Comparative Health Systems

Primary care is the foundation of most health systems; yet across diverse countries, structures, policies, and payment models, it is under threat. More

Public trust is critical to both system legitimacy and the successful implementation of data-driven health initiatives. Legislations are an essential instrument for building public trust, as they can have a dual effect on trust: a passive effect by reinforcing the public perception of an active regulatory system that upholds the rule of law and an active effect as a tool for policymakers to signal trust-building actions to be undertaken during the implementation phase. More

The Medicare drug negotiation framework established under the Inflation Reduction Act is far more limited than other frameworks in seven health systems explored in this study. More

Context: Despite significant investments to transform primary care, Canada lags behind its peers in providing timely access to regular doctors or… More

This Perspective describes how public-financing approaches have progressed in the United States and England to support social prescribing. More

This study by Lindor Qunaj of Montefiore Medical Center and colleagues finds that compulsory licensing, a practice whereby national authorities can enable the production of a generic before the original patent expires, is rarely used to address drug prices and, when used, is unlikely to contribute to price discounts. More

Context: Prescription drug spending per capita in the United States is higher than in most other industrialized countries. Policymakers seeking to… More