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Expanding the scope of health reform: application in the United States

Charles E. Begley, Lu Ann Aday, David R. Lairson and Carl H. Slater

Social Science & Medicine, 2002, vol. 55, issue 7, 1213-1229

Abstract: Since the demise of the Clinton national health plan in the early 1990s, a number of states in the US have continued to pursue health reform. The reforms reflect the on-going debate in the US and throughout the world over market-minimizing versus market-maximizing strategies to improve healthcare systems. This paper describes the limits of this debate and supports a broader view that focuses on how health policy can improve population health. Performance measures and indicators traditionally used to evaluate market minimizing/maximizing strategies for reforming healthcare are redefined for evaluating strategies to improve health. Differences in the two views are illustrated by describing state reforms in the US using the market-minimizing/maximizing framework and evaluating the reforms based on the health-related framework.

Keywords: Health; systems; and; services; research; Public; policy; USA (search for similar items in EconPapers)
Date: 2002
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Citations: View citations in EconPapers (2)

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