Suchergebnisse

The government has willed the ends, but will it provide the means and mechanisms for effective prevention and improved outcomes?

Market based reforms of health care have helped cut waiting times, but Chris Ham argues that a different approach is needed to meet government objectives on disease prevention and chronic diseases

Abstract This paper compares health systems in the US and the UK in relation to levels and types of finance and provision. The main part of the paper focuses on comparisons between the British National Health Service (NHS) and Kaiser Permanente in California. Although major differences in financing and provision make cross‐national comparisons between the US and the UK difficult, recent work comparing service utilization between the NHS and Kaiser Permanente has highlighted opportunities for learning between the two systems. The paper describes the results of this work, and the way in which the NHS has sought to apply and adapt some of the managed care techniques used in Kaiser Permanente. It concludes by identifying the cultural and other obstacles that have to be addressed in translating practices from one system to another.

Increased patient choice and a bigger role for the independent sector threaten the future of district general hospitals. As the public remains firmly attached to these hospitals, a managed transition represents a huge political challenge

The aim of this paper is to suggest possible future approaches to the study of social policy making. The paper's main argument is that students of social policy who are interested in policy making could usefully draw on concepts and theories from the developing field of policy analysis. Social policy and policy analysis have so far developed separately as fields of study, yet they share some common concerns. In particular, both are concerned with the processes of policy making and policy implementation, and it is on this common ground that students of social policy may gain insights from policy analysis.
The paper is divided into three parts. In the first part a typology of traditions in the study of social policy is put forward. This is followed by a review of approaches to the study of social policy making, which examines critically the work of a number of writers who have contributed to this area of work. Then, in the third part of the paper, some suggestions are made for the closer linking of policy analysis and social policy.

''Reasonable Rationing is must reading for those interested in how to connect theory about fair rationing processes to country-level practices. The five case studies reveal a deep tension between political pressures to accomodate interest group demands and ethically motivated efforts to improve both information and institutional procedures for setting fair limits to care. The authors frame the issues insightfully.''. - Professor Norman Daniels, Harvard School of Public Health. . How are different countries setting priorities for health care?. . What role does information and evidence on cost a