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Doctors and the State - The Politics of Health Care in France and the United States (Hardcover)
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Doctors and the State - The Politics of Health Care in France and the United States (Hardcover)
Series: Duke Press Policy Studies
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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.
General
Imprint: |
Duke University Press
|
Country of origin: |
United States |
Series: |
Duke Press Policy Studies |
Release date: |
March 1991 |
Authors: |
David Wilsford
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Dimensions: |
230mm (L) |
Format: |
Hardcover - Cloth over boards
|
Pages: |
376 |
ISBN-13: |
978-0-8223-1082-2 |
Categories: |
Books >
Medicine >
General issues >
Health systems & services >
General
|
LSN: |
0-8223-1082-1 |
Barcode: |
9780822310822 |
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