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Health Care as a Right of CitizenshipThe Continuing Evolution of Reform$
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Gunnar Almgren

Print publication date: 2017

Print ISBN-13: 9780231170130

Published to Columbia Scholarship Online: January 2019

DOI: 10.7312/columbia/9780231170130.001.0001

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Assessing Health-Care System Performance against the Four Core Aims of Health-Care Policy

Assessing Health-Care System Performance against the Four Core Aims of Health-Care Policy

(p.202) Chapter Seven Assessing Health-Care System Performance against the Four Core Aims of Health-Care Policy
Health Care as a Right of Citizenship

Gunnar Almgren

Columbia University Press

Previous chapters have provided the historical context and the justification for a set of four core aims of health care policy in light of the requisites of citizenship in a democratic society, and then the basic structure of a reformed national health care system designed to achieve those core aims. Briefly stated, the four core policy aims include: comprehensive health insurance coverage with adequate and equal risk protection, the amelioration of disparities in health care access and quality, equitable comprehensive care and public health investments, and compensatory investments in health care services and public health infrastructure for groups adversely affected by health disparities. This chapter illuminates the major dimensions of health care system performance that are most closely linked to these core policy aims, the range of health care system measures specific to each dimension of performance, and those that appear optimal in light of validity and the pragmatics of data system design and sustainability. The chapter then concludes with a discussion of the criteria for health care policy “success”.

Keywords:   Adequate and Equal Risk Protection, Compensatory Investments, Amelioration of Disparities, Realized Access, Health Care Quality, Performance Benchmarking

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