System transformation: USA and international strategies in healthcare organisation and policy

Roice D. Luke

International Journal of Public Policy, 2010, vol. 5, issue 2/3, 190-203

Abstract: This paper draws attention to the US clusters and frames them in the context of regionalisation. It does this in three steps. First, it highlights key moments in US history in which regionalisation emerged as a central albeit unsuccessful policy strategy. Second, it considers how the strategic moves of multi-hospital systems contributed, especially in the 1990s, to the formation of hospital clusters. And third, it provides a broad overview of regional system formation internationally. The paper concludes that greater priority in both policy and research needs to be given to the provider clusters that now spread across this country's healthcare landscape.

Keywords: regionalisation; international comparative analysis; health policy; health systems; USA; United States; integrated health delivery; hospital clusters; market strategy; devolution; centralisation; healthcare organisation; healthcare policy; multi-hospital systems. (search for similar items in EconPapers)
Date: 2010
References: Add references at CitEc
Citations: View citations in EconPapers (1)

Downloads: (external link)
http://www.inderscience.com/link.php?id=30603 (text/html)
Access to full text is restricted to subscribers.

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:ids:ijpubp:v:5:y:2010:i:2/3:p:190-203

Access Statistics for this article

More articles in International Journal of Public Policy from Inderscience Enterprises Ltd
Bibliographic data for series maintained by Sarah Parker ().