Health care reforms around the world--from Europe and North
America to Africa, Latin America and Asia--seem to all be
market-oriented reforms driven by international business interests
and right wing political parties. There seems to be a sudden and
broad concern with the "efficiency" of medical care, with the
assertion that democratically or professionally run systems are
inherently inefficient. Far less concern is evident for the more
traditional values held regarding medical care, "effectiveness" (or
quality) and "equity." The fact is that we have little good
cross-national research that systematically addresses the reform
issue.
This book addresses that problem, and attempts to look at health
care reforms in a number of countries, representing as wide a
spectrum as possible, and using a common conceptual framework that
allows for comparable information to be gathered and presented on
each, despite differing levels of socio-economic development. The
authors agreed on a set of models that were thought to provide
reasonable guidance in answering the questions of the source of
pressures for reform, the alternative modes of organization that
have been found in the world in recent years, and the direction of
change among those alternatives.
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