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Accessing HealthcareResponding to diversity$
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Judith Healy and Martin McKee

Print publication date: 2004

Print ISBN-13: 9780198516187

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780198516187.001.0001

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Different People, Different Services?

Different People, Different Services?

Chapter:
(p.1) Chapter 1 Different People, Different Services?
Source:
Accessing Healthcare
Author(s):

Judith Healy

Martin McKee

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198516187.003.0001

The book draws upon the principles of equity and responsiveness. A country should concern itself with the health outcomes of diverse groups within its population for several reasons: legal rights, poverty reduction, health inequalities, population diversity, and the health stewardship role of the state. How might health care be delivered? Service delivery models range along a continuum from collective services that stress universal access and social solidarity, through multicultural systems that offer choice, to separate parallel services. The normative view is that the same services should be available to everyone, but many countries now are moving towards structured pluralism. What are the advantages and disadvantages of different health care delivery models? Which service delivery models meet the goals sought by the claimant groups?

Keywords:   equity, responsiveness, claimants, health outcomes, delivery

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