Contents

• Foreword
• Overview
• Health Care Reform: The European Experience
  • LEARNING FROM OTHERS
  • EUROPEAN HEALTH REFORMS IN REVIEW
  • THE TRANSFORMATION OF EUROPEAN HEALTH CARE
  • THE LESSONS
  • REFERENCES
• Development and Diffusion of Medical Technology in Europe
• European Health Care Reform and Primary Care
  • BACKGROUND
  • WHAT IS PRIMARY CARE?
  • HOW IMPORTANT IS PRIMARY CARE?
  • WHAT'S SO DIFFERENT ABOUT PRIMARY CARE?
  • PRIMARY CARE: THE U.S. EXPERIENCE
  • REFLECTIONS FROM THE BRITISH EXPERIENCE
  • CONCLUSION
  • REFERENCES
• Response to Jo Ivey Boufford
• Operating Under a Global Budget: Perspectives from the United States and Abroad. An Overview
  • EXPENDITURE- VERSUS BUDGET-DRIVEN HEALTH SYSTEMS
  • PROSPECT FOR A BUDGET-DRIVEN AMERICAN HEALTH SYSTEM
• Additional Perspectives on Global Budgeting
  • PHYSICIAN PERSPECTIVE
  • CANADIAN EXPERIENCE
  • ROCHESTER, NEW YORK, EXPERIENCE
  • HOSPITAL PERSPECTIVE
  • PANEL DISCUSSION
• Contributors

The Institute of Medicine was chartered in 1970 by the National Academy of Sciences to enlist distinguished members of the appropriate professions for examination of policy matters pertaining to the health of the public. In this, the Institute acts under both the Academy's 1863 congressional charter responsibility to be an adviser to the federal government and its own initiative in identifying issues of medical care, research and education.