This book provides an examination of the American health care system, a benchmark for cost-containment efforts, exploring two worlds: that of cost containment and that of the patient experience. It emphasises on the quality of care as perceived by the individual patient.
Part One: Introduction 1. The Struggle to Contain Health Care Costs: At What Price? The Current Worldwide Situation 2. International Health Expenditure Trends: The United States Compared to Other Market-Oriented Countries Part Two: Health Care Systems and their Patients 3. The Changing Structure of the Health Care Delivery System in the United States 4. Hip Replacement in a Major Teaching Hospital: An American Case 5. The Quebec Health Care System in the Canadian Context: Impact on Medical Practice 6. Letters from Patients to a Quebec Hospital 7. Review of the French Health Care System 8. Experiences in the French Health Care System: Recollections of a Close Friend 9. The German Health Care System: Concurrent Solidarity, Freedom of Choice, and Cost Control 10. German Health Care: A Patient's Perspective 11. The Ever-Changing Australian Health Care System: A Problem of Structure and Ideology 12. The Australian Health System: One Person's Experience 13. Japan's Medical Care System 14. Twenty Years of Care in Japan 15. New Ideological Winds are Blowing in the Swedish Health Care System 16. A Swedish Patient's Experience of the Medical Care System: Ideal and Reality, Power and Dependence 17. The New Zealand Health System 18. The New Zealand Health System: A Patient's View 19. Britain's National Health Service Under Pressure 20. Britain's National Health Service in 1986: Comments from a Native User 21. Soviet Health Care in the Glasnost Era 22. A Young Professional's Experience in the Soviet Health Care System 23. The Health System of Hungary 24. Health Care in Hungary: A Patient's Perspective 25. Modernization and Health Care in the People's Republic of China: The Period of Transition 26. An American in China: Encounters with a Chinese Hospital Part Three: An Overview 27. Systems, Strategies, and Some Patient Encounters: A Discussion of Twelve Countries