Carolyn Hughes Tuohy's Books

Remaking Policy

Scale, Pace, and Political Strategy in Health Care Reform

By: Carolyn Hughes Tuohy

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Remaking Policy

Scale, Pace, and Political Strategy in Health Care Reform

By: Carolyn Hughes Tuohy

One of the most persistent puzzles in comparative public policy concerns the conditions under which discontinuous policy change occurs. In Remaking Policy, Carolyn Hughes Tuohy advances an ambitious new approach to understanding the relationship between political context and policy change. Focusing on health care policy, Tuohy argues for a more nuanced conception of the dynamics of policy change, one that makes two key distinctions regarding the opportunities for change and the magnitude of such changes. Four possible strategies emerge: large-scale and fast-paced ("big bang"), large-scale and slow-paced ("blueprint"), small-scale and rapid ("mosaic"), and small-scale and gradual ("incremental"). As Tuohy demonstrates, these strategies are determined not by political and institutional conditions themselves, but by the ways in which political actors, individually and collectively, read those conditions to assess their prospects for success in the present and over time. Drawing on interviews as well as primary and secondary accounts of ten health policy cases over seven decades (1945—2015) in the US, UK, the Netherlands, and Canada, Remaking Policy represents a major advance in understanding the scale and pace of change in health policy and beyond.

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740

Publisher

University of Toronto Press

Published Date

ISBN 10

1487515375

ISBN 13

9781487515379

Remaking Policy

Scale, Pace, and Political Strategy in Health Care Reform

By: Carolyn Hughes Tuohy

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Remaking Policy

Scale, Pace, and Political Strategy in Health Care Reform

By: Carolyn Hughes Tuohy

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740

Publisher

University of Toronto Press

Published Date

ISBN 10

1487515375

ISBN 13

9781487515379

Canada: The State of the Federation, 2012

Regions, Resources, and Resiliency

By: Loleen Berdahl,André Juneau,Carolyn Hughes Tuohy

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Canada: The State of the Federation, 2012

Regions, Resources, and Resiliency

By: Loleen Berdahl,André Juneau,Carolyn Hughes Tuohy

Regional resource disparities and the tensions they generate are a perennial Canadian topic. This edition of Canada: The State of the Federation presents essays on regions, resources, and the resiliency of the Canadian federal system. Contributors consider questions such as: to what extent do Canada’s natural resource industries benefit the Canadian economy? Do Canada’s federal institutions hinder or promote the ability of the economy to respond to global economic shifts? Do current intergovernmental structures allow for constructive dialogue about national policy issues? In responding to these and related questions, many of the authors touch on energy issues. Others consider the importance of functional institutions in a federal or multilevel context as an essential requirement for the effective resolution of issues. Together, the volume raises questions about the relationship of state and society, the importance of identity, trust, and moral legitimacy for the operation of our federal institutions, and the extent to which federal institutions are reinforced or placed under stress by societal structures. The theme of this volume was triggered by Richard Simeon, the outstanding scholar of federalism who passed away in October 2013, and it is dedicated in his honour.

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Page Count

257

Publisher

McGill-Queen's Press - MQUP

Published Date

ISBN 10

1553392116

ISBN 13

9781553392118

Accidental Logics

The Dynamics of Change in the Health Care Arena in the United States, Britain, and Canada

By: Carolyn J. Tuohy

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Accidental Logics

The Dynamics of Change in the Health Care Arena in the United States, Britain, and Canada

By: Carolyn J. Tuohy

Looks at the USA, Britain and Canada to offer an international comparative study of public policy systems, as well as a recent history of the evolution of each national health care system. The book explores what drives change and why certain changes occur in some nations and not in others.

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327

Publisher

New York : Oxford University Press

Published Date

ISBN 10

0195128214

ISBN 13

9780195128215

Accidental Logics

The Dynamics of Change in the Health Care Arena in the United States, Britain, and Canada

By: Carolyn J. Tuohy

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Accidental Logics

The Dynamics of Change in the Health Care Arena in the United States, Britain, and Canada

By: Carolyn J. Tuohy

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327

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New York : Oxford University Press

Published Date

ISBN 10

0195128214

ISBN 13

9780195128215

Accidental Logics

The Dynamics of Change in the Health Care Arena in the United States, Britain, and Canada

By: Carolyn Hughes Tuohy

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Accidental Logics

The Dynamics of Change in the Health Care Arena in the United States, Britain, and Canada

By: Carolyn Hughes Tuohy

Health care reform has become one of the most prevalent topics in recent policy discourse within and across nations. In the 1990s, common features of the health care arena elevated the importance of bargaining relationships among large, sophisticated entities as the dominant mode of decision-making, fundamentally challenging the traditional dominance of the medical profession, which had been grounded in individualized "agency" relationships between providers and patients. These developments have played out in varying ways around the globe. Carolyn Hughes Tuohy looks at the experiences of the United States, Britain, and Canada, offering an international comparative study of public policy systems, as well as a recent history of the evolution of each national health care system. What drives change in health care systems? Why do certain changes occur in some nations and not in others? Tuohy argues that the answer lies in understanding the "accidents" of history that have shaped national systems at critical moments and in the distinctive "logics" of these systems. Her study carefully delineates both the common logic of the health care arena, deriving from micro-economic characteristics and technological change, and the particular logics of national systems, put in place by specific episodes of policy change. She goes on to explore how in the wake of these episodes, the mixed market in the United States, hierarchical corporatism in Britain, and the single-payer system in Canada determined the subsequent direction and pace of change in all three countries. Finally, Tuohy provides suggestions to guide the strategic judgments that decision-makers must make within the health care system of each country. Accidental Logics uniquely departs from the descriptive literature currently available by presenting an extensive review of the evidence regarding the evolution of the health care arenas in the United States, Britain, and Canada, integrated within an explanatory framework. It is essential up-to-date reading for political scientists working in comparative politics and public policy, health policy analysts, government agency officials, and students in political science, health policy, and administration programs.

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327

Publisher

Oxford University Press

Published Date

ISBN 10

0195351878

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9780195351873

Book's by Carolyn Hughes Tuohy

Remaking Policy

Remaking Policy

Remaking Policy

Remaking Policy

Canada: The State of the Federation, 2012

Canada: The State of the Federation, 2012

Accidental Logics

Accidental Logics

Accidental Logics

Accidental Logics

Accidental Logics

Accidental Logics

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