Doing Health Policy in Australia

Paul Dugdale argues that Australia's health policy scene is in rude health, with regular debates about major reform and a steady stream of minor reforms. What motivates these debates and reforms? How can nine governments, and scores of professional associations, charities and businesses interact effectively without a master plan? Why are some health policy changes met with widespread enthusiasm and others enormous resistance? Dugdale traces the history of the economic and social forces which have shaped Australia's health system. He examines the thinking of government as it is expressed through contemporary health policy, and the roles of the key players including hospitals, the medical profession and health departments. He also discusses major current concerns including Indigenous health, health finance, the medical labour market, health protection and safety issues. With its insider's perspective on the health system and policy debates, Doing Health Policy in Australia is essential reading for health professionals working in management and policy roles. Paul Dugdale's account of health policy in Australia is engaging, philosophical, reflective and socially informed. - Professor Stephen Leeder, University of Sydney A distinctive addition to the pantheon of Australian books on health policy, weaving together social theory, history and philosophy with reflective commentaries on the Australian health system and health policy, and on being an activist within the policy-making world. It challenges convention and standard expectations. - Professor Vivian Lin, La Trobe University

Associate Professor Paul Dugdale BMBS, MA, MPH, PhD, FAFPHM has twenty years experience in health policy. He is Director of the ANU Centre for Health Stewardship and a former Chief Health Officer of the ACT.

1 The health policy scene In rude health?; The health enlightenment; The Medicare era; Reforming the future 2 What is health? The nature of health; Health disciplines; Population health and politics 3. Health policy State power and public policy; Policy and research; Public finance for health; The assemblage of the health system 4 Governing doctors Governing pastoral care in the liberal state; Medical licensing; General practice incentives; Neoliberalism in GP financing; Professional freedom and the Practice Incentives Program 5. Public hospitals and public health The origins of modern clinical medicine; The origins of public health; Public health and public hospitals; The transformation in hospital funding 6. The making of Medicare The nationalisation of medical insurance; Governing health insurance in the Medicare era; Clinical freedom and the introduction of Medicare 7. Quality and