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Books > Medicine > General issues > Public health & preventive medicine > Epidemiology & medical statistics
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Health Reforms Across The World: The Experience Of Twelve Small And Medium-sized Nations With Changing Their Healthcare Systems (Paperback)
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Health Reforms Across The World: The Experience Of Twelve Small And Medium-sized Nations With Changing Their Healthcare Systems (Paperback)
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This book presents the health reform experiences over the past
three decades of twelve small and medium-sized nations that are not
often included in international comparative studies in this field.
The major conclusion of the study is that despite many similarities
in policy goals, policy challenges and in the menu of policy
options for countries that seek to offer universal coverage to
their population, the health reforms of the nations in this book
did not converge into one direction or model. However, we found
several widespread policy experiences that are relevant for others,
too.For example, user fees are unpopular everywhere. Governments
often try to soften the consequences by exempting large groups of
users, thus largely defeating the very purpose of those fees.As a
second example, the introduction of new payment modes for medical
care — like the shift from fee for service to case-based payment
— took much longer than originally expected everywhere, and also
failed to deliver their promises of improved transparency or
efficiency gains A third example is that proposals are for
universal coverage often ignore the challenges of implementing new
financing models that elsewhere took decades if not centuries to
develop.The conclusions contain both empirical findings and
theoretical conclusions of interest to policy-makers and scholars
of international comparison. It is accessible for academics,
healthcare managers and students as well as a wider audience of
readers interested in the changes in healthcare across the world.
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