000 01618naa a2200181uu 4500
001 0050311372037
003 OSt
005 20190211171404.0
008 100503s1996 xx ||||gr |0|| 0 eng d
100 1 _aBOASE, Joan Price
_91229
245 1 0 _aInstitutions, institutionalized networks and policy choices :
_bhealth policy in the US and Canada
260 _aMalden :
_bWiley-Blackwell,
_cJuly 1996
520 3 _aThis article uses the case of health insurance policy in the United States ahd Canada, to ty to explain how particular state-societal patterns of intermediation unfold, become institutionalized and effect quite different policy strategies. It begins by outlining the importance of formal political and administrative institutional structure in the exercise of autonomous state action. It then examines the concepts of policy community and policy network as state-specific vehicles of interest intermediation and finally, it grounds the theoretical discussion in a comparative description of the evolution of health policy in the United States and Canada. It concludes that to a great extent, we are the prisoners of our institutions—both political and societal—and without fundamental change, necessitating major upheaval, the United States is unlikely to embrace a national health insurance program similar to other western nations.
773 0 8 _tGovernance: An International Journal of Policy and Administration
_g9, 3, p. 287-310
_dMalden : Wiley-Blackwell, July 1996
_xISSN 09521895
_w
942 _cS
998 _a20100503
_b1137^b
_cDaiane
998 _a20100505
_b1705^b
_cCarolina
999 _aConvertido do Formato PHL
_bPHL2MARC21 1.1
_c32763
_d32763
041 _aeng