... and civic groups succeeded in quickly setting the reform agenda; the medical profession was unable to block the adoption of the reform but their strikes infl uenced the content of the reform during implementation. Physician strikes also helped block the implementation of the payment reform. Future reform...

... a lack of reform initiatives. We use a process-based framework to show how institutional arrangements have infl uenced Portuguese health care reform. Evidence is presented to demonstrate inertia and nondecision making in three critical areas of Portuguese health policy:clarifying the public-private mix...

.... Although com- monalities may be more notable than distinctions when viewed from high above, the more closely one examines each country’s health policy, the more evident are the infl uences of institutional constraints. Even for those case studies whose authors thoroughly reject the notion of path...

... the transformation of the administrative apparatus both as a result of the structural features and as a more direct consequence of environ- mental factors and the historical-institutional context. We ask under what conditions the balance between political control and enterprise autonomy is infl uenced...

... (by Sloan and colleagues and by Lipton and colleagues) examine the allocation of treatment dollars and spending. These essays are less obviously connected to the pizza motif, since they focus more on structural infl uences than on the explicit choices about how to divide up resources. Nonetheless...

... fashion. First, we identifi ed categories of informants in each market who might be involved in, infl uence, or provide perspective on the adoption and use of risk adjustment. These included health plans, purchasers, major providers, state offi cials (both Medicaid and non-Medicaid), health care...

... of Adelaide Abstract To determine which factors infl uence states’ allocation decisions for the tobacco Master Settlement Agreement and the four individual settlements’ annual payments, including the decision to securitize, we analyzed the effects of voter char- acteristics, political parties...

.... According to Jonathan Lomas (1990: 535), the Canadian policy arena comprises several loci of decision making: “While our formal structure is parliamentary, we have been infl uenced from south of the border by the concept of interest-group legitimacy, the need for consultation and col- laboration...

... of Health Politics, Policy and Law, Vol. 30, No. 6, December 2005. Copyright © 2005 by Duke University Press. 996 Journal of Health Politics, Policy and Law ing tensions. A continual infl ux of new technologies, layered atop prior generations of treatments that are never entirely displaced, creates...

..., consequence of an economic sys- tem that thrives on marketing ever-larger servings, whether through bar- gain prices on package deals or infl ated items such as super-sized utility vehicles. For still others, obesity is but the latest incarnation of a declining moral order in which parents abdicate food...

...; (2) the role and infl uence of the institutional arrangements within the health care system and in particular whether these arrange- ments have served to predetermine the system’s developmental path; and (3) the role of important stakeholders (e.g., doctors, managers, patient groups, trade...

... in the allocation of resources, perverse incentives for providers, and a heavy reliance on expensive inputs. Given the complexity of Greek welfare state development, we are eclectic in choosing from the array normally used in such analyses. We examine the infl uence of political and organizational...

...: Cambridge University Press. Organisation for Economic Co-operation and Development. 2002 . Health Data . Paris:CREDES. Orloff, A., and T. Skocpol. 1984 . Why Not Equal Protection? American Sociological Review 49 : 726 -750. Peterson, M. 1993 . Political Infl uence in the 1990s:From Iron...

... examine the strategies claimants use to establish their own credibility or discredit their opponents, and explain how the fat acceptance movement has exploited struc- tural opportunities and cultural resources created by AIDS activism and feminism to wield some infl uence over U.S. public health...

..., the persistent infl uence of a majority value system patiently smooths the new institutions until their structure and functioning is again adapted to the societal norms.” A second conceptual framework, combining anthropology with sociol- ogy, probes further into the complex interrelationship between...

... not work, and they have been infl uential in the policy process. There are few who would doubt the infl uence of the Channeling demonstration in the long-term care fi eld (Kemper 1988; Kemper et al. 1986), the health insurance study in the coverage fi eld (Newhouse et al. 1981; Brook et al. 1983...

.... Consequently, health care workers, those with ill- nesses, or those (such as employers or governments) who appear to be bearing the costs may heavily infl uence decisions. Second, health care is complex, technical, intimidating, and rapidly changing. Daunted by the impossible task of being informed...

... political debates, but that nonetheless exert a crucial infl uence on public policy the day after. The message of Redesign- ing the Medicare Contract is that program structure crucially infl uences Medicare’s performance. For Medicare, then, the central question raised by agency theory is, “how do...

... are carried out. In politi- cal science terms, it is precisely these sorts of issues that are usually left in the black boxes of implementation and administrative reform, that rarely see the light of day during political debates, but that nonetheless exert a crucial infl uence on public policy the day...

... in the black boxes of implementation and administrative reform, that rarely see the light of day during political debates, but that nonetheless exert a crucial infl uence on public policy the day after. The message of Redesign- ing the Medicare Contract is that program structure crucially infl uences...