S. Hopkins and J. Cumming
Health Policy, vol. 58, 2001, p. 215-229
Paper discusses changes in private health care expenditure in New Zealand and compares these with trends in private and public health expenditure in a number of OECD countries. It goes on to analyse out-of-pocket expenditure, insurance expenditure and household income between 1983/84 and 1997/98.
R. van Herk et al.
Social Science and Medicine, vol.53, 2001, p. 1721-1723
Clinical audit became mandatory in the Netherlands under the Hospital Licensing Act of 1984. In England it has been promoted by government as a compulsory activity since 1989. Article describes the development of medical audit in the two health care systems and guages its impact on professional autonomy. In both countries medical audit turned out to be an instrument "controlled" by the profession itself and has not threatened clinical autonomy.
M.J.M.H Lombarts and N. S. Klazinga
Health Policy, vol. 58, 2001, p. 191-213
This paper looks at the dynamics of professional self-regulation and health care policy making. It examines how 'site visits' (visitatie) have been used in the political process between medical specialists and the state. The paper discusses the increase in "visitatie" which is due to a number of factors including:
Department of Health and Children
Dublin : 2001
The Irish health service is bedevilled by long waiting times for public care which can be bypassed by those with private insurance. Strategy promises that no public patient will wait longer than three months for treatment by 2004. Waiting times will be cut through partnership with the private sector and use of overseas services. In addition, an extra 3000 public patient beds are promised by 2011. A National Hospitals Agency is to be set up to plan the configuration of hospital services.