preface xxi PART 1 PERSPECTIVES ON THE ROLE OF GOVERNMENT IN HEALTH SYSTEMS 3(62) Introduction 3(4) Gur Ofer
Chapter 1.1 Going for Gold: The Redistributive Agenda behind Market-based Health Care Reform 7(28) Robert G. Evans
Chapter 1.2 Competition in the Financing and Delivery of Health Care: Why, When, and How? 35(16) Henry J. Aaron
Chapter 1.3 What Should Health Economists Do? 51(14) Mark V. Pauly PART 2 HEALTH SYSTEM REFORMS: CARE, COMPETITION, AND CONVERGENCE 65(54) Introduction 65(4) Gur Ofer
Chapter 2.1 Convergence, Social Embeddedness, and the Future of Health Systems in the Nordic Region 69(6) Richard B. Saltman
Chapter 2.2 Debating the Role of Government: A US Perspective 75(8) Philip Lee
Chapter 2.3 Humanistic Health Care System of the 21st Century 83(10) Merwyn R. Greenlick
Chapter 2.4 Health Care Reforms in the UK: Lessons from Experience 93(8) Chris Ham
Chapter 2.5 Management of Cost and Utilization of Health Services in Germany 101(12) Mathias Graf von Schulenburg
Chapter 2.6 Implementing Health Reform in Israel: 2000 and Beyond 113(6) Meir Oren PART 3 FINANCING AND ORGANIZING HEALTH SERVICES 119(182) Section 3A Changing Methods of Reimbursement Introduction 119(2) Gur Ofer
Chapter 3A.1 The Impact of Changing Government and Private Hospital and Physician Payment Methods on the US Health Care System 121(12) Stuart H. Altman
Chapter 3A.2 Full Staff or Ordinary HMOs: Hospitalization and Hospital Reimbursement in Israel 133(24) Gur Ofer
Chapter 3A.3 Rational Remuneration in the Public Health Care System 157(4) Yaakov Zilberg Tal Avidan
Chapter 3A.4 The Impact of Physician Payments on Hospital-Insurer Bargaining in the US 161(16) John M. Brooks Avi Dor Herbert S. Wong Section 3B Adjusting for Risk in Health Insurance Introduction 177(2) Gur Ofer
Chapter 3B.1 Towards a Risk-Adjustment Mechanism in a Competitive Health Insurance Market 179(16) Wynand P.M.M. Van de Ven Rene C.J.A. van Vliet Erik M. van Barneveld Leida M. Lamers
Chapter 3B.2 Managed Care and Risk Adjustment 195(6) Jacob Glazer Thomas G. McGuire
Chapter 3B.3 In Search of a National Capitation Formula: The Israeli Experience 201(8) Amir Shmueli Nira Shamai Yoram Levi Miri Abraham
Chapter 3B.4 The Estimation, Application, and Experience of the New Capitation Formula in the United Kingdom 209(16) Peter C. Smith Section 3C New Modes of Organization Introduction 225(2) Gur Ofer
Chapter 3C.1 Competition and Exclusive Dealing Between Health Insurers and Care Providers 227(20) Martin Gaynor
Chapter 3C.2 Is the Fundholding Contract Equitable 247(6) Amir Shmueli Jacob Glazer
Chapter 3C.3 Comparative Case Studies of Health Care Markets in the United States: A Focus on Physicians Experiences with and Perspectives on Health System Change 253(10) Helene Levens Lipton Karen C. Hertz
Chapter 3C.4 Competitive Bidding for Government Insurance Contracts: The Perceptions of Beneficiaries 263(16) Bradford Kirkman-Liff
Chapter 3C.5 Hospital Casemix, Costs and Productivity in the NHS Internal Market 279(22) Neil Soderlund PART 4 HEALTH MANPOWER 301(76) Introduction 301(4) Chaim Doron Shifra Shvarts David Chinitz
Chapter 4.1 The Role of Government in Medical Education in the United States 305(8) M. Roy Schwarz
Chapter 4.2 Health Manpower: The Role of the Government and the Role of the Profession 313(6) Jordan J. Cohen
