Health Policy, Vol. 66, 2003, p.135-146
The article reports the results of a cross sectional survey of public attitudes to healthcare prioritisation in Iceland. Overall, people had strong reservations about prioritising between different patient groups. However, physicians appeared to be more prepared to prioritise and had a strong preference to opt for effective outcome rather than disease severity. Most respondents were reluctant to allocate limited resources to the most seriously ill patients who would benefit little from the treatment.
A. Wild, M. Iwami and G. Meads
Primary Care Report, vol.5, no.17, Oct 29th 2003, p.14, 16-19
Looks at how primary care organisations in 11 countries have tackled issues critical for reform including knowledge management, integration of health and social care, regulation and accountability, and relationships with central government.
L. Vuorenkoski, H. Toivianen and E. Hemminki
Health Policy, Vol. 66, 2003, p.169-177
Increased drug expenses have created challenges for drug reimbursement systems in many industrialised countries such as Finland. Prioritisation of drugs so that costs of medicines for serious illnesses are reimbursed at a higher rate than medicines for minor complaints could be one solution to this problem. The paper examines stakeholders' views of the prioritisation decisions made in the Finnish drug reimbursement system, particularly concerning drugs in the higher reimbursement categories.
V. Bhatia and W. D. Coleman
Canadian Journal of Political Science, vol.36, 2003, p.715-739
Presents case studies of health service reform in Canada and Germany in the late 1980s and early 1990s. Shows that key policy actors came together to agree upon a significant reform of health care policy in Germany, while only minor policy changes occurred in Canada. The key factor facilitating significant policy change in Germany was the presence of a challenging discourse that had three key characteristics:
Society Guardian, November 5th 2003, p.6
This week, a team of US health experts who work for an organisation that excludes hundreds of thousands of low income and unemployed people from access to medical care will be touring England telling doctors, nurses and managers how to save the NHS. Their company is Kaiser Permanente, the California-based not-for-profit "health maintenance company" with a reputation for cutting hospital stays and keeping the ageing population out of hospital. Kaiser's approach to hip-replacement surgery means just three days in hospital compared to an NHS average of 12 days. But critics, including former Health Secretary Frank Dobson, have attacked Health Secretary John Reid for backing the Kaiser approach. Kaiser, along with the rest of the US health industry, does not provide care for 20 per cent of the population who cannot afford premiums.
A. C. Bara and others
Health Policy, Vol. 66, 2003, p.123-133
The article studies the opinions of individuals and groups living in the Dolj region of Romania about the health system reforms introduced over the past 10 years. Overall, people judged the present situation to be better than the past. The elderly, the chronically ill, and people who believe that people were generally happier 10 years ago have a more critical view of the reforms. Educated people are generally more positive.
A. Rico and others
Social Policy and Administration, Vol. 37, No. 6, December 2003, p.592-608
The article examines organisational change in European health care systems, with particular reference to strategies developed during the 1990's to improve co-ordination among health care providers. Special attention is also given to primary care. Evidence on organisational restructuring is used to address three questions:
The article concludes that specific features of healthcare can impede the operation of market or hierarchical coordination mechanisms, although these can be successful if applied as levers to promote the role and impact of pro-co-operative co-ordination strategies.