Critical Challenges For Health Care Reform In Europe

ISBN-13: 9780335199709 / Angielski / Miękka / 1998 / 442 str.

Richard B. Saltman;Josep Figueras;Constantino Sakellarides

Opis

This volume explores the central issues driving the present process of healthcare reform in Europe. More than 30 scholars and policy makers from various parts of Europe draw together the available evidence from epidemiology and public health, economics, public policy, organizational behaviour and management theory. Real world examples of policy making are used to lay out the options that health sector decision-makers confront.

Spis treści

Introduction

Part one: The context for health reform

Values, norms and the reform of healthcare systems
Macro-economic constraints and health challenges facing European health systems

Part two: Demand side strategies

Balancing competition and solidarity in healthcare financing
The appropriate role for patient cost-sharing
Priority setting and rationing health services
Reforming public health services

Part three: Supply side strategies

Contracting models and provider competition
The allocation of capital and health sector reform
Performance-tied payment systems for physicians
Financing operating costs for hospital services
Changing hospital systems
The usual suspect and the failure of cost containment
regulating expenditure on medicines in European Union countries

Part four: On state, citizen and society

The role of the state in healthcare reform
Optimal balance of centralized and decentralized management
Citizen participation and patient choice in health reform
Values, norms and the reform of healthcare systems

Part five: Implementing health reform

Implementing healthcare reform
a framework for discussion
Implementing healthcare reform
a review of current experience

Part six: Assessing the evidence

Index.

O autorze

Richard Saltman is Professor of Health Policy and Management at the Rollins School of Public Health, Emory University, Atlanta, and a consultant to the Health Systems Analysis unit of the WHO Regional Office for Europe in Copenhagen.

Josep Figueras is Acting Regional Officer in the Health Systems Analysis unit of the WHO Regional Office for Europe, Copenhagen, and Senior Lecturer at the London School of Hygiene and Tropical Medicine.

Constantino Sakellarides is Director-General for Health in the Ministry of Health in Portugal. He was previously Director of Health Policy and Services Department at the WHO Regional Office for Europe, Copenhagen.