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ABSTRACT. In many countries, the operation of the healthcare system is an important political issue and any changes to healthcare provision are often fiercely resisted by many stakeholders and can prove difficult to implement. Such changes to the organization and/or financing of healthcare may be necessitated by factors such as the continuing increase in service demands, the development of new medical science advances and the impact of financial and economic austerity across the globe. This paper considers how well the existing healthcare systems in eleven countries and across several continents are coping with various challenges, and looks at potential best practices. The general conclusion is that many such healthcare systems are unsustainable in the longer term and are in urgent need of reform. pp. 188–210

Keywords: health; systems; sustainability; austerity; financing

How to cite: Prowle, Malcolm, and Don Harradine (2015), “Sustainable Health Care Systems: An International Study,” American Journal of Medical Research 2(2): 188–210.

Received 18 October 2015 • Received in revised form 20 October 2015
Accepted 20 October 2015 • Available online 23 October 2015

MALCOLM PROWLE
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College of Business Law & Social Sciences,
Nottingham Business School,
Nottingham Trent University
DON HARRADINE
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College of Business Law & Social Sciences,
Nottingham Business School,
Nottingham Trent University

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