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Beyond incrementalism. Designing an infrastructure for reform

D Durenberger1, S B Foote

  • 1University of California, Berkeley.

The American Psychologist
|March 1, 1993
PubMed
Summary
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Labeling health reform as comprehensive or incremental hinders productive discussion. This analysis argues for focusing on fundamental infrastructure issues for lasting health reform, including redefining health and restructuring federal health systems.

Area of Science:

  • Health Policy
  • Public Health Administration
  • Healthcare Reform

Background:

  • Current health reform debates are often oversimplified using 'comprehensive' or 'incremental' labels.
  • These labels obscure the deeper, systemic issues crucial for effective and lasting reform.

Purpose of the Study:

  • To critique the limitations of common health reform labels.
  • To identify and elaborate on the fundamental infrastructure challenges that need addressing for enduring health reform.

Main Methods:

  • Conceptual analysis of health reform discourse.
  • Identification of key components for infrastructure reform.

Main Results:

  • The 'comprehensive' vs. 'incremental' dichotomy is inadequate for understanding complex health reform.

Related Experiment Videos

  • Essential elements for infrastructure reform include a new definition of health, adherence to federalism principles, structured public-private partnerships, and a redesigned federal health bureaucracy.

    • Conclusions:

    • Moving beyond simplistic labels is crucial for advancing meaningful health reform.
    • Addressing core infrastructure issues is paramount for creating sustainable and effective healthcare systems, with relevance to mental health services.