A New Synthesis in Search of Synthesizing Agents: Comment on 'A New Synthesis'
Int J Health Policy Manag 2014; 2: 143–144. doi: 10.15171/ijhpm.2014.27
2 Pages Posted: 14 Apr 2014
Date Written: April 10, 2014
In a recent editorial in this journal Pierre-Gerlier Forest foretells a coming revolution in health policy based on the synthesis of four conceptual innovations and one technological breakthrough. As much as I agree with the intellectual story told in this editorial I present a more skeptical view of the effect of paradigm shifts on healthcare systems on the ground. I argue that ideas triumph when times are ripe and times are ripe in health policy when payers and providers can find a compromise between the need to value what providers do and their professional autonomy. I also argue that autonomy is a product of the market: patients value autonomy and prefer doctors to insurers.
Keywords: Clinical Governance; Standardization; Professional Autonomy; Paradigm Shift; Agents of Change; Revolution in Healthcare
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