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Implementing Change in Health Systems - Market Reforms in the United Kingdom, Sweden and The Netherlands (Paperback, New)
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Implementing Change in Health Systems - Market Reforms in the United Kingdom, Sweden and The Netherlands (Paperback, New)
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Implementing Change in Health Systems brings fresh thinking and
evidence to the continuing debate about market reforms of health
care and other public services. The book examines the development
and implementation of national cost-containment programs and health
system reorganizations in the UK, Sweden and the Netherlands -
countries that have been leaders in health system reform. The book
provides a new framework for analysing public policy implementation
and system change, synthesizing diverse streams of academic
research and thinking. It explores the processes of implementing
market reforms in each country and considers the outcomes, both
expected and unintended. In all three countries competitive reform
encountered serious technical, organizational and political
obstacles. Yet they triggered important system changes and paved
the way for significant new health policies. The complex outcomes
of the reforms included o changes in the quality, efficiency and
costs of care o growing managerial and political control over
physicians and other health care professionals o increased
influence and centrality of community-based care o Diffusion of
ideas and practices from business management into health care.
Implementing Change in Health Systems sheds new light on crucial
policy issues that are currently being debated throughout Europe
and North America. The book will be of value to postgraduates,
researchers, and practitioners in health policy and public policy.
MICHAEL I. HARRISON is an internationally-known scholar of health
systems and organizations. He is a Senior Research Scientist at the
Agency for Healthcare Research and Quality in Rockville, MD and
Associate Professor of Sociology at Bar-Ilan University in Ramat
Gan, Israel. He has taught at the State University of New York at
Stony Brook and the School of Management at Boston College and has
been a Visiting Scholar at Brandeis University, Georgetown
University, Harvard Business School, and the Nordic School of
Public Health.
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