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Expanding the scope of health reform: application in the United States

Author

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  • Begley, Charles E.
  • Aday, Lu Ann
  • Lairson, David R.
  • Slater, Carl H.

Abstract

Since the demise of the Clinton national health plan in the early 1990s, a number of states in the US have continued to pursue health reform. The reforms reflect the on-going debate in the US and throughout the world over market-minimizing versus market-maximizing strategies to improve healthcare systems. This paper describes the limits of this debate and supports a broader view that focuses on how health policy can improve population health. Performance measures and indicators traditionally used to evaluate market minimizing/maximizing strategies for reforming healthcare are redefined for evaluating strategies to improve health. Differences in the two views are illustrated by describing state reforms in the US using the market-minimizing/maximizing framework and evaluating the reforms based on the health-related framework.

Suggested Citation

  • Begley, Charles E. & Aday, Lu Ann & Lairson, David R. & Slater, Carl H., 2002. "Expanding the scope of health reform: application in the United States," Social Science & Medicine, Elsevier, vol. 55(7), pages 1213-1229, October.
    • Handle: RePEc:eee:socmed:v:55:y:2002:i:7:p:1213-1229
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    Cited by:

    1. Luiz Oscar Machado Martins & Marcio Fernandes dos Reis & Alfredo Chaoubah & Guilhermina Rego, 2023. "Ethnic-Regional Differences in the Allocation of High Complexity Spending in Brazil: Time Analysis 2010–2019," IJERPH, MDPI, vol. 20(4), pages 1-10, February.
    2. van der Geer, Eric & van Tuijl, Harrie F.J.M. & Rutte, Christel G., 2009. "Performance management in healthcare: Performance indicator development, task uncertainty, and types of performance indicators," Social Science & Medicine, Elsevier, vol. 69(10), pages 1523-1530, November.

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