The Ecology of Health Policymaking and Reform in the U.S.A.
Identifieur interne : 002709 ( Main/Exploration ); précédent : 002708; suivant : 002710The Ecology of Health Policymaking and Reform in the U.S.A.
Auteurs : Sunday E. Ubokudom ; Jagdish KhubchandaniSource :
- World Medical & Health Policy [ 1948-4682 ] ; 2010-04.
English descriptors
- Teeft :
- Administrative rules, American association, Annual growth, Care practices, Care services, Census bureau, Clifton park, Clinton plan, Collective responsibility, Conference committee, Consensus building, Constitutional ecology, Constraint, Cost containment, Delmar, Different countries, Different sections, Different solutions, Easy task, Ecological, Ecological factors, Ecology, Economic conditions, Economic interests, Economic recession, Election cycle, England journal, Federal candidates, General population, Global ecology, Global factors, Global influences, Health affairs, Health arena, Health care, Health disparities, Health facilities, Health insurance, Health policy, Health policy scholars, Health politics, Health providers, Health reform, Health services, Health statistics, Health status, Health system, Health systems, Healthcare, Healthcare equation, Healthcare providers, Healthcare reform, Healthcare system, Illicit drugs, Immune deficiency syndrome, Infectious diseases, Interest groups, Johns hopkins, Khubchandani, Life expectancy, Litman, Medical care, Medical practice, Medical services, Medical technology, Medicare medicaid services, National center, Nursing homes, Obama administration, Opposition party, Other countries, Other factors, Other hand, Persons years, Physical ecology, Physical technologies, Policy preferences, Policy studies organization, Political ecology, Political feasibility, Political parties, Political power, Population health, Population mobility, Poverty rate, Premium taxes, Prescription drugs, President obama, Private companies, Private health insurance, Provider, Provider resistance, Public administration, Public health, Public interest, Public opinion, Public policy, Public support, Reform proposal, Responsive politics, Robin, Same country, Singh, Social technologies, Social technology, Specialty care, State governments, States centers, Statistics reports, Ubokudom, Unified congress, Uninsured, Universal coverage, Weissert, White house.
Abstract
This article demonstrates how constitutional, political, legal, economic, technological, social and cultural, physical, demographic, and global factors affect health policymaking in the U.S.A. The ecological factors that influence health policy in the U.S. are uniquely different from those of other countries. Therefore, even though a number of problems may be common to health systems worldwide, these problems may require different solutions in the different countries, or in different sections of the same country. The article concludes that the above ecological factors, individually or collectively, cause U.S. health policies to be inconsistent. For example, policies were adopted in the past to promote the concentrated interests of health providers. Recently, the rise of opposing concentrated interests, a lingering economic recession, a weakened resistance to change, and policy learning from the practices of other industrialized countries and from scholarly publications give us hope that reform, although still difficult to achieve, may finally be in sight.
Url:
DOI: 10.2202/1948-4682.1010
Affiliations:
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The ecological factors that influence health policy in the U.S. are uniquely different from those of other countries. Therefore, even though a number of problems may be common to health systems worldwide, these problems may require different solutions in the different countries, or in different sections of the same country. The article concludes that the above ecological factors, individually or collectively, cause U.S. health policies to be inconsistent. For example, policies were adopted in the past to promote the concentrated interests of health providers. Recently, the rise of opposing concentrated interests, a lingering economic recession, a weakened resistance to change, and policy learning from the practices of other industrialized countries and from scholarly publications give us hope that reform, although still difficult to achieve, may finally be in sight.</div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Khubchandani, Jagdish" sort="Khubchandani, Jagdish" uniqKey="Khubchandani J" first="Jagdish" last="Khubchandani">Jagdish Khubchandani</name><name sortKey="Ubokudom, Sunday E" sort="Ubokudom, Sunday E" uniqKey="Ubokudom S" first="Sunday E" last="Ubokudom">Sunday E. Ubokudom</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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