{"id":"https://openalex.org/W2109708782","doi":"https://doi.org/10.1377/hlthaff.10.3.129","title":"Health Care in Australia: Lessons from Down Under","display_name":"Health Care in Australia: Lessons from Down Under","publication_year":1991,"publication_date":"1991-01-01","ids":{"openalex":"https://openalex.org/W2109708782","doi":"https://doi.org/10.1377/hlthaff.10.3.129","mag":"2109708782","pmid":"https://pubmed.ncbi.nlm.nih.gov/1748372"},"language":"en","primary_location":{"id":"doi:10.1377/hlthaff.10.3.129","doi":"https://doi.org/10.1377/hlthaff.10.3.129","is_oa":false,"landing_page_url":"https://doi.org/10.1377/hlthaff.10.3.129","pdf_url":null,"source":{"id":"https://openalex.org/S4210185023","display_name":"Health Affairs","issn_l":"0278-2715","issn":["0278-2715","1544-5208","2694-233X"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["anvur-scientific","dongbi-a","doyens","fnege-2","jufo-2","medline","norway-1","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315983","host_organization_name":"Project HOPE","host_organization_lineage":["https://openalex.org/P4310315983"],"host_organization_lineage_names":["Project HOPE"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Affairs","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"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/A5076355141","display_name":"Stuart H. Altman","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I6902469","display_name":"Brandeis University","ror":"https://ror.org/05abbep66","country_code":"US","type":"education","lineage":["https://openalex.org/I6902469"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Stuart Altman","raw_affiliation_strings":["Florence Heller Graduate School for Advanced Studies in Social Welfare, Brandeis University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Florence Heller Graduate School for Advanced Studies in Social Welfare, Brandeis University","institution_ids":["https://openalex.org/I6902469"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5001759748","display_name":"Terri Jurgens Jackson","orcid":"https://orcid.org/0000-0001-6351-2773","observed_orcids":["https://orcid.org/0000-0001-6351-2773"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Terri Jackson","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":2.6497,"has_fulltext":false,"cited_by_count":20,"citation_normalized_percentile":{"value":0.9043702,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":95},"biblio":{"volume":"10","issue":"3","first_page":"129","last_page":"146"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.9473000168800354,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.9473000168800354,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.04010000079870224,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"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/T14186","display_name":"Healthcare Systems and Practices","score":0.00800000037997961,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-care-financing","display_name":"health care financing","score":0.7089999914169312},{"id":"https://openalex.org/keywords/public-private-health-care","display_name":"public-private health care","score":0.4440000057220459},{"id":"https://openalex.org/keywords/private-health-insurance","display_name":"private health insurance","score":0.8149999976158142},{"id":"https://openalex.org/keywords/health-care-reform","display_name":"health care reform","score":0.800000011920929},{"id":"https://openalex.org/keywords/healthcare-spending","display_name":"health care spending","score":0.48500001430511475},{"id":"https://openalex.org/keywords/health-care-access","display_name":"health care access","score":0.9110000133514404},{"id":"https://openalex.org/keywords/health-policy","display_name":"health policy","score":0.6000000238418579},{"id":"https://openalex.org/keywords/australia","display_name":"Australia","score":0.5},{"id":"https://openalex.org/keywords/comparison-with-united-states","display_name":"United States comparison","score":0.7200000286102295},{"id":"https://openalex.org/keywords/employer-sponsored-health-insurance","display_name":"employer-sponsored health insurance","score":0.5550000071525574}],"concepts":[{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.6246397495269775},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5882327556610107},{"id":"https://openalex.org/C3116431","wikidata":"https://www.wikidata.org/wiki/Q31728","display_name":"Public