Restructuring Health Services

Changing Contexts and Comparative Perspectives

Kasturi Sen

Restructuring Health Services

Kasturi Sen

Distributed for Zed Books

272 pages | 5.4375 x 8.5 | © 2003  
Paper $46.95 ISBN: 9781842772898 Published February 2003 For sale in North and South America only
Health service delivery is being restructured in both industrialised and developing countries. Public health scholars and policy makers in this volume show how this process is accelerating as a result of diverse factors including fiscal pressure, privatisation of infrastructure, and the impending renegotiation of the WTO General Agreement on Trade in Services (GATS). The key policy issues that arise concern the implications of these changes for access and equity in public health provision.

The volume reviews the rapidly changing context in which financing health care and its relationship to globalization and privatisation are taking place. It examines the specific mechanisms and institutional processes involved. And it explores various contrasting experiences, including HMOs in the USA, Britain's NHS, social health insurance in Western Europe, developing countries, and Cuba.
1. Introduction: Restructuring Health Services - Public Subsidy of Private Provision
Kasturi Sen

Part 1: Conceptual and Legislative framework

2. Restructuring Health Services and the Politics of Privatisation - An Overview of
Kasturi Sen

3. Trading Health Care Away: The WTO's General Agreement on Trade in Services
Sarah Sexton

4. Ethics and Medical Care in a Globalising World: Some Reflections
Imrana Qadeer

Part 2: The Process of Change

5. Assessing Health Systems Performance: A Critical Appraisal of the WHO World
Health Report 2000
Claudia Travassos

6. Multinational Corporations and the Pattern of Privatisation in Health Care
David Hall

7. Health Systems Solidarity and European Community Policies
Meri Koivusalo

Part 3: Case studies of Restructuring: Comparative Perspectives

8. The Impact of Social Health Insurance Reform on Social Solidarity in Four European
Hans Maarse and Aggie Paulus

9. Restructuring Health Services in Italy: The Paradox of Devolution
Francesco Taroni

10. Global Capital and Health Care Reform: The Experience of the UK
Jean Shaoul

11. The Trouble with Conservative Health Care Counter Reforms in Spain
M. Sanchez Bayle and Hixinio Beiras

12. The Sad Experience of Corporate Health Care in the USA
Steffie Woolhandler

13. Transformation of the Cuban Health Sector: The Past Forty Years
Felix. J. Sanso Soberats

14. The Political Economy of Health Care Reforms in Malaysia
Chan Chee Khoon

15. Implementing Universal Health Care Coverage in Thailand
Sanguan Nitayarumphong and Supasit Pannarunothai

16. The Role of the State in the Privatisation and Corporatisation of Medical Care in Andhra Pradesh, India
K.V. Narayana
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