Trans-Atlantic Experiences in Health Reform: The United Kingdom's National Health Service and the United States Veterans Health Administration

This report includes a comparative study of the NHS and VHA reforms, and examines how two large public systems responded to the challenge of health reform. The study evaluates the reform impacts on health service delivery in each setting, explores how...

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By

Marilyn A. DeLuca, PhD, RN

Research Assistant Professor, School of Medicine Adjunct Associate Professor

School of Medicine Adjunct Associate Professor, College of Nursing New York University marilyn.deluca@gmail.com

This report includes a comparative study of the NHS and VHA reforms, and examines how two large public systems responded to the challenge of health reform. The study evaluates the reform impacts on health service delivery in each setting, explores how implementation was managed, and describes the effects on organization, workforce, and culture. Organizational Transformation