Journals Higher Education



Published: 20 May 1999

328 Pages

6-1/8 x 9-1/4 inches

ISBN: 9780195128215

Also Available As:


Bookseller Code (06)


Accidental Logics

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

Carolyn Hughes Tuohy

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.


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