administration","level":1,"score":0.460616797208786},{"id":"https://openalex.org/C2780627709","wikidata":"https://www.wikidata.org/wiki/Q920285","display_name":"Prologue","level":2,"score":0.4532642066478729},{"id":"https://openalex.org/C121426985","wikidata":"https://www.wikidata.org/wiki/Q591763","display_name":"Private sector","level":2,"score":0.4373360276222229},{"id":"https://openalex.org/C100243477","wikidata":"https://www.wikidata.org/wiki/Q12002092","display_name":"Welfare","level":2,"score":0.4315168261528015},{"id":"https://openalex.org/C2778584109","wikidata":"https://www.wikidata.org/wiki/Q60603744","display_name":"Health care reform","level":4,"score":0.43041151762008667},{"id":"https://openalex.org/C47344431","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health policy","level":3,"score":0.4286652207374573},{"id":"https://openalex.org/C129603779","wikidata":"https://www.wikidata.org/wiki/Q192451","display_name":"Welfare state","level":3,"score":0.415203332901001},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.3689526319503784},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.3228972554206848},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.315386027097702},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.22049981355667114},{"id":"https://openalex.org/C94625758","wikidata":"https://www.wikidata.org/wiki/Q7163","display_name":"Politics","level":2,"score":0.12850996851921082},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0},{"id":"https://openalex.org/C142362112","wikidata":"https://www.wikidata.org/wiki/Q735","display_name":"Art","level":0,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C124952713","wikidata":"https://www.wikidata.org/wiki/Q8242","display_name":"Literature","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D001315","descriptor_name":"Australia","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D005102","descriptor_name":"Health Expenditures","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D005380","descriptor_name":"Financing, Government","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006291","descriptor_name":"Health Policy","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007348","descriptor_name":"Insurance, Health","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D010820","descriptor_name":"Physicians","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D011057","descriptor_name":"Politics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012051","descriptor_name":"Reimbursement Mechanisms","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1377/hlthaff.10.3.129","doi":"https://doi.org/10.1377/hlthaff.10.3.129","is_oa":false,"landing_page_url":"https://doi.org/10.1377/hlthaff.10.3.129","pdf_url":null,"source":{"id":"https://openalex.org/S4210185023","display_name":"Health Affairs","issn_l":"0278-2715","issn":["0278-2715","1544-5208","2694-233X"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["anvur-scientific","dongbi-a","doyens","fnege-2","jufo-2","medline","norway-1","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315983","host_organization_name":"Project HOPE","host_organization_lineage":["https://openalex.org/P4310315983"],"host_organization_lineage_names":["Project HOPE"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Affairs","raw_type":"journal-article"},{"id":"pmid:1748372","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/1748372","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":"Health affairs (Project Hope)","raw_type":"Journal Article"},{"id":"pmh:oai:repository.library.georgetown.edu:10822/849323","doi":null,"is_oa":false,"landing_page_url":"http://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Health+Care+in+Australia:+Lessons+From+Down+Under&title=HEALTH+AFFAIRS+&volume=10&issue=3&spage=129-146&date=1991-09&au=Altman,+Stuart+and+Jackson,+Terri","pdf_url":null,"source":{"id":"https://openalex.org/S4306402467","display_name":"DigitalGeorgetown (Georgetown University Library)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210145449","host_organization_name":"Center for Security and Emerging