Chapter 4.3 The Role of Government in Medical Education 319(6) Shimon M. Glick
Chapter 4.4 Policy Issues in the Mass Absorption of Physicians and Other Health Professionals in Israel 325(8) Chaim Doron
Chapter 4.5 Quality Control Among Immigrant Physicians: Processes and Problems of Licensing 333(10) Judith T. Shuval
Chapter 4.6 Government Policy on Professional Issues in Nursing 343(8) Shoshana Riba
Chapter 4.7 The Potential Impact of Managed Care on the US Health Care Workforce and a New Model for the Delivery of Primary Care 351(8) Richard M. Scheffler
Chapter 4.8 Training Professionals for the New Public Health 359(6) A. Michael Davies
Chapter 4.9 The Rise of the Salaried Physician Model in Israel 365(12) Shifra Shvarts PART 5 HEALTH TECHNOLOGY AND QUALITY MANAGEMENT 377(162) Introduction 377(4) Elisheva Sinchen David Chinitz
Chapter 5.1 Choices in Health Care and Health Care Technology Assessment 381(6) H. David Banta
Chapter 5.2 Experience in the European Union 387(8) H. David Banta
Chapter 5.3 Health Technology Assessment and Quality Management Experience in the United States 395(12) Seymour Perry
Chapter 5.4 The Evolution from Health Technology Assessment to Quality of Care Development 407(6) Kirsten Staehr Johansen
Chapter 5.5 The Role of Government in the Promotion of Quality in Health Care 413(12) Leon Epstein
Chapter 5.6 Implementing EU Regulatory Policy on Medical Devices: The Case of Germany 425(38) Christa Altenstetter
Chapter 5.7 Measuring Outcomes for Improved Provider Performance 463(20) Harold S. Luft
Chapter 5.8 Rationing of an Expensive Technology in the United States: Hospital Intensive Care Units in Two States 483(14) Bernard S. Friedman Claudia Steiner Jane Scott
Chapter 5.9 Health Risk Appraisal in Older Persons--A Strategy for Disability Reduction 497(20) John C. Beck Lester Breslow Hal Morgenstern Jonathan E. Fielding Alison A. Moore Eric Zimmerman Kevin Knight Martha Carmel
Chapter 5.10 Role of Government in Ensuring Quality in Rehabilitative Care 517(6) Reuben Eldar
Chapter 5.11 Governments and Health Professionals: A Partnership for Improving the Quality of Diabetes Care 523(6) Kirsten Staehr Johansen
Chapter 5.12 Interaction between the Ministry of Health and the Cardiac Surgeons in Israel, to Improve Quality of Care in Coronary Artery Bypass Grafting (CABG) 529(10) Elisheva Slimchen Noya Galai David Chinitz the ISCAB Study Consortium PART 6 EMERGING SOCIAL ISSUES IN HEALTH CARE 539(58) Introduction 539(4) David Chinitz
Chapter 6.1 Healthy Public Policies 543(8) Frances Perkins
Chapter 6.2 Creating Social and Ethical Environments: Health Promotion and Disease Prevention. Balancing Government Regulation and Individual Freedom 551(8) Michael S. Goldstein
Chapter 6.3 Social Assessment of Health Investments: Health Gains or Losses in Social Terms and Who Should Be Responsible for Such Assessments 559(6) Lowell S. Levin
Chapter 6.4 Dimensions of Satisfaction with Health Services and Their Relative Importance for Overall Satisfaction 565(12) Tamy Schifter Noah Lewin Epstein Amir Shmueli
Chapter 6.5 A Framework for Comprehensive Health Care for Women 577(8) Diana Flescher
Chapter 6.6 Industrial Epidemics 585(12) Beatrice Majnoni dIntignano Epilogue 597(2) Joshua Cohen Index 599
