Accidental Logics: The Dynamics of Change in the Health Care by Carolyn Hughes Tuohy

By Carolyn Hughes Tuohy

future health care reform has turn into some of the most usual themes in contemporary coverage discourse inside and throughout international locations. within the Nineties, universal positive factors of the healthiness care enviornment increased the significance of bargaining relationships between huge, subtle entities because the dominant mode of decision-making, essentially tough the normal dominance of the scientific career, which have been grounded in individualized "agency" relationships among services and sufferers. those advancements have performed out in various methods around the world. Carolyn Hughes Tuohy seems on the studies of the U.S., Britain, and Canada, supplying a global comparative research of public coverage platforms, in addition to a up to date historical past of the evolution of every nationwide well-being care method.
What drives swap in overall healthiness care structures? Why do definite adjustments happen in a few international locations and never in others? Tuohy argues that the reply lies in knowing the "accidents" of background that experience formed nationwide platforms at serious moments and within the designated "logics" of those structures. Her research rigorously delineates either the typical good judgment of the overall healthiness care area, deriving from micro-economic features and technological switch, and the actual logics of nationwide platforms, installed position by means of particular episodes of coverage swap. 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 procedure in Canada made up our minds the following course and speed of switch in all 3 international locations. ultimately, Tuohy presents feedback to steer the strategic judgments that decision-makers needs to make in the healthiness care process of every state. Accidental Logics uniquely departs from the descriptive literature at the moment to be had by way of providing an in depth evaluation of the facts in regards to the evolution of the future health care arenas within the usa, Britain, and Canada, built-in inside of an explanatory framework. it truly is crucial updated examining for political scientists operating in comparative politics and public coverage, well-being coverage analysts, govt employer officers, and scholars in political technological know-how, health and wellbeing coverage, and management programs.

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