...Betty A. Lockett This article describes the creation of the National Institute on Aging at the National Institutes of Health, as a case study in “agenda-building” (a theoretical concept used to explain why some issues receive official attention from the public and its leaders, while others, often...

... is heavily biased toward institutional care, despite indications that home and community-based ser- vices are much preferred by consumers (National Council on the Aging 1996; Doty, Kasper, and Litvak 1996). Even for home care, the emphasis has been...

...David Wilsford Commentary Ideas, Institutions, and Resources David Wilsford Institute for American Universities Simply put, the goals of any health care system...

..., with a focus on the political dynamic of building institutional capacity in the field of public health. It then examines the significance of institutional diversity in the process of Europeanization, and closes with a few thoughts on factors that have shaped the development of communicable disease control...

... systems of France and Germany, on the one hand, and with the 1950s and 1960s in the United States, on the other, this article concludes that while institutional elements do account for some of the observed behavior of big business, a necessary complement to this is a fuller understanding...

... of the reform initiatives as well as the construction of the need to reform. The article builds on the insights of both the ideational and institutionalist perspectives when it argues that the interests, aspirations, and fears of the JDP, alongside the peculiar characteristics of the institutional context, have...

... by institutional factors, principal among them formal governmental structure and the legacy of past policies. Institutional entrepreneurialism in the health sector played a constitutive role in the earlier evolution of national cord blood policy in the United States as compared to Canada. In the context...

.... Though their specific forms and labels in the American context have changed over time (from health maintenance organizations [HMOs] to managed care organizations [MCOs] to ACOs), these interventions all work off a common logic: if the institutional arrangements are set right, they induce incentives...

...C. Carl Pegels The question of institutionalization vs. home care of the aged in need of medical care has been debated extensively. The arguments for deinstitutionalization have stressed the issue of cost. Home care is felt to be more cost efficient than institutional care. In this paper, both...

...Nancy Wolff Kelley Johnson. Deinstitutionalising Women: An Ethnographic Study of Institutional Closure . Cambridge: Cambridge University Press, 1998. 216 pp. $64.95 cloth; $23.95 paper. 2000 by Duke University Press 2000 1186 Journal of Health Politics, Policy and Law Kelley Johnson...

...Arnold D. Kaluzny W. Richard Scott, Marin Ruef, Peter J. Mendel, and Carol A. Caronna. Institutional Change and Healthcare Organizations: From Professional Dominance to Managed Care . Chicago: University of Chicago Press, 2000. 442 pp. $58.00 cloth. © 2001 by Duke University Press 2001...

... Human Blood to Social Policy . New York:Pantheon. Wennberg, J. E., and A. Gittelsohn. 1982 . Variations in Medical Care among Small Areas. Scientific American 246 (4): 120 -133. Williamson, O. E. 2000 . The New Institutional Economics: Taking Stock, Looking Ahead. Journal of Economic...

...James A. Morone Big Ideas, Broken Institutions, and the Wrath at the Grass Roots James A. Morone Brown University As Franklin Delano Roosevelt contemplated the end of World War...

... the medical, ethical, and social issues raised by the treatment of handicapped newborns. The most important recommendation of the conferees was that every institution that treats handicapped newborns should have an explicit policy on how difficult treatment decisions will be made and how their institutional...

... to health are involved, or about the collective action it warrants. In the absence of conclusive scientific evidence, the interpretations of various social and political institutions have moved into the foreground, each bringing a different perspective to the issue and a unique way of accommodating...

... of Voluntary Health Care Institutions (New York: McGraw-Hill, 1988), 232 pp. For an advanced industrial country, America’s welfare state is an unusual mix. It is a big spender on public education, and per capita expenditures on health care are by far the highest of any OECD country. But government’s...

...William D. White David M. Cutler, ed. The Changing Hospital Industry: Comparing Not-for-Profit and For-Profit Institutions . National Bureau of Economic Research Conference Report. Chicago: University of Chicago Press,2000. 384 pp. $53.00. © 2002 by Duke University Press 2002...

... prepaid) contracts for LTC. CCRCs are a potentially promising model for LTC delivery because they offer a full continuum of services and can substitute less expensive supportive care for institutional care. Using data on CCRCs, we tested one central hypothesis: Provision of supportive services...

... -727. Unrealistic Expectations Born of Defective Institutions Alain C. Enthoven and Sara J. Singer Stanford University We, Americans, planted the seeds of the managed care backlash...

..., adversarial), institutional power (fragmented versus centralized), and resources . An institutional framework further characterizes these approaches as based on models of managerial discretion and adjudication (United States), consultation (Canada), and bargaining (Britain, France) to clarify the patterns...