{"id":"https://openalex.org/W2074372111","doi":"https://doi.org/10.1136/bmj.f3972","title":"Restructuring health systems for an era of prolonged austerity: an essay by Richard B Saltman and Zachary Cahn","display_name":"Restructuring health systems for an era of prolonged austerity: an essay by Richard B Saltman and Zachary Cahn","publication_year":2013,"publication_date":"2013-06-24","ids":{"openalex":"https://openalex.org/W2074372111","doi":"https://doi.org/10.1136/bmj.f3972","mag":"2074372111","pmid":"https://pubmed.ncbi.nlm.nih.gov/23798721"},"language":"en","primary_location":{"id":"doi:10.1136/bmj.f3972","doi":"https://doi.org/10.1136/bmj.f3972","is_oa":false,"landing_page_url":"https://doi.org/10.1136/bmj.f3972","pdf_url":null,"source":{"id":"https://openalex.org/S4393917726","display_name":"BMJ","issn_l":"1756-1833","issn":["1756-1833"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-a","doyens","jufo-2","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5019102201","display_name":"Richard B. Saltman","orcid":"https://orcid.org/0000-0003-1430-6265","observed_orcids":["https://orcid.org/0000-0003-1430-6265"]},"institutions":[{"id":"https://openalex.org/I150468666","display_name":"Emory University","ror":"https://ror.org/03czfpz43","country_code":"US","type":"education","lineage":["https://openalex.org/I150468666"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"R. B. Saltman","raw_affiliation_strings":["Rollins School of Public Health, Emory University, Atlanta, USA. rsaltma@emory.edu","Rollins School of Public Health, Emory University, Atlanta, USA "],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Rollins School of Public Health, Emory University, Atlanta, USA. rsaltma@emory.edu","institution_ids":["https://openalex.org/I150468666"]},{"raw_affiliation_string":"Rollins School of Public Health, Emory University, Atlanta, USA ","institution_ids":["https://openalex.org/I150468666"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5040460363","display_name":"Zachary Cahn","orcid":"https://orcid.org/0000-0001-5539-3604","observed_orcids":["https://orcid.org/0000-0001-5539-3604"]},"institutions":[{"id":"https://openalex.org/I150468666","display_name":"Emory University","ror":"https://ror.org/03czfpz43","country_code":"US","type":"education","lineage":["https://openalex.org/I150468666"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Z. Cahn","raw_affiliation_strings":["Rollins School of Public Health, Emory University, Atlanta, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Rollins School of Public Health, Emory University, Atlanta, USA","institution_ids":["https://openalex.org/I150468666"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5019102201"],"corresponding_institution_ids":["https://openalex.org/I150468666"],"apc_list":null,"apc_paid":null,"fwci":9.8919,"has_fulltext":false,"cited_by_count":31,"citation_normalized_percentile":{"value":0.97760785,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":99},"biblio":{"volume":"346","issue":"jun24 1","first_page":"f3972","last_page":"f3972"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.8862000107765198,"subfield":{"id":"https://openalex.org/subfields/2003","display_name":"Finance"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.8862000107765198,"subfield":{"id":"https://openalex.org/subfields/2003","display_name":"Finance"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13896","display_name":"Health Services Management and Policy","score":0.07989999651908875,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14186","display_name":"Healthcare Systems and Practices","score":0.017400000244379044,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-care-reform","display_name":"health care reform","score":0.9430000185966492},{"id":"https://openalex.org/keywords/austerity","display_name":"austerity","score":0.8840000033378601},{"id":"https://openalex.org/keywords/health-budget-constraints","display_name":"health budget constraints","score":0.6620000004768372},{"id":"https://openalex.org/keywords/efficiency-savings","display_name":"efficiency savings","score":0.7770000100135803},{"id":"https://openalex.org/keywords/public-sector-responsibility","display_name":"public sector responsibility","score":0.6340000033378601},{"id":"https://openalex.org/keywords/privatization-of-health-care","display_name":"health