Six countries, six health reform models? : health care reform in Chile, Israel, Singapore, Switzerland, Taiwan and The Netherlands
      
      
        
      
      
      
      
        
          
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Okma, Kieke G. H.
New York University, United States
          
 
          
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Cheng, Tsung-Mei
Princeton University, United States
          
 
          
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Chinitz, David
Hebrew University, Jerusalem, Israel
          
 
          
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Crivelli, Luca
Istituto microeconomia e economia pubblica (MecoP), Facoltà di scienze economiche, Università della
          
 
          
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Svizzera italiana, Svizzera
          
 
          
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Meng-Kin, Lim
National University of Singapore
          
 
          
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Maarse, Hans
University Maastricht
          
 
          
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Labra, Maria Eliana
National School of Public Health, Oswaldo Cruz Foundation, Brazil
          
 
          
        
        
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        Published in:
        
          
            
            - Journal of comparative policy analysis. - Springer Science & Business Media. - 2010, vol. 12, no. 1, p. 75-113
 
            
          
         
       
      
      
      
      
      
       
      
      
      
        
        English
        
        
        
          This research contribution presents a diagnosis of the health reform experience of six small and mid-sized industrial democracies: Chile, Israel,  Singapore, Switzerland, Taiwan and The Netherlands during the last decades of the twentieth century. It addresses the following questions: Why have  these six countries, facing similar pressures to reform their health care systems, with similar options for government action, chosen very different  pathways to restructure their health care? What did they do? And what happened after the implementation of those reforms? The article describes the  current arrangements for funding, contracting and payment, ownership and administration (or “governance”) of health care at the beginning of the 21st  century, the origins of the health care reforms, the discussion and choice of policy options, processes of implementation and “after reform  adjustments”. The article looks at factors that help explain the variety in reform paths, such as national politics, dominant cultural orientations and the  positions of major stakeholders.
        
        
       
      
      
      
        
        
        
        
        
        
        
        
        
        
        
        
        
        
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                  Economics
                
              
            
          
        
 
        
        
        
          
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  RERO DOC
  
    
      17995
    
  
            
 
            
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      ark:/12658/srd1318271
    
  
            
 
            
          
         
        
        
        
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          https://n2t.net/ark:/12658/srd1318271
        
 
      
     
   
  
  
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