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Building a High-Value Health System$
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Rifat Atun and Gordon Moore

Print publication date: 2021

Print ISBN-13: 9780197528549

Published to Oxford Scholarship Online: June 2021

DOI: 10.1093/oso/9780197528549.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 20 January 2022

How Did We Get Here?

How Did We Get Here?

Historical Megatrends in Health and Medical Care

(p.53) Chapter 3 How Did We Get Here?
Building a High-Value Health System

Rifat Atun

Oxford University Press

Chapter 3 traces the development of health systems in middle- and high-income countries since the Second World War and notes the trends that have led to the development of contemporary health systems. The authors summarize the major trends in healthcare—the benefits, costs, public attitudes and beliefs, and consumer responses to medical care. Health has improved, more citizens are able to access healthcare, standards of care have risen, and the advance of scientific medicine is stunning. The authors reflect on the forces that have led to the current successes and raise upcoming challenges in improving health and healthcare. Foremost among these are concerns about rising costs and value-for-money of health systems, which pose sustainability challenges to health systems in all countries.

Keywords:   healthcare, medical care, healthcare cost, health insurance, healthcare access, healthcare expenditure, health system sustainability

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