Alain C. Enthoven - Böcker

In this well-documented book, Alain Enthoven develops the ideas of consumer choice and managed competition of alternative health care financing and delivery systems, as well as describing ways to improve quality and reduce the cost of health care. He demonstrates how these ideas could be applied in the American employment-based health insurance model, how similar ideas have been introduced in the British National Health Service; how these ideas have been applied in the Netherlands; and the need for integrated comprehensive care systems. This unique anthology traces the development of two important and related themes. Firstly, the 'output' of the health services industry has been produced by disaggregated physicians, nurses and other health professionals, hospitals, drugs and device companies that somehow combine to serve the patient. Progress in quality and the economy requires the services of these components to be integrated into coherent systems in which the incentives of all providers are aligned with the needs and wants of patients for quality affordable care. Secondly, the book argues that the framework that can provide such incentives, is an appropriately designed form of market competition among systems of care seeking to serve value-conscious patients. Public officials, scholars and policy analysts from developing countries will find here a set of ideas for how to improve incentives for greater value for money. Students of health economics, policy and organization, as well as journalists and public officials interested in the use of public policy to improve efficiency in health care systems, will also find much to interest them in this book.

Toward a 21st Century Health System is a collection of thoughtful analyses that explore a key element of the health care delivery system-physician group practices. Edited by policy experts Alain Enthoven and Laura Tollen, and written by a blue ribbon panel of health policy scholars and leaders including Stephen Shortell, Hal Luft, Donald Berwick, James Robinson, and Helen Darling, this resource addresses a variety of topics, including Organized delivery systemsQuality of care in prepaid group practice versus other types of managed careThe role of physician leadership and culture in group practicePrepaid group practice and the formation of national health policyThis comprehensive resource also covers such topics as pharmacy benefit management, technology assessment, health services research, and employer purchasing of benefits– all as they relate to prepaid group practice.