Expanding the scope of health reform : application... Catalogue en ligne

Titre :	Expanding the scope of health reform : application in the United States. (2002)
Auteurs :	Charles-E BEGLEY ; Lu-Ann ADAY ; David-R LAIRSON ; Carl-H SLATER ; The University of Texas-Houston. School of Public Health. Houston. TX. USA
Type de document :	Article
Dans :	Social science and medicine (vol. 55, n° 7, 2002)
Pagination :	1213-1229
Langues:	Anglais
Mots-clés :	Etats Unis ; Amérique ; Epidémiologie ; Système santé ; Politique santé ; Promotion santé ; Amérique du Nord ; Réforme
Résumé :	[BDSP. Notice produite par INIST-CNRS q8R0xTnp. Diffusion soumise ... autorisation]. Since the demise of the Clinton national health plan in the early 1990s, a number of states in the US have continued to pursue health reform. The reforms reflect the on-going debate in the US and throughout the world over market-minimizing versus market-maximizing strategies to improve healthcare systems. This paper describes the limits of this debate and supports a broader view that focuses on how health policy can improve population health. Performance measures and indicators traditionally used to evaluate market minimizing/maximizing strategic for reforming healthcare are redefined for evaluating strategies to improve health. Differences in the two views are illustrated by describing state reforms in the US using the market-minimizing/maximizing framework and evaluating the reforms based on the health-related framework.

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