[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.197.142.219. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
April 11, 1986

The Health Planning Predicament: France, Quebec, England, and the United States

Author Affiliations

School of Public Health The University of Texas Health Science Center Houston

 

by Victor G. Rodwin (Comparative Studies of Health Systems and Medical Care, Charles Leslie, ed), 303 pp, $24.50, Berkeley, University of California Press, 1984.

JAMA. 1986;255(14):1942-1943. doi:10.1001/jama.1986.03370140140044

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

Abstract

Victor G. Rodwin, in his comparative study of health planning in France, Quebec, England, and the United States, argues that each has found itself in a considerable "predicament" as regards accomplishing its health planning goals.

The author offers a number of "formulations" of this predicament, such as, "No one quite knows what the future health care sector should look like or how to gain control over the health care system" (p 2) and "No one knows how to assure that the right patient receives the right service at the right time and in the right place; and even when a consensus is reached on what is 'right,' critical elements... are rarely implemented" (p 41). He also discusses the dilemma of "how to create a reimbursement system in the health sector that encourages hospitals and physicians to pursue the interests of society as well as their own" (p 59).

The solution

×