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Journal Article

Do Other Countries Have a Better Mix of Generalists and Specialists?

Miriam J. Laugesen
J Health Polit Policy Law (2018) 43 (5): 853–872.
DOI: https://doi.org/10.1215/03616878-6951199
Published: 01 October 2018
... does not fit the OECD definition because the OECD considers only family and general practitioners as generalists. OECD numbers reinforce a tendency to define primary care as family and general practitioners, without recognizing the diversity of generalist physicians providing care. In addition, while...
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Journal Article

Physician Relations in Canada: Shooting Inward as the Circle Closes

Steven J. Katz, Cathy Charles, Jonathan Lomas, H. Gilbert Welch
J Health Polit Policy Law (1997) 22 (6): 1413–1431.
DOI: https://doi.org/10.1215/03616878-22-6-1413
Published: 01 December 1997
..., Alberta, and British Columbia. Early negotiations between physicians over changes in relative fees favored general practitioners because they were the dominant voting block within the associations. Despite fewer gains in the fee arena, specialists were willing to remain in the associations because all...
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Journal Article

State Responses to the Malpractice Insurance “Crisis” Of the 1970s: An Empirical Assessment

Frank A. Sloan
J Health Polit Policy Law (1985) 9 (4): 629–646.
DOI: https://doi.org/10.1215/03616878-9-4-629
Published: 01 August 1985
... paid by general practitioners, ophthalmologists, and orthopedic surgeons during 1974–78. The empirical results of the study presented here give no indication that individual state legislative actions, or actions taken collectively, had their intended effects on premiums. Several explanations...
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Journal Article

Implementing Primary Care Reform in France: Bargaining, Policy Adaptation, and the Maisons de Santé Pluriprofessionnelles

Anne Moyal
J Health Polit Policy Law (2024) 49 (6): 1015–1050.
DOI: https://doi.org/10.1215/03616878-11373736
Published: 01 December 2024
... general practitioners, the state, and the health insurance fund. Second, it argues that MSP policy implementation relies on a complex bargaining process between private providers and public authorities that enables the former to shape it to their local needs. Conclusions : MSP implementation experiences...
FIGURES
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Journal Article

Why Hasn't Integrated Health Care Developed Widely in the United States and Not at All in England?

Gwyn Bevan, Katharina Janus
J Health Polit Policy Law (2011) 36 (1): 141–164.
DOI: https://doi.org/10.1215/03616878-1191135
Published: 01 February 2011
...; the division in British medicine between general practitioners and specialists; and the characteristics that we identify of established successful IHCDSs, which created formidable barriers to entry for a new IHCDS. This explains why currently the most promising organizational developments in U.S. health care...
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Journal Article

Editor's Column

Ralph A. Straetz
J Health Polit Policy Law (1979) 4 (1): 3–4.
DOI: https://doi.org/10.1215/03616878-4-1-3
Published: 01 February 1979
.... But as part of his thesis he also discussed a major difference: the continuing large numbers of general practitioners in Belgium and their broad role as gatekeepers not only to other health and mental health services, but also to many other social services such as housing. While I may have...
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Journal Article

Medicaid and Access to Child Health Care in Chicago

James W. Fossett, Janet D. Perloff, Phillip R. Kletke, John A. Peterson
J Health Polit Policy Law (1992) 17 (2): 273–298.
DOI: https://doi.org/10.1215/03616878-17-2-273
Published: 01 April 1992
... of Pediatrics. 1990 . Child Health Financing Report 1 (Winter): 1 -3. Budetti , P. , P. Kletke, and J. Connelly. 1982 . Current Distribution and Trends in the Location and Pattern of Pediatricians, Family Physicians, and General Practitioners between 1976 an 1979 Pediatrics 70 : 780 -89...
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Journal Article

Evaluating the NHS Reforms

Rudolf Klein
J Health Polit Policy Law (1995) 20 (3): 802–807.
DOI: https://doi.org/10.1215/03616878-20-3-802
Published: 01 June 1995
... directly accountable to the secretary of state for health. Furthermore, the 1991 reforms allowed general practitioners to become fundholders: to be- come, in effect, miniature health maintenance organizations responsible for purchasing the health care required by their patients, if only...
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Journal Article

Response to the Clinton Proposal: A Comparative Perspective

Carolyn Tuohy
J Health Polit Policy Law (1994) 19 (1): 249–254.
DOI: https://doi.org/10.1215/03616878-19-1-249
Published: 01 February 1994
...Carolyn Tuohy Copyright © 1994 by Duke University Press 1994 References Coulter , Angela , and Jean Bradlow. 1993 . Effect of NHS Reforms on General Practitioners' Referral Patterns. British Medical Journal 306 : 433 -7. Day , Patricia , and Rudolph Klein. 1992...
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Journal Article

Prevention and Government: Health Policy Making in the United Kingdom and Germany

Richard Freeman
J Health Polit Policy Law (1995) 20 (3): 745–765.
DOI: https://doi.org/10.1215/03616878-20-3-745
Published: 01 June 1995
... Versorgung der Bevolkerung. 10/3374. 22 May. Bonn: Deutscher Bundestag. Calnan , M. , M. Boulton, and A. Williams. 1986 . The Role of the General Practitioner in Health Education: A Critical Appraisal. In The Politics of Health Education: Raising the Issues , ed. S. Rodmell and A. Watt. London...
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Journal Article

