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Health care reform: Informing difficult choices
Author(s) -
Maynard Alan,
Bloor Karen
Publication year - 1995
Publication title -
the international journal of health planning and management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.672
H-Index - 41
eISSN - 1099-1751
pISSN - 0749-6753
DOI - 10.1002/hpm.4740100403
Subject(s) - equity (law) , health care reform , health care , health policy , ideology , public economics , public health , political science , public administration , economics , economic growth , medicine , nursing , politics , law
During the last decade, policy makers in a large number of countries have attempted various reforms of their health care systems. Health care reform has been described as a ‘global epidemic’ (Klein, 1993). All health care reforms consist of very complex policy choices, some of which are examined in this article. After an introductory exploration of ideological issues, the objectives of health care reformers are considered. Three major policy objectives of health care reform are examined: cost containment; efficiency; and, equity. Three types of reform which have been advocated are also considered: public planning; market regulation; and provider‐advocated reforms such as a ‘basic package’ with copayments and alternative means of finance. Finally, appropriate features of efficient health care reform are suggested, addressing explicit policy goals.