In a wide-ranging look at many aspects of health care financing and delivery, the concepts of glasnost and perestroika are
used as a framework for presenting ideas from the American system that may have value for European health care planners. These
include more uniform approaches to data collection and cost reporting, patient outcome studies, evaluation of service and
access standards, publication of information, quality assurance review, decentralization and independent institutions, prepaid
group practice, demonstrations and experiments, and managed competition. Suggestions are offered for making health care systems
on both sides of the Atlantic more manageable, efficient, and responsive.
Health Services Research : Comparative Study : Cross-Cultural Comparison : Delivery of Health Care/organization & administration
: Europe : Pilot Projects : Support, Non-U.S. Gov't : United States