Chapter 35 Flashcards
(15 cards)
What is the main focus of healthcare policy compared to other social policies?
Answer: Service provision, rather than financial transfers.
What is path-dependence in healthcare policy?
Answer: The idea that historical institutional choices (e.g., early adoption of private insurance) shape current policy paths.
What does Tuohy’s agency-to-contract model describe?
Answer: The shift from trust-based regulation to contractual governance in healthcare systems.
What are the three dimensions of Moran’s healthcare state typology? Cpp
Answer: Consumption (access), provision (control), and production (innovation regulation).
Which country type does Moran classify the U.S. as?
Answer: A “supply state” dominated by provider interests.
What is Wendt’s tripartite classification of healthcare systems? SD,S,PDS
Answer: State-dominant, societal (e.g. insurance funds), and private-dominant systems.
What has been the trend in healthcare expenditure in OECD countries since 1970?
Answer: A steady increase, averaging 10% of GDP in 2015.
Which country spends the most on healthcare as a percentage of GDP?
Answer: The United States.
What is the current average share of public financing in OECD healthcare systems?
Answer: Around 73%
What is gatekeeping in healthcare systems?
Answer: A system where patients must first see a GP before accessing specialists, used to control costs and reduce inequality.
What effect does cost-sharing have on healthcare access?
Answer: It can reduce access for low-income and high-need patients.
Which countries have strong gatekeeping and low provider supply? DUNPS
Answer: Denmark, UK, Netherlands, Poland, and Spain
What are DRGs and what do they promote?
Answer: Diagnosis-Related Groups—used to promote hospital competition and manage costs.
Why is privatization not effective for cost control, according to the chapter?
Answer: Because private markets like in the U.S. result in high costs without proportional service benefits.
What role does information technology play in healthcare governance?
Answer: It empowers patients, improves transparency, and allows for better clinician involvement in decision-making.
