Titre :
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Expanding the scope of health reform : application in the United States. (2002)
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Auteurs :
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Charles-E BEGLEY ;
Lu-Ann ADAY ;
David-R LAIRSON ;
Carl-H SLATER ;
The University of Texas-Houston. School of Public Health. Houston. TX. USA
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Type de document :
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Article
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Dans :
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Social science and medicine (vol. 55, n° 7, 2002)
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Pagination :
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1213-1229
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Langues:
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Anglais
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Mots-clés :
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Etats Unis
;
Amérique
;
Epidémiologie
;
Système santé
;
Politique santé
;
Promotion santé
;
Amérique du Nord
;
Réforme
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Résumé :
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[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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