Abstract
Few countries are immune to the international health care 'virus' of reform, with many countries regularly re-cycling changes that shift costs and benefits in ways that are arbitrary, inefficient and offer short term political palliation. Much of this activity has little evidence base and reveals lack of clarity in defining public policy goals, establishing trade-offs and aligning incentive structures with these objectives. Well established failures in health care delivery systems such as variations in medical practice and continuing absence of systematic outcome measurement, have persisted for decades as nations grapple inefficiently with recurring problems of expenditure inflation and waiting times. The lack of emphasis on evidence to inform the efficient management of chronic disease and the reduction of health inequalities is a product of perverse incentives and managerial inertia that maintains the incomes of powerful interest groups. Copyright (c) 2005 John Wiley & Sons, Ltd.
| Original language | English |
|---|---|
| Pages (from-to) | S255-S263 |
| Number of pages | 9 |
| Journal | Health Economics |
| Volume | 14 |
| DOIs | |
| Publication status | Published - Sept 2005 |
Keywords
- health care reform
- policy evaluation
- incentives
- outcome measurement
- health inequalities
- FETAL ORIGINS
- CARE
- MANAGEMENT
- MEDICINE
- SERVICE
- DISEASE
- EVENTS
- SYSTEM