ORCID Profile
0000-0002-2337-3067
Current Organisations
Yale University
,
Lehigh University Bethlehem, PA US
,
Columbia University
,
Lehigh University
,
University of Maryland at College Park
,
Rutgers University New Brunswick
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Publications
Getting The Price Right: How Some Countries Control Spending In A Fee-For-Service System
Publisher: Health Affairs (Project Hope)
Date: 11-2020
Commentary: Global Comparisons of Physician Associations
Publisher: Duke University Press
Date: 08-2021
Abstract: The authors reflect on their own work in relation to the articles in this special section on physician organizations, and they make four observations. First, association-government power relations shift after countries introduce universal health insurance, but they are by no means diminished. In France, Germany, and Japan, physicians' economic interests are explicitly considered against broader health system goals, such as providing affordable universal insurance. In low- and middle-income countries (LMICs), physician organizations do not share power in the same way. Second, in higher-income countries, fragmentation may occur along specialty or generalist lines, and some physicians are unionized. Generally speaking, physician influence over reimbursement policy is reduced because of organizational fragmentation. Third, associations develop as legitimate voices for physicians, but their relationship to other professions differs in higher-income countries. Associations in LMICs form coalitions with other health professionals. Finally, although German state physician associations have a key implementation role, in most countries, state and federal policy roles seem relatively defined. Global comparison of the LMICs and other countries suggests power, unity, legitimacy, and federal roles are tied closely to the stage of health system development.
How Some Countries Control Spending: The Authors Reply
Publisher: Health Affairs (Project Hope)
Date: 04-2021
Related Organisations
Rutgers The State University Of New Jersey
Location: United States of America
Rutgers, The State University Of New Jersey
Location: No location found
Lehigh University Bethlehem, PA US
Location: United States of America
University Of Maryland At College Park
Location: United States of America
Wagner Graduate School Of Public Service
Location: United States of America
SUNY The State University Of New York
Location: United States of America
Yale University Yale Cancer Center
Location: United States of America
Related Funding Activities
No related grants have been discovered for Michael Gusmano.