000			01779naa a2200181uu 4500
001			8091718561610
003			OSt
005			20190211164255.0
008			080917s2008 xx ||||gr |0|| 0 eng d
100	1		_aCACACE, Mirella _935561
245	1	0	_aThe Healthcare systems of the USA and Canada : _bforever on divergent paths?
260			_aMalden, MA : _bBlackwell Publishers, _cAugust 2008
520	3		_aOver all OECD healthcare systems, we identify increasing similarities and common trends, especially with regard to the role of the state. Yet two countries, the USA and Canada, have 'parted at the crossroads' since the 1960s and therefore are quite frequently cited as examples for the opposite trend, i.e. for divergence. According to our position, it is far from evident that this trend has still been dominant in the past 15 years. In our contribution, we show that the USA and Canada have become more similar regarding the role of the state in financing, service provision and the regulation of healthcare systems. Furthermore, the article investigates potential explanations. We find that a most influential explanatory factor is the healthcare system itself, its deficiencies and functional requirements as reflected in the specific system type. As the system types of the USA and Canada vary, so too do their adaptive responses to problem pressure. By systematically acquiring non-system-specific elements, i.e. characteristics which were originally less developed or completely absent, the systems grow more similar and therefore converge
700	1		_aSCHMID, Achim _935562
773	0	8	_tSocial Policy & Administration _g42, 4, p. 396-417 _dMalden, MA : Blackwell Publishers, August 2008 _xISSN 01445596 _w
942			_cS
998			_a20080917 _b1856^b _cTiago
999			_aConvertido do Formato PHL _bPHL2MARC21 1.1 _c27533 _d27533
041			_aeng