An Overview of the Canadian Health Care Experience

Gold, J H; Hector, Robert; Grünberg, Fréderic

doi:10.1176/ps.37.11.1115

1986

DOI: 10.1176/ps.37.11.1115

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An Overview of the Canadian Health Care Experience

J H Gold¹,

Robert Hector²,

Fréderic Grünberg³

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States Facing Interests: Struggles Over Health Care Policy in Advanced, Industrial Democracies

Wilsford

1995

Journal of Health Politics, Policy and Law

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Given alarming fiscal imperatives, states and interests in all advanced industrial democracies have struggled over health care policy. I explore the interface between state autonomy in health care policy and the political mobilization of provider interests, especially physicians. Evidence from Germany, Japan, Canada, and Great Britain suggests that, longitudinally, policy makers everywhere have tried to increase state autonomy in health care, and this has generally triumphed over even effectively mobilized providers. The countries that have most successfully restrained the growth of health care expenditures--while still providing ready access to relatively high-quality care--are those where states have most actively restrained both demand- and supply-side system interests in policy making. In each country, states have increasingly articulated their own greater capacities in health care policy, pushed to do so by the imperatives, especially fiscal, embedded in the policy domain.

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States Facing Interests: Struggles Over Health Care Policy in Advanced, Industrial Democracies

Wilsford

1995

Journal of Health Politics, Policy and Law

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The Regionalized, Integrated Health Care System of Québec: A Model for the United States

Mosher

1996

Quebec Studies

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An Overview of the Canadian Health Care Experience

Cited by 2 publications

References 2 publications

States Facing Interests: Struggles Over Health Care Policy in Advanced, Industrial Democracies

States Facing Interests: Struggles Over Health Care Policy in Advanced, Industrial Democracies

The Regionalized, Integrated Health Care System of Québec: A Model for the United States

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