Read e-book online Accidental Logics: The Dynamics of Change in the Health Care PDF

By Carolyn Hughes Tuohy

wellbeing and fitness care reform has turn into the most well-known issues in contemporary coverage discourse inside of and throughout international locations. within the Nineties, universal positive factors of the overall healthiness care enviornment increased the significance of bargaining relationships between huge, refined entities because the dominant mode of decision-making, essentially tough the normal dominance of the clinical occupation, which were grounded in individualized "agency" relationships among prone and sufferers. those advancements have performed out in various methods all over the world. Carolyn Hughes Tuohy appears on the reports of the USA, Britain, and Canada, supplying a global comparative examine of public coverage platforms, in addition to a up to date background of the evolution of every nationwide future health care approach.
What drives switch in well-being care structures? Why do definite alterations take place in a few international locations and never in others? Tuohy argues that the reply lies in figuring out the "accidents" of heritage that experience formed nationwide platforms at serious moments and within the targeted "logics" of those platforms. Her research rigorously delineates either the typical good judgment of the well-being care enviornment, deriving from micro-economic features and technological swap, and the actual logics of nationwide platforms, installed position by way of particular episodes of coverage switch. She is going directly to discover how within the wake of those episodes, the combined industry within the usa, hierarchical corporatism in Britain, and the single-payer approach in Canada decided the next course and speed of swap in all 3 international locations. ultimately, Tuohy presents feedback to steer the strategic judgments that decision-makers needs to make in the wellbeing and fitness care method of every nation. Accidental Logics uniquely departs from the descriptive literature at present on hand via providing an in depth evaluation of the facts concerning the evolution of the healthiness care arenas within the usa, Britain, and Canada, built-in inside of an explanatory framework. it's crucial up to date examining for political scientists operating in comparative politics and public coverage, well-being coverage analysts, executive enterprise officers, and scholars in political technological know-how, future health coverage, and management programs.

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Read or Download Accidental Logics: The Dynamics of Change in the Health Care Arena in the United States, Britain, and Canada: The Dynamics of Change in the Health Care Arena in the United States, Britain and Canada PDF

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Accidental Logics: The Dynamics of Change in the Health Care Arena in the United States, Britain, and Canada: The Dynamics of Change in the Health Care Arena in the United States, Britain and Canada by Carolyn Hughes Tuohy


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