Title: Healthy or sick? : coevolution of health care and public health in a comparative perspective /
Authors: Trein, Philipp, 1981-
Year: 2018
Subjects: Social medicine; Public health; Health Policy history; Public Health history; Internationality; History, 19th Century; History, 20th Century; Medical policy; Public health
Abstract: "The book analyses how policies to prevent diseases are related to policies aiming to cure illnesses. It does this by conducting a comparative historical analysis of Australia, Germany, Switzerland, UK, and the US. It also demonstrates how the politicization of the medical profession contributes to the success of preventative health policy. The book argues that two factors lead to a close relationship of curative and preventative elements in health policies and institutions: a strong national government that possesses a wide range of control over subnational levels of government, and if professional organizations (especially the medical profession) perceive preventative and non-medical health policy as important and campaign for it politically. The book provides a historical and comparative narrative to substantiate this claim empirically"--Provided by publisher.
Contents: 1. Introduction; 1.1. Concepts and theoretical priors in brief; 1.1.1. Concepts; 1.1.2. Theoretical priors and research design; 1.2. Main results; 1.3. Lessons from this research for the political science and health policy literature; 1.3.1. Health care and public health; 1.3.2. Professional activism and institutional evolution; 1.3.3. Policy integration, coupling and coevolution of policy sectors; 1.4. Outline for the book; 2. Sectoral coupling of health care and public health; 2.1. Health care and public health as two different policy sectors; 2.1.1. Health care; 2.1.2. Public health; 2.2. Horizontal relations of policy sectors; 2.3. Summary; 3. Theoretical priors; 3.1. The argument in general terms; 3.1.1. Prelude: standard institutional analysis; 3.1.2. Professionalism and interest group inclusion; 3.1.3. Unified government; 3.1.4. Contextual elements; 3.2. Implications for health care and public health; 3.2.1. Standard institutional analysis and the coevolution of health care a nd public health; 3.2.2. Professions, interest group inclusion, and the relation of health care and public health; 3.2.3. Unified government in health care and public health; 3.2.4. Contextual elements in health care and public health; 3.3. Summary; 4. Global context and case selection; 4.1. Emergence of health care and public health as two policy sectors (1880-1918); 4.2. The turn towards individual health care (1918-1945); 4.3. Dominance of medical care and marginalization of public health (1945-1975); 4.4. The long return of public health (1974-2010); 4.5. Implications for the country studies; 4.6. Case selection for country studies; 4.7. Data, operationalization and method; 4.8. Discussion and summary of the approach; 5. UK: Institutional unification and tight coupling of health care and public health; 5.1. Origins of public health policy (1850-1918); 5.1.1. Unification of both sectors in national public health legislation; 5.1.2. Responsiveness of actors from both sectors; 5.2. Co operation and conflict in the interwar period (1918-1945); 5.2.1. Towards more institutional unification; 5.2.2. Professional conflicts but unification of public services; 5.3. Towards responsiveness in the shadow of the NHS (1945-- 1980); 5.3.1. Institutional unification through the NHS; 5.3.2. Conflicts and cooperation between actors from both sectors; 5.4.Towards further unification between health care and public health (1980-2010); 5.4.1. Remaining institutional unification despite delegation and liberalization; 5.4.2. Policy instead of professional responsiveness; 5.5. Discussion; 5.5.1. Unified government and professionalism in the UK; 5.5.2. Competing explanations; 5.6. Conclusion; 6. Australia: Politicized professions and tight coupling of health care and public health; 6.1. Loose coupling in times of sectorial emergence (1850-1918); 6.1.1. Differentiation in colonial times; 6.1.2. Actor responsiveness between the two sectors; 6.2. Nation building and the unification of health care and public health (1918-1945); 6.2.1.Towards institutional unification; 6.2.2.Conicts and responsiveness during the interwar period; 6.3. Dominance of medical care in the shadow of tight coupling (1945-1980); 6.3.1. Post war coe volution of institutional relations; 6.4. Tight coupling of health care and public health (1980-2010); 6.4.1. Consolidating unification and re-separation; 6.4.2. Broad responsiveness and policy integration; 6.5. Discussion; 6.5.1. Unified government, professionalism, and interest intermediation in Australia; 6.5.2. Competing explanations; 6.6. Summary; 7. Germany: Dominance of individual health care and de-coupling from public health; 7.1. Local public health in the shadow of the national health insurance (1880-1918); 7.1.1. Institutional distinctiveness on three levels of government; 7.1.2. Professional differentiation and political inclusion of docto.