2006 ISDC Session Report Special Convened Session on the Dynamics of Health Care Reform and Meeting of the Health Policy Special interest Group (HPSIG)

摘要

The Special Convened Session began with presentations of six papers that addressed various aspects of health reform at the local, regional, state, and national level. There was also a brief presentation on recent Dutch experience with health reform. These presentations were followed by a discussion of common issues facing those who attempt reform of health care systems. The final portion of the meeting was a discussion of future directions for the HPSIG and possible topics for a session at the 2007 ISDC. The first presentation on health reform by Gary Hirsch drew on the experience of several states in the US to develop a causal model of health reform. These experiences suggested the importance of coalition building, proposed programs that are fine-tuned to meet the needs of specific groups, and financing that spreads costs evenly among multiple public and private payors. He suggested that successful health reform efforts would also have to shift spending toward "upstream" preventive services and reinvest savings. Gary's work also drew on work from political science such as John Kingdon's agenda setting model and on work by John McDonough in applying these models to health reform.