Show Summary Details
Page of

Policy 

Chapter:
Policy
Author(s):

Bruce Rumbold

, Mark Cobb

, and Christina Puchalski

DOI:
10.1093/med/9780199571390.003.0052
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2015. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy).

date: 16 December 2017

This chapter outlines the development of spiritual care policy within the wider healthcare policy environments of the editors’ home countries. All three nations — UK, USA, and Australia — face similar challenges in delivering healthcare. These include an increasing proportion of aged citizens, increasing prevalence of chronic disease, the impact of new medical technologies, higher public expectations coupled with eroding public confidence, and increasing access to diverse health information through digital technologies. All three also share similar concerns about improving safety and quality in healthcare. The three nations however approach these challenges in markedly different ways. The UK has a nationalized, centrally-driven healthcare system (albeit devolved into four national networks). US healthcare, in contrast to this monolithic structure, uses a pluralistic, private-sector-driven, market-based approach that is implemented through a variety of healthcare systems, funded by varied insurance arrangements, and subject to differing regulation at state and federal levels. Australia’s healthcare stands between these approaches, combining an established universal access system with a market-driven private sector that accounts for one-third of health expenditure. Responsibilities for funding, regulating, and delivering healthcare overlap between federal and state governments.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.