Abstract
This article analyzes the preparedness of 16 cities for health care reform. Readiness for reform is defined as when cities' health care systems are aligned with three goals of health care reform: increased access, reduced cost, and improved quality. The study confirms that health care is distinctly different among metropolitan areas and that each city has strengths on which to build and challenges to overcome. The study concludes that steps toward health care reform are within the reach of many cities, with health care purchasers, providers payers, and patients playing significant roles.
MeSH terms
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Catchment Area, Health / statistics & numerical data
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Community Health Services / economics
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Community Health Services / standards
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Community Health Services / statistics & numerical data
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Costs and Cost Analysis / statistics & numerical data
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Data Collection
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Evaluation Studies as Topic
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Health Care Reform / economics
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Health Care Reform / standards*
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Health Care Reform / statistics & numerical data
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Health Services Accessibility / statistics & numerical data
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Health Services Research
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Health Status
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Humans
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Quality of Health Care / statistics & numerical data
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United States
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Urban Health*