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首页> 外文期刊>Social Work in Public Health >The Second Market Failure Phenomenon in Safety-Net Health Systems: The Case of a Municipal Academic Medical Center from 1980 to 2000
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The Second Market Failure Phenomenon in Safety-Net Health Systems: The Case of a Municipal Academic Medical Center from 1980 to 2000

机译：安全网络卫生系统中的第二种市场失灵现象：以1980年至2000年的市政学术医疗中心为例

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摘要

The specific aim of this analysis is to demonstrate how the trade-off between efficiency and equity policy approaches affects the ability of at-risk children to access quality health care services at the King/Drew Medical Center of Los Angeles County from 1980 to 2000. The concept of a second market phenomenon is used as a framework to illustrate how efficiency-seeking behaviors of federal, state, and local government actors affected government intervention efforts initiated to remedy health care access hardships created by market failure in low-income communities. A second market failure occurs when government failure results from the reintroduction of market protocols in an environment where the market had originally failed to facilitate the distribution of basic goods and services. The review suggest that financial austerity at the Los Angeles County Department of Health Services in the context of federal, state, and local government policies that emphasized allocative efficiencies, compromised equity values by undermining access to quality pediatric services at the King/Drew Medical Center which was a municipal academic medical center.View full textDownload full textKEYWORDSMarket failure, second market failure, government failure, efficiency and equity in healthcare, healthcare finance reform, safety-net health systemsRelated var addthis_config = { ui_cobrand: "Taylor & Francis Online", services_compact: "citeulike,netvibes,twitter,technorati,delicious,linkedin,facebook,stumbleupon,digg,google,more", pubid: "ra-4dff56cd6bb1830b" }; Add to shortlist Link Permalink http://dx.doi.org/10.1080/19371918.2011.528736
机译：这项分析的具体目的是证明效率与公平政策方法之间的取舍如何影响风险儿童在1980年至2000年间在洛杉矶县金德鲁医疗中心获得优质医疗服务的能力。第二种市场现象的概念被用作框架，以说明联邦，州和地方政府行为体的寻求效率行为如何影响政府的干预措施，这些干预措施是为纠正由于低收入社区的市场失灵而造成的医疗保健获取困难而发起的。当在市场最初未能促进基本商品和服务分配的环境中重新引入市场协议导致政府失灵时，就会发生第二次市场失灵。该评论表明，在强调分配效率的联邦，州和地方政府政策的背景下，洛杉矶县卫生服务部的财政紧缩政策破坏了金德鲁医疗中心提供优质儿科服务的机会，从而损害了股权价值。是市级学术医疗中心。查看全文下载全文市场失灵，第二市场失灵，政府失灵，医疗保健效率和公平性，医疗保健金融改革，安全网络卫生系统相关var addthis_config = {ui_cobrand：“泰勒和弗朗西斯在线”，services_compact ：：“ citeulike，netvibes，twitter，technorati，美味，linkedin，facebook，stumbleupon，digg，google，更多”，pubid：“ ra-4dff56cd6bb1830b”};添加到候选列表链接永久链接http://dx.doi.org/10.1080/19371918.2011.528736

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