000			02016naa a2200181uu 4500
001			0050410131837
003			OSt
005			20190211171419.0
008			100504s1995 xx ||||gr |0|| 0 eng d
100	1		_aGIAIMO, Susan _939804
245	1	0	_aHealth care reform in Britain and Germany : _brecasting the political bargain with the medical profession
260			_aMalden : _bWiley-Blackwell, _cJuly 1995
520	3		_aHealth care systems in the postwar period have been governed by political bargains between the state and the medical profession that have delinzated their respective powers and jurisdictions. Recent health care cost containment reforms in Britain and Germany are altering these bargains, and thereby challenge the prerogatives and autonomy of the medical profession in health policy formulation and in administration of the health care systems. But these challenges to doctors' power and autonomy vary between the two countries. Britain's 1989 "internal market" reforms attack the corporatist bargain with physicians by introducing market mechanisms into the National Health Service and, at the same time, strengthening central state control of the health care system. In Germany, on the other hand, the government's 1992 reforms only partially breached the corporatist bargain with doctors in order to strengthen rather than destroy this governance arrangement. The government has tried to curb what it views as excessive power of doctors while still allowing them a significant degree of corporatist self-governance. The reform efforts in both countries highlight some of the problems with different governance arrangements in health care systems and, more specifically, the difficulties associated with a market in health care.
773	0	8	_tGovernance: An International Journal of Policy and Administration _g8, 3, p. 354-379 _dMalden : Wiley-Blackwell, July 1995 _xISSN 09521895 _w
942			_cS
998			_a20100504 _b1013^b _cDaiane
998			_a20100505 _b1659^b _cCarolina
999			_aConvertido do Formato PHL _bPHL2MARC21 1.1 _c32792 _d32792
041			_aeng