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Lost in translation?
 — health systems in the US and the UK
Author(s)Chris Ham
Journal titleSocial Policy & Administration, vol 39, no 2, April 2005
Pagespp 192-209
Sourcehttp://www.blackwell-synergy.com
KeywordsNational Health Service ; Private health services ; Comparison ; United States of America ; United Kingdom.
AnnotationThe health care reforms of the last decade or so in the UK have been accompanied by a growing interest in cross-national comparisons of health care systems and their performance. This paper compares health systems in the US and the UK in relation to levels and types of finance and provision. The main part of the paper focuses on comparisons between the British National Health Service (NHS) and Kaiser Permanente in California. Although major differences in financing and provision make cross-national comparisons between the US and the UK difficult, recent work comparing service utilization between the NHS and Kaiser Permanente has highlighted opportunities for learning between the two systems. The paper describes the results of this work, and the way in which the NHS has sought to apply and adapt some of the managed care techniques used in Kaiser Permanente. It concludes by identifying the cultural and other obstacles when translating practices from one system to another. (KJ/RH).
Accession NumberCPA-050419201 A
ClassmarkL4: LH: 48: 7T: 8

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