a central problem in designing effective models of provider governance in health systems has been to ensure an appropriate balance between the concerns of public sector and/or government decision-makers, on the one hand, and of non-governmental health services actors in civil society and private life, on the other. in tax-funded european health systems up to the 1980s, the state and other publi...

recognizing the advantages of primary care as a means of improving the entire health system, this text comments on reforms of publicly funded primary health centers, and the rapid development of private forprofit providers in sweden. many goals and expectations are connected to such reforms, which equally require critical analyses of scarce resources, professional trust/motivation and business ...

introduction: health care industry consists of an unexpected and confusing environment in which quality events play the important role. in such conditions, the necessary changes should be made. excellence models are general oriented frameworks that are able to achieve the above intention. materials & methods: this study is a descriptive cross-sectional study. data gathered by a standard checkli...

conclusions with regard to the current challenges in iran’s health system, using risk-adjusted capitation as a primary healthcare payment system can lead to useful changes in the health system’s features. however, future research should focus on the development of the risk-adjusted capitation model. background when a country’s health system is faced with fundamental flaws that require the redes...

in 2010, the united states adopted its first-ever comprehensive set of health system reforms in the affordable care act (aca). implementation of the law, though politically contentious and controversial, has now reached a stage where reversal of most elements of the law is no longer feasible. the controversial portions of the law that expand affordable health insurance coverage to most u.s. cit...

The most important challenge at the forefront of the national agenda is the need for health care reform. Major concerns of the current system are cost and access to care. This article discusses numerous congressional proposals and strategies for addressing these concerns. ET nurses are in a unique position to influence health care delivery. The Wound Ostomy and Continence Nurses Society has imp...

This article examines the role of health governance in shaping the outcomes of healthcare reforms in China. The analysis shows that the failure of reforms during the 1980s and 1990s was in part due to inadequate attention to key aspects in health governance, such as strategic interactions among government, providers and users, as well as incentive structures shaping their preferences and behavi...

The Clinton Administration has implied that short-run failures to control health care costs may cause a reexamination of wage and price controls as elements of comprehensive health care reform. The most recent imposition of mandatory wage and price controls was the Economic Stabilization Program (ESP) of the early 1970s. We analyze trends in hospitals' economic behavior and utilization before, ...

Massachusetts' experience with health care reform may be predictive of the effects of national health care reform. Data on employment in the health care industry were examined to determine the impact of the Massachusetts reform on the state's health care workforce.

The time is now. Over the past decade, health care providers have heard about the unprecedented redesign of the health care system. With the presidential election fast approaching, waves of uncertainty are swirling around the Affordable Care Act. No matter the outcomes of the November elections and their impact to the health care reform bill, there are sustainable aspects that will continue to ...