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The Challenge to ChangeReforming Health Care on the Front Line in the United States and the United Kingdom$
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Rebecca Kolins Givan

Print publication date: 2016

Print ISBN-13: 9780801450051

Published to Cornell Scholarship Online: January 2017

DOI: 10.7591/cornell/9780801450051.001.0001

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Regulating the Front Line From Above

Regulating the Front Line From Above

The Joint Commission and Hospital Regulation in the United States

(p.95) Chapter 4 Regulating the Front Line From Above
The Challenge to Change

Rebecca Kolins Givan

Cornell University Press

This chapter suggests that although the casual observer may see that the American health care system is fragmented and market driven, the underlying reality is that it is also highly regulated. Just as in the United Kingdom, in the United States there is a complex, overlapping web of regulating agencies that make crucial decisions in perpetuating the status quo, promulgating change, and incentivizing certain activities and priorities. According to a newspaper, “unlike some other nations … the United States has no federal agency charged with hospital oversight. Instead, it relies on a patchwork of state health departments and a nonprofit group called the Joint Commission that sets basic quality standards for the nation.”

Keywords:   American health care system, hospital, federal agency, Joint Commission

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