Reducing Public Expenditures for Physician Services: The Price of Paying Less

Jon R. Gabel, Thomas H. Rice
J Health Polit Policy Law (1985) 9 (4): 595–609.
DOI: https://doi.org/10.1215/03616878-9-4-595
Published: 01 August 1985
... in the Medicare payment level would lead to a 2.4 percent increase in the assignment rate among internists, and a 2.5 percent increase for surgeons. The results for general practitioners were not statistically significant. Using data from the same natural experiment, Rice ana- lyzed the sensitivity...
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Journal Article

A Blueprint for Linking Academic Oncology and the Community

Rita Linggood, Frank Govern, C. Norman Coleman
J Health Polit Policy Law (1998) 23 (6): 973–994.
DOI: https://doi.org/10.1215/03616878-23-6-973
Published: 01 December 1998
...Rita Linggood; Frank Govern; C. Norman Coleman The processes by which academic medicine will train the next generation of physicians and develop new knowledge have brought to the forefront the relationship between academic medical centers and community hospitals and practitioners. Over the past...
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Journal Article

Survival at What Cost? Origins and Effects of the Modern Controversy on Treating Severely Handicapped Newborns

Stanley J. Reiser
J Health Polit Policy Law (1986) 11 (2): 199–213.
DOI: https://doi.org/10.1215/03616878-11-2-199
Published: 01 April 1986
... about half of those in hospitals without such units.3 The ability of medicine to sustain for weeks, months, or years the lives of critically sick patients, whose prognoses were grave and whose illnesses would previously have meant early death, generated ethical controversy. Practitioners...
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Journal Article

Emergency Regulatory Procedures, Pharmaceutical Regulatory Politics, and the Political Economy of Vaccine Regulation in the COVID-19 Pandemic

Herschel Nachlis, Kyle Thomson
J Health Polit Policy Law (2024) 49 (1): 73–98.
DOI: https://doi.org/10.1215/03616878-10910278
Published: 01 February 2024
.... Evidence is drawn from primary source executive and legislative branch regulations and statutes, national and international scientific trade press and general interest media reporting, and the secondary analysis of scholars, practitioners, firms, and international organizations. 1 We focus...
View articletitled, Emergency Regulatory Procedures, Pharmaceutical Regulatory Politics, and the Political Economy of Vaccine Regulation in the COVID-19 Pandemic View PDF for article titled, Emergency Regulatory Procedures, Pharmaceutical Regulatory Politics, and the Political Economy of Vaccine Regulation in the COVID-19 Pandemic
Journal Article

New Zealand

Todd A. Krieble
J Health Polit Policy Law (2000) 25 (5): 925–930.
DOI: https://doi.org/10.1215/03616878-25-5-925
Published: 01 October 2000
... a form of local government known as area health boards) as well as by general practitioners. The introduction of general management to replace the triumvirate of nurse, doctor, and The views expressed in this article are solely those of the author and should not be taken to rep- resent the New...
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Journal Article

Private Practice, Public Payment: Canadian Medicine and the Politics of Health Insurance, 1911–1966

Ellen M. Immergut
J Health Polit Policy Law (1988) 13 (1): 191–195.
DOI: https://doi.org/10.1215/03616878-13-1-191
Published: 01 February 1988
... hospitals,” where families paid a low yearly premium for the services of salaried general practitioners. While Naylor does stress market autonomy as a route to occupational auton- omy-and he makes sense of many of the demands of the Canadian Medical Association (CMA) by referring to market...
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Journal Article

Health Care Reform in the Netherlands: Balancing Corporatism, Etatism, and Market Mechanisms

Frederik T. Schut
J Health Polit Policy Law (1995) 20 (3): 615–652.
DOI: https://doi.org/10.1215/03616878-20-3-615
Published: 01 June 1995
... (general practitioners) or on a fee-for-service basis (medical special- ists). Private insurers do not have contractual relationships with provid- ers but simply reimburse their policyholders for their medical expenses. Health services are primarily delivered by independent physicians...
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Journal Article

Finding a Function for Public Health: Disease Theory or Political Philosophy?

Christopher Hamlin
J Health Polit Policy Law (1995) 20 (4): 1025–1031.
DOI: https://doi.org/10.1215/03616878-20-4-1025
Published: 01 August 1995
... from different theories. I think there are. We could start with Somerville Scott Alison, a general practitioner in the Scottish mining town of Tranent and author of An Inquiry into the Propagation of Contagious Poisons, by the Atmosphere; as also into the Nature and Effects of Vitiated Air (1839...
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Journal Article

Has PPS Increased Medicare Expenditures on Physicians?

John Holahan, Avi Dor, Stephen Zuckerman
J Health Polit Policy Law (1991) 16 (2): 335–362.
DOI: https://doi.org/10.1215/03616878-16-2-335
Published: 01 April 1991
...- erage income per capita for the elderly; and the ratio of hospital-based phy- sicians to total population, a proxy for the availability of teaching hospitals. A number of variables including prevailing charges, assignment rates, the supply of specialists and general practitioners, admission rates...
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Journal Article

Privatizing the English National Health Service: An Irregular Verb?

Martin Powell, Robin Miller
J Health Polit Policy Law (2013) 38 (5): 1051–1059.
DOI: https://doi.org/10.1215/03616878-2334918
Published: 01 October 2013
... ). Table 1 The Mixed Economy of Welfare in the British NHS State Provision Market Provision Voluntary Provision Informal Provision State Finance (1) NHS hospitals (1) General practitioners? (1–4) NHS trusts (2) Foundation trusts? (3–4) CHI/HCC/CQC (high regulation) (3–4) (High...
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