Health Departments and Medical Care—A World Scanning

Roemer, Milton I.

doi:10.2105/ajph.50.2.154

Cited by 29 publications

(14 citation statements)

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“…9 Only 12 typologies include Global South countries/regions as cases. Roemer (1960), Field (1973) and Terris (1978) focus on the evaluation of whole continents and regions, rather than individual countries (e.g. Asia, Africa and Latin America).…”

Section: Temporal and Geographical Distributionmentioning

confidence: 99%

“…Qualitative classification Bambra et al, 2005Lee et al, 2008Wendt et al, 2009Kam, 2012Frenk & Donabedian, 1987Hurst, 1991Roemer, 1991Elling, 1994Moran, 2000Wendt et al, 2009Toth, 20162018Bazzoli et al, 1999Wendt, 2009Reibling, 2010Joumard et al, 2010Borisova, 2011Kam, 2012Sam, 2014Mackintosh et al, 2016Hagenaars et al, 2017Bertin & Pantalone, 2018Ferreira et al, 2018Roemer, 1960Anderson, 1963Field, 1973Maxwell, 1974Terris, 1978OECD, 1987Lassey et al, 1997Saltman & Figueras, 1997;Londoño and Frenk, 1997;Busse andJakubowski, 1998 Tuohy, 1999;Freeman, 2000Docteur and Oxley, 2003Mesa-Lago, 2007Freeman & Schmid, 2008;Thomson et al, 2009Toth, 2010Santerre and Neun, 2010 European Union, 2012 Frenk and Donabedian (1987) produce a matrix, which differentiates between concentrated and dispersed state control and eligibility based on citizenship, contribution or poverty. Hurst (1991) arrives at six possible types distinguishing the p...…”

Section: Quantitative Classificationmentioning

confidence: 99%

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Classifications of health care systems: Do existing typologies reflect the particularities of the Global South?

Carvalho

Schmid

Fischer

2020

Global Social Policy

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Typologies are a useful and widely employed instrument in comparative research, including the study of health care systems. This study analyses the effectiveness of extant classifications in representing health care systems globally, examining whether existing literature adequately helps to understand health care systems of the Global South. To this end, the study highlights key elements of health care systems in the Global South, in particular limited resources, segmentation and the involvement of non-domestic/international actors. In a further step, we conduct a systematic literature review of typological scholarship on health care systems, in which 42 classifications are identified and analysed regarding regional coverage, methods, as well as the criteria and categories they include. The results point to major limitations: First, there is a general lack of representation and systematic classification of health care systems of the Global South. Second, there is a bias as criteria for classification are developed inductively based upon health care systems of the Global North. Consequently, existing typologies mostly fail to take into account the particularities of the countries beyond high-income economies. The study concludes by putting forth recommendations for developing a more comprehensive, globally applicable typological framework.

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Section: Temporal and Geographical Distributionmentioning

confidence: 99%

Section: Quantitative Classificationmentioning

confidence: 99%

Classifications of health care systems: Do existing typologies reflect the particularities of the Global South?

Carvalho

Schmid

Fischer

2020

Global Social Policy

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“…Amongst the myriad classificatory schemes used in health systems analysis, Britain’s NHS has historically been viewed as an ideal type, for its ‘universal service pattern’ of free care as a public benefit, and its ‘polar’ organizational model, in which the state was the dominant payer and provider (Roemer 1960: 158; Anderson 1963: 842). It was established after the Second World War as a key element of the welfare state, inspired by the universalist blueprint of the Beveridge Report, and put into place by the social democratic Labour government, following its 1945 election victory.…”

Section: The British Nhs: History and Structurementioning

confidence: 99%

Resource Allocation for Equity in the British National Health Service, 1948–89: An Advocacy Coalition Analysis of the RAWP

Gorsky

Millward²

2018

Journal of Health Politics, Policy and Law

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Britain's National Health Service (NHS) is a universal, single-payer health system in which the central state has been instrumental in ensuring equity. This article investigates why from the 1970s a policy to achieve equal access for equal need was implemented. Despite the founding principle that the NHS should "universalize the best," this was a controversial policy goal, implying substantial redistribution from London and the South and threatening established medical, political, and bureaucratic interests. Our conceptual approach draws on the advocacy coalition framework (ACF), which foregrounds the influence of research and ideas in the policy process. We first outline the spatial inequities that the NHS inherited, the work of the Resource Allocation Working Party (RAWP), and its new redistributive formula. We then introduce the ACF approach, analyzing the RAWP's prehistory and formation in advocacy coalition terms, focusing particularly on the rise of health economics. Our explanation emphasizes the consensual commitment to equity, which relegated conflict to more technical questions of application. The "buy-in" of midlevel bureaucrats was central to the RAWP's successful alignment of equity with allocative efficiency. We contrast this with the failure of advocacy for equity of health outcomes: here consensus over core beliefs and technical solutions proved elusive.

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“…Multiple health care system classification proposals have been made in the literature. Most of these focus particularly on health care financing mechanisms (Roemer, 1960; Field, 1973; Terris, 1978; Mossialos et al , 2002; OECD, 2004). In addition to the financing dimension, some classification proposals also take into account how health care is provided (Frenk and Donabedian, 1987; OECD, 1987; Lee et al , 2008; Wendt, 2009; Toth, 2016).…”

Section: Introductionmentioning

confidence: 99%

Integration vs separation in the provision of health care: 24 OECD countries compared

Toth

2018

HEPL

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This article proposes a classification of the different national health care systems based on the way the network of health care providers is organised. To this end, we present two rivalling models: on the one hand, the integrated model and, on the other, the separated model. These two models are defined based on five dimensions: (1) integration of insurer and provider; (2) integration of primary and secondary care; (3) presence of gatekeeping mechanisms; (4) patient's freedom of choice; and (5) solo or group practice of general practitioners. Each of these dimensions is applied to the health care systems of 24 OECD countries. If we combine the five dimensions, we can arrange the 24 national cases along a continuum that has the integrated model and the separated model at the two opposite poles. Portugal, Spain, New Zealand, the UK, Denmark, Ireland and Israel are to be considered highly integrated, while Italy, Norway, Australia, Greece and Sweden have moderately integrated provision systems. At the opposite end, Austria, Belgium, France, Germany, the Republic of Korea, Japan, Switzerland and Turkey have highly separated provision systems. Canada, The Netherlands and the United States can be categorised as moderately separated.

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Health Departments and Medical Care—A World Scanning

Abstract: From time to time, it is necessary for a painter to step back from his easel and get an overviewv of his work. Such an overview is equally important for health workers, and here is one concerned with the large picture, on a world-wide basis, of health departments and medical care.

Cited by 29 publications

References 0 publications

Classifications of health care systems: Do existing typologies reflect the particularities of the Global South?

Classifications of health care systems: Do existing typologies reflect the particularities of the Global South?

Resource Allocation for Equity in the British National Health Service, 1948–89: An Advocacy Coalition Analysis of the RAWP

Integration vs separation in the provision of health care: 24 OECD countries compared

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