health workers, who increasingly feel alienated, and has eroded the confidence of the public in a system beset with problems.

In conclusion, in reforming the health care system for the next decades, health care policymakers in Europe and the United States should constantly keep in mind that health policies should be rooted in thorough analyses of the problems and should be based on feasible and affordable solutions and workable information systems. Moreover, the constant danger of the inertia of policies and solutions becoming a problem should be kept in mind.

REFERENCES

1. Organization for Economic Cooperation and Development. 1990. Health Care Systems in Transition. Paris: Organization for Economic Cooperation and Development.

2. Burstall, M.L. 1991. Europe after 1992: Implications for pharmaceuticals. Health Affairs 10(3):157–177.

3. Blanpain, J.E., et al. 1978. National Health Insurance and Health Resources. Cambridge: Harvard University Press.

4. Hurst, J.W. 1991. Reforming health care in seven European nations. Health Affairs 10(3):7–21.

5. Schneider, M., et al. 1992. Health care in the EC member states. Health Policy 20(1 and 2):1–252.

6. Illich, I. 1975. Medical Nemesis: The Expropriation of Health. London: Colder and Boyars.

7. Organization for Economic Cooperation and Development. 1988. The Future of Social Protection. Paris: Organization for Economic Cooperation and Development.

8. Towsend, P., and N. Davidson. 1982. Inequalities in Health: The Black Report. Harmondsworth, England: Penguin Books.

9. Organization for Economic Cooperation and Development. 1987. Financing and Delivering Health Care. Paris: Organization for Economic Cooperation and Development.

10. World Health Organization. 1985. Targets for Health for All. Copenhagen: World Health Organization, Regional Office for Europe.

11. Evered, D., and J. Whelen (eds.). 1985. The Value of Preventive Medicine. London: Pitman Publishing Ltd.

12. Casparie, A.F. 1991. Guidelines to shape clinical practice—The role of medical societies: The Dutch experience in comparison with recent developments in the American approach. Health Policy 18(3):251–260.



The National Academies | 500 Fifth St. N.W. | Washington, D.C. 20001
Copyright © National Academy of Sciences. All rights reserved.
Terms of Use and Privacy Statement