000			03394nam a2200277uu 4500
001			9042416464330
003			OSt
005			20240604062542.0
008			090424s2009 xx ||||g| |0|| 0 eng d
020			_a0195128214
090			_a5.02 _bT927a
100	1		_aTUOHY, Carolyn Hughes _910814
245	1	0	_aAccidental Logics : _bthe dynamics of change in the health care arena in the United States, Britain, and Canada
260			_aNew York : _bOrford University, _c1999
300			_a312 p.
505	8	0	_t1. Understanding the dynamics of change in the health care arena _tThe conceptual framework: The accidental logics of change in policy arenas _tDimensions of decision-making systems: Institutional mix and structural balance _tPolicy episodes and system logics _tThe economics of health care delivery: Agency, risk, and localism _tThe health policy agenda of the 1990 _tBritain, the United States, and Canada _tPart I. Episodes of policy change _t2. The establishment of welfare state in the health care arena _tThe immediate postwar period: Britain versus Canada and the United States _tThe 1950 and 1960: The establishment fo governmental health insurance in Canada and the United States _t3. The reforms of the 1990 _tBritain _tThe United States _tCanada _t4. Institutions, ideas, interests, actors, and the accidents of policy episodes _tPolitical institutions _tPolicy legacies and path dependendy _tPublic opinion and cultural understandings _tPolitical culture and parties _tInterests _tStrantegic judgment _tUnderstanding policy episodes _tPart II. The distinctive logics of national systems _t5. The United States: The logic of the mixed market _tRegulation in the 1970 _tProspective payment in the 1980 _tThe rise of "managed care" _tRegional versus National markets _tThe growing role of for-profits _tPerformance monitoring and the role of clinical judgement _tInformation and information technology _tThe changing political terrain _tInstitutional and structural change in the mixed market _tThe logic of entrepreneurialism _t6. Britain: The logic of corporatism meets the internal market _tCorporatism in the NHS _tManagerialism and the griffiths reforms _tThe purchaser-provider split: Bargaining in the internal market _tBargaining roles: The provider side _tBargaining roles: The purchaser side _tClinical audit and the role of clinical judgment _tInformation and information technology _tThe role of the private sector _tThe role of partisan and electoral politics _tInstitutional and structural change in the internal market _tThe logic of the internal market _t7. Canada: The logic of the single- Payer system _tThe founding bargain: Fee-for-service and the negotiation of price _tProvincial-level accommodations in the 1970 and 1980 _tExpenditure caps in the 1990 _tThe expanding agenda _tInformation and information technology _tChanging profession-government relations and the impact on organized medicine _tThe logic of the profession-state accommodation _tInstitutional and structural change in a single-payer system _t8. Conclusion _tThe health policy arena in Britain, the United States, and Canada concluding observations
650		4	_912122 _aPolítica de Saúde
650		4	_912404 _a Tomada de Decisão
650		4	_aFinanças _912128
651		4	_aEstados Unidos _912942
651		4	_aGrã-Bretanha _913133
651		4	_aCanada _913666
942			_cG
998			_a20090424 _b1646^b _cIlkia
998			_a20090506 _b1542^b _cIlkia
999			_aConvertido do Formato PHL _bPHL2MARC21 1.1 _c28762 _d28762
041			_aeng