期刊名称：International Journal of Health Policy and Management
电子版ISSN：2322-5939
出版年度：2014
卷号：2
期号：3
页码：143-144
DOI：10.15171/ijhpm.2014.27
语种：English
出版社：Kerman University of Medical Sciences
其他摘要：In a recent editorial in this journal Pierre-Gerlier Forest foretells a coming revolution in health policy based on the synthesis of four conceptual innovations and one technological breakthrough. As much as I agree with the intellectual story told in this editorial I present a more skeptical view of the effect of paradigm shifts on healthcare systems on the ground. I argue that ideas triumph when times are ripe and times are ripe in health policy when payers and providers can find a compromise between the need to value what providers do and their professional autonomy. I also argue that autonomy is a product of the market: patients value autonomy and prefer doctors to insurers.
其他关键词：Clinical Governance ; Standardization ; Professional Autonomy ; Paradigm Shift ; Agents of Change ; Revolution in Healthcare
