Cover image for Six Countries, Six Reform Models : The Healthcare Reform Experience of Israel, the Netherlands, New Zealand, Singapore, Switzerland and Taiwan - Healthcare Reforms "Under the Radar Screen".
Six Countries, Six Reform Models : The Healthcare Reform Experience of Israel, the Netherlands, New Zealand, Singapore, Switzerland and Taiwan - Healthcare Reforms "Under the Radar Screen".
Title:
Six Countries, Six Reform Models : The Healthcare Reform Experience of Israel, the Netherlands, New Zealand, Singapore, Switzerland and Taiwan - Healthcare Reforms "Under the Radar Screen".
Author:
Okma, Kieke G. H.
ISBN:
9789814261593
Personal Author:
Physical Description:
1 online resource (256 pages)
Contents:
Contents -- Foreword -- Acknowledgements -- About the Authors -- Introduction Kieke G. H. Okma and Luca Crivelli -- Analytical Frameworks -- Main Findings -- References -- 1. Israel: Partial Health Care Reform as Laboratory of Ongoing Change David Chinitz and Rachel Meislin -- Historical Background -- Forces Leading to Reform -- Funding and Providing Health Care in Israel -- Results, Failures, and Continuing Evolution of the Health Insurance Reform of 1995 -- Determining the Health Care Entitlements of Israel's Social Insurance -- Patients' Rights -- Financing -- Access and Equity -- Theoretical Implications of the Israeli Case: The Role of the State and the Dominant Cultural Orientation -- References -- 2. Change and Continuity in Dutch Health Care: Origins and Consequences of the 2006 Health Insurance Reforms Kieke G. H. Okma and Hans Maarse -- Introduction -- Public and Private Health Insurance in The Netherlands in the 20th Century -- Origins of the Dutch Health Care Reforms: Internal and External Pressure for Change -- Health Insurance in The Netherlands, 2008 -- Changes in Governance of Dutch Health Care -- Changing Stakeholder Positions in Dutch Health Policy -- Uninsured in The Netherlands -- Changing Attitudes of Health Care Managers -- New Roles for Patients and Consumers in Dutch Health Care -- Conclusions and the Outlook for the Dutch Health Care System -- References -- 3. Reform and Re-reform of the New Zealand System Toni Ashton and Tim Tenbensel -- Introduction -- The New Zealand Health System -- Successive Health Reform Waves in New Zealand -- Political and Economic Context -- 1980s -- Early 1990s: The Big Bang -- Late 1990s: Some Modifications -- 2000s: Back to the Future? -- Summary of the Reform Period -- Drivers of Change -- Role of the State -- The Medical Profession -- Cultural Values -- Summary -- Effects of the Reforms.

Funding -- Competition and Choice -- Governance and Voice -- Conclusion -- References -- 4. Health Care Reforms in Singapore Meng-Kin Lim -- Introduction -- Health Care Financing -- Medisave -- Medishield -- Medifund -- Mixed, Multi-Layered Funding System -- Eldercare Fund and Eldershield -- Affirmative Action -- Targeting of Subsidies -- Means Testing to Better Target Subsidies -- Health Care Provision -- Primary Care -- Traditional Medicine -- Secondary and Tertiary Care -- Commercialization of Health Care -- Hospital Restructuring -- Clustering -- The Forces Fueling Change -- Search for Value and Efficiency through Competition -- Quality and Patient Safety -- Changing Medical Practice: Disease Management Paradigm -- Conclusion -- References -- 5. Consumer-Driven Versus Regulated Health Insurance in Switzerland Luca Crivelli and Iva Bolgiani -- Introduction -- The Governance of the Swiss Health System: Playing the Threefold Role of Citizen, Insured, and Patient by Using the Exit or Voice Option -- Voice in a Small Federal State with a Strong Tradition of Direct Democracy -- Exit in a Mandatory Health Insurance System with Regulated Benefit Basket and Community-Rated Premiums -- Exit in the Swiss "Supermarket" of Medical Services -- The Increasing Burden of Health Insurance Premiums as the Central Issue in Switzerland -- Evaluation of the Resort to Exit -- Evaluation of the Resort to Voice -- The Path of Health Insurance Changes: Reform or Revolution? -- Reforms Under the Banner of Continuity: The Swiss Government's Proposals -- Revolutions: The Proposals of a Part of Swiss Civil Society -- References -- 6. Taiwan's National Health Insurance System: High Value for the Dollar Tsung-Mei Cheng -- Introduction -- A Brief History of Health Insurance in Taiwan -- Administration of the NHI -- Financing of the NHI -- Cost Sharing by Patients.

Health Care Delivery in Taiwan -- Choice of Providers -- Contracting with and Paying the Providers of Care -- Cost Containment Through Global Budgets -- The NHI's Health Information System -- The Role of the State and Organized Stakeholders in Taiwan's Health Policy -- Recent Reforms, Options Considered, and Outcomes of Recent Reforms -- Conclusion -- References -- Conclusions: Debates, Reforms, and Policy Adjustments Kieke G. H. Okma and Luca Crivelli -- Appendix A -- Index.
Abstract:
This book presents the healthcare reform experiences of six small- to mid-sized, but dynamic, economies spanning the Asia-Pacific, the Middle East and Europe. Usually not given serious consideration in major international comparisons because of their small size, each in fact provides a fascinating case study that illuminates the understanding of the dynamics of healthcare reform. Although dissimilar in historical and cultural backgrounds, they share some important features: all faced very similar pressures for change in the 1970s and 1980s; all considered a very similar range of policy options; and all did not only discuss but actually implemented fundamental changes in their healthcare funding, organization, contracting and governance structures with strikingly different outcomes. All of the authors have lived and worked in one or more of the countries studied in this volume. The analytic frameworks they use reflect their broad range of professional and disciplinary backgrounds in health economics and political science. Beyond mere descriptions of reform processes and superficial analyses based on aggregate data from the usual OECD or WHO sources, they seek to understand - and explain - the variations in country experiences by examining the politico-socio-economic factors driving health reform as seen through the respective country lenses. In coming together in this unique international collaboration, they make an important contribution to the growing field of international comparative health policy studies. Contributors: Tsung-Mei Cheng (Princeton University, USA) , David Chinitz (The Hebrew University of Jerusalem, Israel) , Luca Crivelli and Iva Bolgiani (University of Lugano, Switzerland) , Meng-Kin Lim (National University of Singapore, Singapore) , Kieke G H Okma and Hans Maarse (Maastricht University, The Netherlands) , Toni Ashton and

Tim Tenbensel (University of Auckland, New Zealand) . Sample Chapter(s). Foreword (41 KB). Chapter 1: Introduction (133 KB). Contents: Introduction (K G H Okma & L Crivelli); Israel: Partial Health Care Reform as Laboratory of Ongoing Change (D Chinitz & R Meislin); Change and Continuity in Dutch Health Care: Origins and Consequences of the 2006 Health Insurance Reforms (K G H Okma & H Maarse); Reform and Re-reform of the New Zealand System (T Ashton & T Tenbensel); Health Care Reforms in Singapore (M-K Lim); Consumer-Driven Versus Regulated Health Insurance in Switzerland (L Crivelli & I Bolgiani); Taiwan's National Health Insurance System: High Value for the Dollar (T-M Cheng); Conclusions: Debates, Reforms, and Policy Adjustments (K G H Okma & L Crivelli). Readership: Academics and students in health policy studies, political science.
Local Note:
Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2017. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.
Subject Term:
Added Author:
Electronic Access:
Click to View
Holds: Copies: