Health Care Systems in Transition

This book offers an overview of health care systems in advanced industrial nations and its relation to current challenges from the USA. Part One offers guidelines for comparing health care reforms. Parts Two to Five examine health care and attempts at health care reform in Germany, Canada, Sweden and the United Kingdom. Part Six considers the impact on reform of structural differences in health care systems, and how national reform measures might be reflected in regional and state programmes in the United States.

PART ONE: INTRODUCTION
The Comparative Study of Health Care Reform - Albert F Wessen
Lessons from Abroad - David Mechanic
A Comparative Perspective
Comparative Health Systems and the Convergence Hypothesis - Mark Field
The Dialectics of Universalism and Particularism
PART TWO: THE GERMAN EXPERIENCE
From Solidarity to Market Competition - Christa Altenstetter
Values, Structure and Strategy in German Health Policy 1883-1997
Health Care Cost Containment in Germany - Bradford Kirkman-Liff
Germany Unity and Health Care Reform - Bradley Scharf
PART THREE: THE CANADIAN EXPERIENCE
Canadian National Health Insurance - Catherine Charles and Robin Badgley
Evolution and Unresolved Policy Issues
Will Power, Cost Control and Health Reform in Canada, 1987-1992 - Catherine Fooks
Preventive and Primary Care Access Systems - Francois Béland
CLSCs as Neighborhood and Social Service Centers in Quebec
PART FOUR: THE SWEDISH EXPERIENCE
Historical and Institutional Foundations of the Swedish Health Care System - Ellen Immergut
Evolving Roles of the National and Regional Governments in the Swedish Health Care System - Richard Saltman
Cost Control in the Swedish Health Sector - Casten von Otter
PART FIVE: THE BRITISH EXPERIENCE
Britain s Health Care Experiment - Patricia Day and Rudolf Klein
The Reforms of the British National Health Service - John Appleby
Policy Lessons from the British Health Care System - Donald W Light
PART SIX: HEALTH CARE REFORM: TOWARD A SYNTHESIS
Structural Differences and Health Care Reform - Albert F Wessen
Patterns of Health Care System Change - Francis D Powell