A.L. MANSON, N. CHAPMAN, Y. WEDATILAKE, M. BALIC, H. MARWAY, S.L. SENEVIRATNE and P. HOLLOWAY From the Department of Clinical Immunology, St Mary’s Hospital, Imperial College Healthcare NHS Trust, London W2 1NY, Department of Clinical Pharmacology, St Mary’s Hospital, Imperial College Healthcare NHS Trust, London W2 1PG, Department of Chemical Pathology, St Mary’s Hospital, Imperial College Hea...

To evaluate the potential problems facing academic health centers (AHCs) as a result of market-driven health care reforms, we conducted case studies of seven nationally prominent AHCs during 1994. Findings suggest that although AHCs were not yet feeling the predicted impact of competition on their financial health and ability to sustain their academic missions of teaching, research, and care of...

As the most influential catalysts for health care reform in America, the time for nurses to emulate wellness and prevention has never been more critical. By creating healthy habits for ourselves, we flourish as ambassadors of self-care for our patients, families, colleagues, and communities. By taking care of ourselves first, we bring positive energy and vitality to work that positively affects...

Healthcare reform has been a constant phenomenon for the last two decades, regardless of being Bismarckian or Beveridgean. The launch of new reforms has increased in pace to a point that was defined, in a recent BMJ article on the UK National Health Service, as ‘constant redisorganisation’. Most of the policy analysis literature on healthcare reforms has been of Anglo-American origin. Consequen...

The past 15 years in Hungary have been characterised by unique changes. Apart from democratisation and managing the immediate crises caused by the collapse of the economy in the early 1990s, a strong part of the reforms was a desire to build Western models of health care and the necessary social and economic infrastructure. Hungary was forced to start substantial reengineering of health service...

The current literature on the politics of social policy has two major shortcomings: health care reforms are undertheoretized and research on Anglophone Africa tends to neglect health reforms. To tackle this, a case study on Kenya presents (failed) re-forms such as universal or categorical free health care or the introduction of health insurance and the expansion of its coverage. The case study ...

Health care reform is likely to raise unique issues for rural communities and providers. This paper identifies and discusses several of these issues, with a particular focus on the potential relationship between health care reform and rural health networks. Topics addressed include the likely impact of health reform on the organization and development of rural health networks, the reimbursement...

BACKGROUND The simultaneous improvement of the security capability of China Health Insurance System and its development in the last decade remains uncertain. This study measures the status and trends of reimbursement levels of the China Health Insurance System, as well as to offer policy advice to subsequent insurance reforms. METHODS The National Reimbursement Ratio was created to determine ...