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Centre for Health Economics and Policy Analysis


Comparison of health delivery in three major cities subject of January seminar

05 Jan 2011

An examination of the differences in the financing and delivery of primary and specialty health care in three of the largest cities in the developed world will be the focus of the first CHEPA seminar of 2011.

Michael Gusmano, a research scholar with The Hastings Center - an independent, nonprofit bioethics research institute in Garrison, N.Y. - will discuss results from the World Cities Project, an ongoing research study that was launched a decade ago and has produced two books.

The seminar on Jan. 19 will focus on results published in the second book, entitled Access to Care in World Cities, which looks at the provision of primary and specialty health care in New York City, Paris and London. While distinctly different, the three cities have many common characteristics that make them ideal for comparative analyses of their different health and social service systems.

All three cities have different methods for delivering health care, yet all suffer from shocking health inequalities. The World Cities Project has looked at subjects such as access to primary and specialty health care, and avoidable mortality, across and within these cities to address questions about geographic inequities in health, access to care and the consequences of different types of insurance coverage. The results of such comparative analyses can provide insights into the possible effects of the different health systems on outcomes such as health status and the use of health services.

The seminar will be held in CRL-B119 from 12:30 p.m. to 1:30 p.m. All are welcome to attend.

Gusmano joined The Hastings Center in January 2010, and is also an adjunct assistant professor in the Department of Health Policy and Management at Columbia University.

His research is focused on health care equity in the U.S. and other countries, and he has published widely in the areas of health policy, aging and comparative welfare analysis.

He is co-director of the World Cities Project, which is the first effort to compare the performance of health, social and long-term care systems in the largest cities in the world’s wealthy nations. He holds a PhD in political science from the University of Maryland at College Park, and a master’s degree in public policy from the State University of New York at Albany.

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