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Our health care system, take three

Richard F Southby
Med J Aust 2008; 189 (5): 266.
Published online: 1 September 2008

Having taught a course on comparative health care systems for more than 25 years, I have become increasingly uncomfortable with the use of the word “system” in regard to the numerous ways different societies make health care available to their people. System may imply a carefully thought out plan, and appropriately coordinated sets of arrangements, whereby people get access to high-quality health care in an efficient and effective manner. This is universally not the reality when one examines health services throughout the world. If, however, one interprets system as a set of interdependent parts, regardless of how well they function, then it is appropriate to talk about a health system.

  • Richard F Southby

  • The George Washington University Medical Center

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