{"id":"https://openalex.org/W2148658928","doi":null,"title":"Health care policy and reform a comparative study of policy making and the health care systems in five OECD countries.","display_name":"Health care policy and reform a comparative study of policy making and the health care systems in five OECD countries.","publication_year":1997,"publication_date":"1997-01-01","ids":{"openalex":"https://openalex.org/W2148658928","mag":"2148658928"},"language":"en","primary_location":{"id":"pmh:oai:espace.curtin.edu.au:20.500.11937/1765","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/20.500.11937/1765","pdf_url":null,"source":{"id":"https://openalex.org/S4306401790","display_name":"eSpace (Curtin University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I205640436","host_organization_name":"Curtin University","host_organization_lineage":["https://openalex.org/I205640436"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Thesis"},"volume":null,"type":"dissertation","is_traditional":true,"indexed_in":[],"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/A5024512025","display_name":"Le F\u00e8vre","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Le F\u00e8vre","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5108135365","display_name":"Mary Anne","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mary Anne","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.46700000762939453,"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":0.46700000762939453,"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/T14186","display_name":"Healthcare Systems and Practices","score":0.36739999055862427,"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/T13896","display_name":"Health Services Management and Policy","score":0.11029999703168869,"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-policy","display_name":"health policy","score":0.9860000014305115},{"id":"https://openalex.org/keywords/health-care-reform","display_name":"health care reform","score":0.9330000281333923},{"id":"https://openalex.org/keywords/health-care-financing","display_name":"health care financing","score":0.746999979019165},{"id":"https://openalex.org/keywords/health-care-delivery","display_name":"health care delivery","score":0.9129999876022339},{"id":"https://openalex.org/keywords/health-care-rationing","display_name":"health care rationing","score":0.6809999942779541},{"id":"https://openalex.org/keywords/social-justice","display_name":"social justice","score":0.7670000195503235},{"id":"https://openalex.org/keywords/resource-allocation-ethics","display_name":"resource allocation ethics","score":0.9710000157356262},{"id":"https://openalex.org/keywords/physician-patient-relationship","display_name":"physician-patient relationship","score":0.9319999814033508},{"id":"https://openalex.org/keywords/health-equity","display_name":"health equity","score":0.6060000061988831},{"id":"https://openalex.org/keywords/cost-reduction","display_name":"cost reduction","score":0.6140000224113464},{"id":"https://openalex.org/keywords/oecd-countries","display_name":"OECD countries","score":0.6940000057220459},{"id":"https://openalex.org/keywords/australia","display_name":"Australia","score":0.8180000185966492},{"id":"https://openalex.org/keywords/united-kingdom","display_name":"United Kingdom","score":0.9980000257492065},{"id":"https://openalex.org/keywords/new-zealand","display_name":"New Zealand","score":0.9990000128746033},{"id":"https://openalex.org/keywords/canada","display_name":"Canada","score":0.9990000128746033},{"id":"https://openalex.org/keywords/united-states","display_name":"United States","score":1.0}],"concepts":[{"id":"https://openalex.org/C2775994111","wikidata":"https://www.wikidata.org/wiki/Q843478","display_name":"Rationing","level":3,"score":0.6781800389289856},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.6749183535575867},{"id":"https://openalex.org/C47344431","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health policy","level":3,"score":0.55568528175354},{"id":"https://openalex.org/C199728807","wikidata":"https://www.wikidata.org/wiki/Q2578557","display_name":"Equity (law)","level":2,"score":0.5413541197776794},{"id":"https://openalex.org/C100001284","wikidata":"https://www.wikidata.org/wiki/Q2248246","display_name":"Public economics","level":1,"score":0.46341294050216675},{"id":"https://openalex.org/C13255150","wikidata":"https://www.wikidata.org/wiki/Q530962","display_name":"Health law","level":5,"score":0.4505695104598999},{"id":"https://openalex.org/C2776414048","wikidata":"https://www.wikidata.org/wiki/Q5690891","display_name":"Health care rationing","level":3,"score":0.4182056188583374},{"id":"https://openalex.org/C2778584109","wikidata":"https://www.wikidata.org/wiki/Q60603744","display_name":"Health care reform","level":4,"score":0.41150227189064026},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.3995533287525177},{"id":"https://openalex.org/C193395930","wikidata":"https://www.wikidata.org/wiki/Q3247219","display_name":"International health","level":4,"score":0.37154361605644226},{"id":"https://openalex.org/C3116431","wikidata":"https://www.wikidata.org/wiki/Q31728","display_name":"Public