Accidental Logics —— The Dynamics of Change in the Health Care Arena in the United States, Britain, and Canada

----- 意外逻辑：美国，英国和加拿大医疗保健竞技场的变化动态

ISBN: 9780195128215 出版年：1999 页码：327 Tuohy, Carolyn Hughes Oxford University Press

What drives change in health care systems? Why do certain changes occur in some nations and not in others? Author Carolyn Hughes Tuohy argues that the answer lies in understanding the "accidents" of history that have shaped national systems at critical moments, and in the distinctive "logics" of these systems. Tuohy looks at the experiences of Britain, Canada, and the US, offering an international comparative study of public policy systems, as well as a recent history of the circumstances in each country that have impacted on the structures of each's national health care system. The guiding focus of the book is Tuohy's study of decision making systems in each country, looking at the decisions made by those who provide, finance, and use health care services. Finally, Tuohy reviews current issues in the health care arenas of these three nations and provides suggestions to guide the strategic judgments that decision-makers must make.