Technology","host_organization_lineage":["https://openalex.org/I4210145449"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"eweb:109808","raw_type":null}],"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/W162406933","https://openalex.org/W1773874450","https://openalex.org/W1986120327","https://openalex.org/W2075822720","https://openalex.org/W2079079026","https://openalex.org/W2124758503","https://openalex.org/W2314367363","https://openalex.org/W2802281013","https://openalex.org/W2914052030","https://openalex.org/W4242897345","https://openalex.org/W4253325100"],"related_works":["https://openalex.org/W2046499091","https://openalex.org/W2953407710","https://openalex.org/W2039889869","https://openalex.org/W2055874933","https://openalex.org/W1994933637","https://openalex.org/W2536676316","https://openalex.org/W2016629405","https://openalex.org/W2498265112","https://openalex.org/W2105895468","https://openalex.org/W2152071529"],"abstract_inverted_index":{"Prologue:":[0],"Australia's":[1],"approach":[2,271],"to":[3,45,69,84,99,144,185,225],"the":[4,22,32,43,92,157,202,218,235,249],"financing":[5],"of":[6,35,148,201,248],"health":[7,73,111,167,190,238,254],"care,":[8,85],"as":[9],"in":[10,60,66,210],"most":[11],"industrialized":[12],"nations,":[13],"rests":[14],"on":[15,82,106,234,291],"an":[16,134,231,246,270,278],"important":[17],"but":[18],"ever-changing":[19],"dynamic":[20],"between":[21],"public":[23],"and":[24,56,137,156,165,170,172],"private":[25,36,162,166],"sectors.":[26],"While":[27],"publicly":[28,188],"financed":[29,189,196],"care":[30,112],"dominates,":[31],"ready":[33],"availability":[34],"insurance":[37,168,191,255],"provides":[38],"a":[39,97,116,139,146,187,194,259,283,292],"counterpoint":[40],"that":[41,75,120,176,226,261,272],"compels":[42],"government":[44,63,174],"be":[46],"accountable":[47],"for":[48,72,207,241],"its":[49,67,88,110,128],"policy":[50,239],"actions.":[51],"As":[52],"authors":[53],"Stuart":[54],"Altman":[55,198,228],"Terri":[57],"Jackson":[58],"underscore":[59],"this":[61,180],"paper,":[62],"must":[64],"demonstrate":[65],"efforts":[68],"restrict":[70],"spending":[71],"services":[74],"it":[76,121],"is":[77,95,115,199,281],"not":[78,96],"imposing":[79],"excessive":[80],"restrictions":[81],"access":[83],"Australia,":[86],"given":[87,119],"geographic":[89],"distance":[90],"from":[91],"United":[93,158],"States,":[94],"country":[98],"which":[100,257],"close":[101],"attention":[102],"has":[103,122,183,229],"been":[104,230],"paid":[105],"these":[107],"matters.":[108],"But":[109],"reform":[113,149],"story":[114],"fascinating":[117],"one,":[118],"reflected":[123],"changing":[124],"opinions":[125],"about":[126],"what":[127],"system":[129,192,220],"should":[130],"ultimately":[131],"be,":[132],"Altman,":[133],"American":[135],"economist,":[136],"Jackson,":[138,277],"doctoral":[140,293],"student,":[141],"teamed":[142],"up":[143],"provide":[145,263],"glimpse":[147],"developments":[150],"Down":[151],"Under,":[152],"Politically,":[153],"both":[154],"Australia":[155,182],"States":[159],"have":[160],"strong":[161],"physician":[163],"communities":[164],"lobbies,":[169],"federal":[171],"state":[173],"interests":[175],"often":[177],"conflict.":[178],"Within":[179],"framework,":[181],"managed":[184],"construct":[186],"with":[193,275],"privately":[195],"alternative,":[197],"dean":[200],"Florence":[203],"Heller":[204],"Graduate":[205],"School":[206],"Advanced":[208],"Studies":[209],"Social":[211],"Welfare":[212],"at":[213,288],"Brandeis":[214,289],"University,":[215],"He":[216,244],"studied":[217],"Australian":[219,279],"during":[221],"several":[222],"extended":[223],"visits":[224],"country,":[227],"active":[232],"player":[233],"U.S,":[236],"national":[237,253],"stage":[240],"two":[242],"decades.":[243],"was":[245],"architect":[247],"Republican":[250],"Nixon":[251],"administrations":[252],"proposal,":[256],"featured":[258],"requirement":[260],"employers":[262],"their":[264],"workers":[265],"financial":[266],"protection":[267],"against":[268],"illness,":[269],"now":[273],"resonates":[274],"Democrats,":[276],"resident,":[280],"currently":[282],"Pew":[284],"Charitable":[285],"Trusts":[286],"Scholar":[287],"working":[290],"degree.":[294]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2019,"cited_by_count":1}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2016-06-24T00:00:00"}