Review Article : (Record no. 13712)
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| fixed length control field | 02221naa a2200169uu 4500 |
| 001 - CONTROL NUMBER | |
| control field | 5093016271317 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | OSt |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20190211160152.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 050930s2005 xx ||||gr |0|| 0 eng d |
| 999 ## - SYSTEM CONTROL NUMBERS (KOHA) | |
| Koha Dewey Subclass [OBSOLETE] | PHL2MARC21 1.1 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | eng |
| 100 1# - MAIN ENTRY--PERSONAL NAME | |
| Personal name | HACKER, Jacob S |
| 9 (RLIN) | 4494 |
| 245 10 - TITLE STATEMENT | |
| Title | Review Article : |
| Remainder of title | dismantling the health care state? political institutions, public policies and the comparative politics of health reform |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Place of publication, distribution, etc. | Cambridge : |
| Name of publisher, distributor, etc. | Cambridge University Press, |
| Date of publication, distribution, etc. | October 2004 |
| 520 3# - SUMMARY, ETC. | |
| Summary, etc. | This article examines the recent pattern and progress of health care reform in affluent democracies, focusing in particular on Britain, Canada, Germany, the Netherlands and the United States. Its main contention is tht efforts to reform health care in advandced industrial states have been marked by a paradoxical pattern of 'reform without change and change without reform', in wich large-scale strustural reforms have had surprisingly modest effects yet major ground-level shifts have, nonetheless, frequently occurred as a result of decentralized adjustments to cost control. The main task of the article is to investigate thereasons for and effects of this puzzling pattern by plumbing the largely unexplored theoretical territory between comparative health policy analysis and cross-national research on the welfare state. Along the way, the article develops a simple model of the politics of reform that helps explain cross-national variation in legislative and policy outcomes - particularly outcomes that occur through decentralized processes of internal policy ' conversion' and policy 'drift', rather than through formal legislative reform. It also takes up a number of other intriguing issues raised by recent trends: why, for generally enhanced state authority rather than market autonomy; why, despite fragmentation, decentralized political and medical systems shifted towards an expanded government role; and why significant retrenchment of the public-private structure of health benefits occured in the United States |
| 773 08 - HOST ITEM ENTRY | |
| Title | British Journal of Political Science |
| Related parts | 34, 4, p. 693-724 |
| Place, publisher, and date of publication | Cambridge : Cambridge University Press, October 2004 |
| International Standard Serial Number | ISSN 0007-1234 |
| Record control number | |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Koha item type | Periódico |
| 998 ## - LOCAL CONTROL INFORMATION (RLIN) | |
| -- | 20050930 |
| Operator's initials, OID (RLIN) | 1627^b |
| Cataloger's initials, CIN (RLIN) | Analuiza |
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