It is difficult to disagree with the general argument that successful health reform requires a significant degree of policy capacity or that all players in the policy game need to move beyond self-interested advocacy. However, an overly broad definition of policy capacity is a problem. More important perhaps, health reform inevitably requires not just policy capacity but political leadership an...

In 2010, the United States adopted its first-ever comprehensive set of health system reforms in the Affordable Care Act (ACA). Implementation of the law, though politically contentious and controversial, has now reached a stage where reversal of most elements of the law is no longer feasible. The controversial portions of the law that expand affordable health insurance coverage to most U.S. cit...

This paper examines health care reform in urban and rural China. Before health care reform, Chinese health service facilities were run entirely by the state and basically they performed a social welfare function. This health care system greatly improved the population health conditions but many problems started to emerge in 1980s when the economic reform started. Since then, the government has ...

in 2010, the united states adopted its first-ever comprehensive set of health system reforms in the affordable care act (aca). implementation of the law, though politically contentious and controversial, has now reached a stage where reversal of most elements of the law is no longer feasible. the controversial portions of the law that expand affordable health insurance coverage to most u.s. cit...

Background: The cost-effective strategies are of paramount importance in the improvement of neonatal health services. Regarding this, the present study aimed to evaluate the health sector reform of the Islamic Republic of Iran and its impact on hospital costs related to the admission of neonates in Amirkola Children's Hospital.Methods: This observational analytic study was conducted in 2015 to ...

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Reform of the health care system is a complex process. Opinions vary as to the need for reform and the specific policy changes to be implemented. The Clinton administration has presented a proposal for health care policy reform, but alternative proposals have been recommended. A review of the legislative process indicates the many opportunities to amend or "kill" proposed health reform legislat...

Background: The position of each subject area in scientific production can indicate the ability of the scientific performance of that subject field. Since obstetrics and gynecology is one of the most important clinical sciences discipline of medical science, this study aimed to evaluate the scientific production in the field of obstetrics and gynecology before and after the Iran health reform p...

The U.S. health care system faces serious problems of high cost, limited access, unequal treatment, and inadequate health protection. Though these problems have persisted for decades and various reforms have been attempted, the overall impact of reform efforts has been only modest. This paper examines potential types of reform and the history of reform efforts. Causalloop diagrams are presented...