care privatization","score":0.7990000247955322},{"id":"https://openalex.org/keywords/health-care-financing","display_name":"health care financing","score":0.6510000228881836},{"id":"https://openalex.org/keywords/fiscal-constraints","display_name":"fiscal constraints","score":0.3330000042915344}],"concepts":[{"id":"https://openalex.org/C69828861","wikidata":"https://www.wikidata.org/wiki/Q2814650","display_name":"Austerity","level":3,"score":0.9540590047836304},{"id":"https://openalex.org/C45237549","wikidata":"https://www.wikidata.org/wiki/Q1376796","display_name":"Restructuring","level":2,"score":0.8357892632484436},{"id":"https://openalex.org/C165556158","wikidata":"https://www.wikidata.org/wiki/Q83937","display_name":"Keynesian economics","level":1,"score":0.47042059898376465},{"id":"https://openalex.org/C94931360","wikidata":"https://www.wikidata.org/wiki/Q607728","display_name":"Irrational number","level":2,"score":0.469194620847702},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.40114015340805054},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.36409544944763184},{"id":"https://openalex.org/C6303427","wikidata":"https://www.wikidata.org/wiki/Q47398","display_name":"Economic history","level":1,"score":0.34836387634277344},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.16003331542015076},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.07165458798408508},{"id":"https://openalex.org/C94625758","wikidata":"https://www.wikidata.org/wiki/Q7163","display_name":"Politics","level":2,"score":0.0},{"id":"https://openalex.org/C2524010","wikidata":"https://www.wikidata.org/wiki/Q8087","display_name":"Geometry","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D005060","descriptor_name":"Europe","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006113","descriptor_name":"United Kingdom","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057172","descriptor_name":"Economic Recession","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1136/bmj.f3972","doi":"https://doi.org/10.1136/bmj.f3972","is_oa":false,"landing_page_url":"https://doi.org/10.1136/bmj.f3972","pdf_url":null,"source":{"id":"https://openalex.org/S4393917726","display_name":"BMJ","issn_l":"1756-1833","issn":["1756-1833"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-a","doyens","jufo-2","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ","raw_type":"journal-article"},{"id":"pmid:23798721","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/23798721","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ (Clinical research ed.)","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":11,"referenced_works":["https://openalex.org/W93221531","https://openalex.org/W1571091577","https://openalex.org/W1970277636","https://openalex.org/W1989747794","https://openalex.org/W2106241450","https://openalex.org/W2130681182","https://openalex.org/W2133739233","https://openalex.org/W2146031733","https://openalex.org/W2151702763","https://openalex.org/W2283075588","https://openalex.org/W3152225197"],"related_works":["https://openalex.org/W7203480084","https://openalex.org/W49279964","https://openalex.org/W2491749992","https://openalex.org/W2266705050","https://openalex.org/W3155242539","https://openalex.org/W2088098193","https://openalex.org/W2311238547","https://openalex.org/W2041117649","https://openalex.org/W2013379724","https://openalex.org/W644476137"],"abstract_inverted_index":{"Richard":[0],"B":[1],"Saltman":[2],"and":[3,23],"Zachary":[4],"Cahn":[5],"argue":[6],"that":[7,25],"efficiency":[8],"savings":[9],"are":[10],"unlikely":[11],"to":[12,16,28],"enable":[13],"health":[14,35],"systems":[15],"cope":[17],"with":[18],"long":[19],"term":[20],"budget":[21],"constraints":[22],"suggest":[24],"countries":[26],"need":[27],"shift":[29],"responsibility":[30],"for":[31],"substantial":[32],"parts":[33],"of":[34],"activity":[36],"away":[37],"from":[38],"the":[39],"public":[40],"sector":[41]},"counts_by_year":[{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":4},{"year":2019,"cited_by_count":4},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":3},{"year":2016,"cited_by_count":6},{"year":2015,"cited_by_count":6},{"year":2014,"cited_by_count":4},{"year":2013,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}