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International Journal for Quality in Health Care 14:87-90 (2002)
© 2002 International Society for Quality in Health Care

A review of the ‘welfare state’ and alternative ways of delivering health care

JORGE A. MERA

1Based on the author’s plenary address to the 18th International Conference of the International Society for Quality in Health Care, Buenos Aires, Argentina, October 4, 2001.

The following words should be considered within the framework of my personal views on the subject, which are the views of a teacher and researcher in the field of health policy.

On the other hand, the purpose of this article is to put forward the idea that accessibility is in itself a characteristic inherent in the quality of the health service. Thus, the advocates of the welfare state considered, albeit implicitly, that solidarity is a more desirable feature for a health system than competition, whereas the opposite is the case with the market-oriented reforms, which are the present standard for the organization of health services around the world.

Now, before delving into our subject, let’s just step back into history for a while in order to explore the ideas people had about medical care in ancient times, well before the welfare state was introduced and before market-oriented reforms tried to . . . [Full Text of this Article]


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