{"title":"卫生政策中的行政负担","authors":"P. Herd, D. Moynihan","doi":"10.37808/jhhsa.43.1.2","DOIUrl":null,"url":null,"abstract":"The US healthcare system is enormously complex, begetting a seemingly endless array of bureaucratic obstacles that make it both costly and difficult to navigate for users. We apply the administrative burden framework to three particular aspects of health policy: the Affordable Care Act (ACA), Medicaid, and Medicare. The applications are more illustrative than definitive, intended to demonstrate that administrative burdens play a key and underappreciated role in how policies are implemented, sometimes deliberately so. The following claims arise from our framework. First, burdens are consequential – they make a difference in our lives, most obviously in terms of access to healthcare. Second, administrative burdens are distributive: some groups, like the poor, are more burdened than others. Third, burdens are a function of political and administrative choices, constructed via processes of both policy design and implementation.","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2020-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"18","resultStr":"{\"title\":\"Administrative Burdens in Health Policy\",\"authors\":\"P. Herd, D. Moynihan\",\"doi\":\"10.37808/jhhsa.43.1.2\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"The US healthcare system is enormously complex, begetting a seemingly endless array of bureaucratic obstacles that make it both costly and difficult to navigate for users. We apply the administrative burden framework to three particular aspects of health policy: the Affordable Care Act (ACA), Medicaid, and Medicare. The applications are more illustrative than definitive, intended to demonstrate that administrative burdens play a key and underappreciated role in how policies are implemented, sometimes deliberately so. The following claims arise from our framework. First, burdens are consequential – they make a difference in our lives, most obviously in terms of access to healthcare. Second, administrative burdens are distributive: some groups, like the poor, are more burdened than others. Third, burdens are a function of political and administrative choices, constructed via processes of both policy design and implementation.\",\"PeriodicalId\":15909,\"journal\":{\"name\":\"Journal of health and human services administration\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2020-05-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"18\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of health and human services administration\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.37808/jhhsa.43.1.2\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of health and human services administration","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.37808/jhhsa.43.1.2","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
The US healthcare system is enormously complex, begetting a seemingly endless array of bureaucratic obstacles that make it both costly and difficult to navigate for users. We apply the administrative burden framework to three particular aspects of health policy: the Affordable Care Act (ACA), Medicaid, and Medicare. The applications are more illustrative than definitive, intended to demonstrate that administrative burdens play a key and underappreciated role in how policies are implemented, sometimes deliberately so. The following claims arise from our framework. First, burdens are consequential – they make a difference in our lives, most obviously in terms of access to healthcare. Second, administrative burdens are distributive: some groups, like the poor, are more burdened than others. Third, burdens are a function of political and administrative choices, constructed via processes of both policy design and implementation.
期刊介绍:
The Journal of Health and Human Services Administration (JHHSA) began publication in 1978 as the Journal of Health and Human Resources Administration. It is a blind-refereed journal dedicated to publishing articles, symposia and book reviews in all areas of health, hospital and welfare administration and management.