By Carolyn Hughes Tuohy

ISBN-10: 0195128214

ISBN-13: 9780195128215

health and wellbeing care reform has turn into the most generic issues in contemporary coverage discourse inside of and throughout countries. within the Nineteen Nineties, universal positive aspects of the healthiness care enviornment increased the significance of bargaining relationships between huge, subtle entities because the dominant mode of decision-making, essentially difficult the conventional dominance of the scientific occupation, which were grounded in individualized "agency" relationships among services and sufferers. those advancements have performed out in various methods worldwide. Carolyn Hughes Tuohy appears on the reviews of the U.S., Britain, and Canada, delivering a world comparative research of public coverage structures, in addition to a up to date historical past of the evolution of every nationwide health and wellbeing care approach.
What drives switch in wellbeing and fitness care platforms? Why do sure alterations take place in a few international locations and never in others? Tuohy argues that the reply lies in realizing the "accidents" of heritage that experience formed nationwide structures at severe moments and within the certain "logics" of those structures. Her learn rigorously delineates either the typical common sense of the healthiness care area, deriving from micro-economic features and technological swap, and the actual logics of nationwide platforms, installed position through particular episodes of coverage switch. She is going directly to discover how within the wake of those episodes, the combined marketplace within the usa, hierarchical corporatism in Britain, and the single-payer method in Canada decided the following course and speed of switch in all 3 nations. eventually, Tuohy offers feedback to lead the strategic judgments that decision-makers needs to make in the wellbeing and fitness care procedure of every kingdom. Accidental Logics uniquely departs from the descriptive literature at present to be had by way of featuring an in depth overview of the facts in regards to the evolution of the healthiness care arenas within the usa, Britain, and Canada, built-in inside an explanatory framework. it really is crucial updated analyzing for political scientists operating in comparative politics and public coverage, health and wellbeing coverage analysts, executive corporation officers, and scholars in political technology, overall healthiness coverage, and management programs.

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Accidental Logics: The Dynamics of Change in the Health Care Arena in the United States, Britain, and Canada: The Dynamics of Change in the Health Care Arena in the United States, Britain and Canada by Carolyn Hughes Tuohy


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