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Comment mettre en œuvre la démarche "qualité" dans un établissement de santé? Voici la question, au cœur du débat sur la santé publique, à laquelle cet ouvrage apporte des réponses. A la lumière de l'actualité que représente la réforme sur l'accréditation des hôpitaux, la qualité des soins médicaux est ici présentée dans son contexte, ainsi que dans son utilité et la méthodologie qui doit la sous-tendre, appuyés sur de nombreux exemples concrets. Cette question d'actualité ne fait que rebondir à la lumière du récent rapport sur le classement des hôpitaux.

Hygiene. Public health. Protection --- Social policy --- Social security law --- Medical care --- Soins médicaux --- Quality control --- Qualité --- Contrôle --- gezondheidszorgkwaliteit --- gezondheidseconomie (gezondheidszorgeconomie) --- ziekenhuisbestuur (ziekenhuisbeheer, ziekenhuismanagement) --- methodologie --- qualité des soins de santé --- économie de la santé (économie des soins de santé) --- gestion hospitalière (gestion des hôpitaux) --- méthodologie --- Public health --- Public health. --- Quality control. --- Soins médicaux --- Qualité --- Contrôle

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Medical ethics. --- Medical economics --- Ethique médicale --- Economie de la santé --- Moral and ethical aspects --- Aspect moral --- Ethique médicale. --- Aspect moral. --- klinische ethiek --- gezondheidseconomie (gezondheidszorgeconomie) --- christendom --- sociaal-politieke aspecten --- éthique clinique --- économie de la santé (économie des soins de santé) --- christianisme --- aspects socio-politiques --- Ethique médicale --- Economie de la santé --- Éthique médicale --- Economie de la santé - Aspect moral.

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toegang tot de gezondheidszorg --- patiëntenrechten (rechten van de patiënt) --- gezondheidseconomie (gezondheidszorgeconomie) --- accès aux soins de santé --- droits du patient (droits des malades) --- économie de la santé (économie des soins de santé) --- Medical care --- Patients --- Medical laws and legislation --- Patients' rights --- Law and legislation --- Legal status, laws, etc

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"Ubel has made important contributions to our understanding of how people make choices about health care and of the factors that enter into these decisions." - Wallace F. Berman, M.D., New England Journal of Medicine.

Health care rationing --- Medical care --- Soins médicaux --- Cost effectiveness --- Rationnement --- Coût-efficacité --- Health care rationing. --- kosteneffectiviteit (kosten-en-batenanalyse) --- analyse coût-bénéfice --- Cost effectiveness. --- gezondheidseconomie (gezondheidszorgeconomie) --- gezondheidszorg --- Health resources rationing --- Medical care rationing --- Rationing of health care --- Rationing of medical care --- économie de la santé (économie des soins de santé) --- soins de santé --- Medical economics --- Medical policy --- Rationing

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Are advanced industrialized countries converging on a market response to reform their systems of social protection? By comparing the health care reform experiences of Britain, Germany, and the United States in the 1990s, Susan Giaimo explores how countries pursue diverse policy responses and how such variations reflect distinctive institutions, actors, and reform politics in each country. In Britain, the Thatcher government's plan to inject a market into the state-administered national health service resulted in a circumscribed experiment orchestrated from above. In Germany, the Kohl government sought to repair defects in the corporatist arrangement with doctors and insurers, thus limiting the market experiment and designing it to enhance the solidarity of the national health insurance system. In the United States, private market actors foiled Clinton's bid to expand the federal government's role in the private health care system through managed competition and national insurance. But market reform continued, albeit led by private employers and with government officials playing a reactive role. Actors and institutions surrounding the existing health care settlement in each country created particular reform politics that either militated against or fostered the deployment of competition. The finding that major transformations are occurring in private as well as public systems of social protection suggests that studies of social policy change expand their focus beyond statutory welfare state programs. The book will interest political scientists and policymakers concerned with welfare state reform in advanced industrial societies, social scientists interested in the changing balance among state, market, and societal interests in governance, and health policy researchers, health policymakers, and health care professionals.

Health care reform --- Medical policy --- Duitsland --- gezondheidseconomie (gezondheidszorgeconomie) --- gezondheidszorgbeleid (gezondheidszorghervorming, gezondheidszorgsysteem) --- Groot-Brittannië --- Verenigde Staten --- verzorgingsstaat --- ziektekostenverzekering (sociale zekerheid, mutualiteit, ziekenfonds, zorgverzekeraar) --- Allemagne --- économie de la santé (économie des soins de santé) --- politique des soins de santé (réforme des soins de santé, système des soins de santé) --- Grande Bretagne --- Etats Unis --- État-providence --- assurance maladie (sécurité sociale, mutualité)