Implementing Change in Health Systems
Market Reforms in the United Kingdom, Sweden and the Netherlands
By (author) Dr. Michael I. Harrison
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Implementing Change in Health Systems by Dr. Michael I. Harrison
Book DescriptionImplementing Change in Health Systems brings fresh thinking and evidence to the continuing debate about market reforms of health care and other public services. The book examines the development and implementation of national cost-containment programs and health system reorganizations in the UK, Sweden and the Netherlands - countries that have been leaders in health system reform. The book provides a new framework for analysing public policy implementation and system change, synthesizing diverse streams of academic research and thinking. It explores the processes of implementing market reforms in each country and considers the outcomes, both expected and unintended. In all three countries competitive reform encountered serious technical, organizational and political obstacles. Yet they triggered important system changes and paved the way for significant new health policies.The complex outcomes of the reforms included o changes in the quality, efficiency and costs of care o growing managerial and political control over physicians and other health care professionals o increased influence and centrality of community-based care o Diffusion of ideas and practices from business management into health care. Implementing Change in Health Systems sheds new light on crucial policy issues that are currently being debated throughout Europe and North America. The book will be of value to postgraduates, researchers, and practitioners in health policy and public policy. MICHAEL I. HARRISON is an internationally-known scholar of health systems and organizations. He is a Senior Research Scientist at the Agency for Healthcare Research and Quality in Rockville, MD and Associate Professor of Sociology at Bar-Ilan University in Ramat Gan, Israel. He has taught at the State University of New York at Stony Brook and the School of Management at Boston College and has been a Visiting Scholar at Brandeis University, Georgetown University, Harvard Business School, and the Nordic School of Public Health.
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Book DetailsISBN: 9780761961765
(242mm x 170mm x 19mm)
Imprint: SAGE Publications Ltd
Publisher: SAGE Publications Ltd
Publish Date: 5-Mar-2004
Country of Publication: United Kingdom
Books By Author Dr. Michael I. Harrison
Diagnosing Organizations, Paperback (November 2004)» View all books by Dr. Michael I. Harrison
How can organizations handle the opportunities and threats posed by rapidly changing markets and external conditions? How can they improve their overall effectiveness? The Third Edition of Diagnosing Organizations contains up-to-date treatments of techniques and models for diagnosing how organizations deal with challenges like these.
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Author Biography - Dr. Michael I. Harrison
Michael I. Harrison, Ph.D, is a Senior Social Scientist in the Center for Delivery, Organization, and Markets at the Agency for Healthcare Research and Quality (AHRQ). He leads Agency activities in Health System Design, manages and contributes to research in delivery systems across the United States, and conducts research on organizational improvement and implementation of system change. His publications include papers in leading health services research journals, Diagnosing Organizations: Methods, Models, and Processes (Sage, 2005), and Implementing Change in Health Systems: Market Reforms in the United Kingdom, Sweden, and the Netherlands (SAGE, 2004). He has given presentations and led workshops at scientific and professional conferences throughout the United States and Europe.Dr. Harrison holds a Ph.D. in Sociology from the University of Michigan. He was previously a faculty member at the State University of New York (SUNY), Stony Brook, and at Bar Ilan University in Israel; a visiting professor at Boston College and Haifa University; and a visiting scholar at Brandeis University, Georgetown University, Harvard Business School, and the Nordic School of Public Health.
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