administration","level":1,"score":0.34813249111175537},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.2843386232852936},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.27566033601760864},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.142364501953125}],"mesh":[],"locations_count":3,"locations":[{"id":"pmh:oai:espace.curtin.edu.au:20.500.11937/1765","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/20.500.11937/1765","pdf_url":null,"source":{"id":"https://openalex.org/S4306401790","display_name":"eSpace (Curtin University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I205640436","host_organization_name":"Curtin University","host_organization_lineage":["https://openalex.org/I205640436"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Thesis"},{"id":"pmh:oai:figshare.com:article/31459414","doi":null,"is_oa":false,"landing_page_url":"https://figshare.com/articles/thesis/Health_care_policy_and_reform_a_comparative_study_of_policy_making_and_the_health_care_systems_in_five_OECD_countries_/31459414","pdf_url":null,"source":{"id":"https://openalex.org/S4377196282","display_name":"Figshare","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210132348","host_organization_name":"Figshare (United Kingdom)","host_organization_lineage":["https://openalex.org/I4210132348"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Thesis"},{"id":"mag:2148658928","doi":null,"is_oa":false,"landing_page_url":"http://espace.library.curtin.edu.au/dtl_publish/gen01-era02/5/11246.html","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"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":0,"referenced_works":[],"related_works":["https://openalex.org/W2168649428","https://openalex.org/W107327250","https://openalex.org/W2473951566","https://openalex.org/W1930720419","https://openalex.org/W1893681720","https://openalex.org/W4388363907","https://openalex.org/W4206970066","https://openalex.org/W6982020109","https://openalex.org/W2483906835","https://openalex.org/W1542468059"],"abstract_inverted_index":{"Many":[0],"of":[1,50,87,91,107,145,147,182,189,205,209,217,226,230,236,250,265,296,310],"the":[2,39,46,84,88,105,114,143,163,183,187,195,213,224,248,252,293,314,321],"assumptions":[3],"underlying":[4],"health":[5,51,72,85,121,148,153,175,199,231,238,268,323],"care":[6,73,149,154,176,200,232,239,269,324],"issues":[7,41,81,197,253],"appear":[8],"to":[9,22,28,34,96,142,169,220,243,267,317],"be":[10,23,55,170],"taken":[11,272],"for":[12,25,174,223,247],"granted":[13],"by":[14,37,160],"policy":[15,58,68,136,311],"makers,":[16],"when":[17],"if":[18],"fact":[19],"they":[20],"ought":[21,219],"examined":[24],"their":[26],"relevance":[27],"today's":[29],"problems.":[30],"This":[31,138],"research":[32,301],"attempts":[33],"do":[35],"so,":[36],"analysing":[38],"non-economic":[40],"and":[42,48,70,90,122,212,228,259,283,292],"factors":[43],"involved":[44],"in":[45,66,71,93,100,117,135,150,162,262],"financing":[47],"provision":[49,229],"care.":[52],"It":[53],"will":[54],"argued":[56],"that":[57,303],"makers":[59],"commonly":[60],"have":[61],"a":[62,77,190,237,245,279],"unidirectional":[63],"economic":[64,284,315],"perspective":[65],"both":[67],"making":[69],"system":[74,240],"reform":[75],"directives,":[76],"situation":[78],"which":[79,124,277],"leaves":[80],"such":[82,202],"as":[83,203],"status":[86],"population":[89],"equity":[92],"resource":[94,210],"allocation":[95,211],"political":[97,282],"rhetoric,":[98],"while":[99],"practice,":[101],"policies":[102,118,222],"deal":[103],"with":[104,120],"issue":[106,144],"cost":[108],"reduction.":[109],"Of":[110],"major":[111],"importance":[112],"is":[113,125,130,139,166,241],"moral":[115],"dimension":[116],"dealing":[119],"welfare,":[123],"clearly":[126],"either":[127],"forgotten":[128],"or":[129],"afforded":[131],"too":[132],"little":[133],"consideration":[134],"making.":[137],"particularly":[140],"relevant":[141],"rationing":[146,165],"publicly":[151],"provided":[152],"systems.":[155],"While":[156],"always":[157],"quietly":[158],"practised":[159],"clinicians":[161],"past,":[164],"now":[167],"required":[168],"overt":[171],"because":[172],"demand":[173],"has":[177],"outstripped":[178],"available":[179],"resources.The":[180],"substance":[181],"argument":[184],"comes":[185],"from":[186,273,299],"analysis":[188],"very":[191],"large":[192],"literature":[193],"on":[194],"broader":[196],"affecting":[198],"policy,":[201],"concepts":[204],"social":[206],"justice,":[207],"ethics":[208],"physician-patient":[214],"relationship,":[215],"all":[216],"winch":[218],"underpin":[221],"mechanisms":[225],"funding":[227],"systems.A":[233],"conceptual":[234],"diagram":[235],"offered":[242],"provide":[244],"framework":[246],"discussion":[249],"how":[251],"are":[254,271],"interrelated":[255],"at":[256],"micro,":[257],"meso":[258],"macro":[260],"levels":[261],"policymaking.":[263],"Examples":[264],"reforms":[266],"systems":[270],"five":[274],"OECD":[275],"countries":[276],"share":[278],"common":[280],"social,":[281],"heritage:":[285],"Australia,":[286],"United":[287,294],"Kingdom,":[288],"New":[289],"Zealand,":[290],"Canada":[291],"States":[295],"America.The":[297],"conclusions":[298],"this":[300,307],"show":[302],"theoretical":[304],"incoherence":[305],"pervades":[306],"most":[308],"complex":[309],"areas,":[312],"allowing":[313],"imperative":[316],"take":[318],"precedence":[319],"over":[320],"substantive":[322],"issues.":[325]},"counts_by_year":[],"updated_date":"2026-11-05T12:25:35.769452","created_date":"2016-06-24T00:00:00"}
