The Challenge Of Health Sector Reform

Author : A. Mills,S. Bennett,S. Russell
Publisher : Springer
Page : 245 pages
File Size : 41,7 Mb
Release : 2000-11-30
Category : Political Science
ISBN : 9780230599819

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The Challenge of Health Sector Reform by A. Mills,S. Bennett,S. Russell Pdf

New thinking about the management of public health services has stimulated a widespread movement for health sector reform across the world. This book examines the feasibility and desirability of common reforms in low income countries, based on in-depth case studies in Ghana, Zimbabwe, Sri Lanka, India and Thailand, and asks whether governments possess or can develop the capacities needed for these new and often complex roles. The book challenges conventional reform wisdom, and argues that reform approaches are needed that are more sensitive to the institutional characteristics of individual countries.

Author : Anonim
Publisher : Unknown
Page : 128 pages
File Size : 46,6 Mb
Release : 2001
Category : Electronic
ISBN : 134940859X

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Challenge of Health Sector Reform by Anonim Pdf

Author : Richard B. Saltman,Josep Figueras,Constantino Sakellarides
Publisher : McGraw-Hill Education (UK)
Page : 442 pages
File Size : 54,5 Mb
Release : 1998-10-16
Category : Medical
ISBN : 9780335232680

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EBOOK: Critical Challenges For Health Care Reform In Europe by Richard B. Saltman,Josep Figueras,Constantino Sakellarides Pdf

This volume explores the central issues driving the present process of healthcare reform in Europe. 17 chapters written by scholars and policy makers from all parts of Europe draw together the available evidence from epidemiology and public health, economics, public policy, organizational behaviour and management theory as well as real world policy making experience, laying out the options that health sector decision-makers confront. Through its cross-disciplinary, cross-national approach, the book highlights the underlying trends that now influence health policy formulation across Europe. An authoritative introduction provides a broad synthesis of present trends and strategies in European health policy.

Author : Institute of Medicine,Board on Health Care Services,Committee on the Health Professions Education Summit
Publisher : National Academies Press
Page : 191 pages
File Size : 42,9 Mb
Release : 2003-07-01
Category : Medical
ISBN : 9780309133197

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Health Professions Education by Institute of Medicine,Board on Health Care Services,Committee on the Health Professions Education Summit Pdf

The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.

Author : Paulinus Lingani Ncube Sikosana
Publisher : Unknown
Page : 0 pages
File Size : 41,5 Mb
Release : 2010
Category : Africa
ISBN : 1426915209

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Challenges in Reforming the Health Sector in Africa by Paulinus Lingani Ncube Sikosana Pdf

The majority of countries are faced with challenges of how to finance and effectively manage their health systems so that they benefit all their citizens without any undue discrimination. Developing countries are particularly worse off since their health systems are weak in terms of health expenditures, leadership, governance and capacity to plan and budget. This book provides an overview of the elements of health sector reforms that countries in Sub Sahara Africa have implemented, the rationale for the reforms, the challenges experienced and the socio-economic environment in which these reforms are being implemented. The significance and implications of the evolving aid architecture and global initiatives are discussed. This theoretical background and analysis is completed by a detailed description of the rationale, implementation framework, implications and outcome of heath sector reform experiences in Zimbabwe.

Author : Daniel Drache,Terry Sullivan
Publisher : Routledge
Page : 394 pages
File Size : 54,9 Mb
Release : 2005-08-18
Category : Business & Economics
ISBN : 9781134632978

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Health Reform by Daniel Drache,Terry Sullivan Pdf

Health Reform explores the challenges facing health care provision in the advanced economies. The book exposes the limitations of market-led health reform and demonstrates the indispensable role of a vibrant public authority in the renewal of modern health care systems. Issues covered include: * cost-containment and privatisation strategies in an international perspective * the role of business and the private sector in setting the agenda for health care reform * the restructuring of Anglo-Saxon health systems and the shift in state/market boundaries in Canada, the USA, the UK and Australia * the frontier of health care reform in terms of health and social cohesion *the role of patient choice in health care reform.

Author : OECD
Publisher : OECD Publishing
Page : 226 pages
File Size : 45,6 Mb
Release : 2011-11-10
Category : Electronic
ISBN : 9789264122314

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Health Reform Meeting the Challenge of Ageing and Multiple Morbidities by OECD Pdf

This book examines how payment systems, innovation policies and human resource policies need to be modernised so that OECD health systems will continue to generate improved health outcomes in the future at a sustainable cost.

Author : Rebecca Kolins Givan
Publisher : Cornell University Press
Page : 217 pages
File Size : 48,5 Mb
Release : 2016-09-20
Category : Medical
ISBN : 9781501706578

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The Challenge to Change by Rebecca Kolins Givan Pdf

There is constant pressure on hospitals to improve health care delivery and increase cost effectiveness. New initiatives are the order of the day in the dramatically different health care systems of the United States and Great Britain. Often, as we know all too well, these efforts are not successful. In The Challenge to Change, Rebecca Kolins Givan analyzes the successes and failures of efforts to improve hospitals and explains what factors make it likely that the implementation of reforms will rewarded by positive transformation in a particular institution’s day-to-day operation. Givan’s in-depth qualitative case studies of both top-down initiatives and changes first suggested by staff on the front lines of care point clearly to the importance of all hospital workers in effecting change and even influencing national policy. Givan illuminates the critical role of workers, managers, and unions in enabling or constraining changes in policies and procedures and ensuring their implementation. Givan spotlights an Anglo-American model of hospital care and work organization, even while these countries retain their differences in access and payment. Entrenched professional roles, hierarchical workplace organization, and the sometimes-detached view of policymakers all shape the prospects for change in hospitals. Givan provides important examples of how the dedication and imagination of the people who work in hospitals can make all the difference when it comes to providing quality health care even in a challenging economic environment.

Author : Marc Roberts,William Hsiao,Peter Berman,Michael Reich
Publisher : Oxford University Press
Page : 352 pages
File Size : 48,9 Mb
Release : 2008-04-23
Category : Medical
ISBN : 9780199888160

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Getting Health Reform Right by Marc Roberts,William Hsiao,Peter Berman,Michael Reich Pdf

This book provides a multi-disciplinary framework for developing and analyzing health sector reforms, based on the authors' extensive international experience. It offers practical guidance - useful to policymakers, consultants, academics, and students alike - and stresses the need to take account of each country's economic, administrative, and political circumstances. The authors explain how to design effective government interventions in five areas - financing, payment, organization, regulation, and behavior - to improve the performance and equity of health systems around the world.

Author : Andrew Twaddle
Publisher : Bloomsbury Publishing USA
Page : 432 pages
File Size : 50,7 Mb
Release : 2002-06-30
Category : Medical
ISBN : 9780313013034

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Health Care Reform Around the World by Andrew Twaddle Pdf

Health care reforms around the world—from Europe and North America to Africa, Latin America and Asia—seem to all be market-oriented reforms driven by international business interests and right wing political parties. There seems to be a sudden and broad concern with the efficiency of medical care, with the assertion that democratically or professionally run systems are inherently inefficient. Far less concern is evident for the more traditional values held regarding medical care, effectiveness (or quality) and equity. The fact is that we have little good cross-national research that systematically addresses the reform issue. This book addresses that problem, and attempts to look at health care reforms in a number of countries, representing as wide a spectrum as possible, and using a common conceptual framework that allows for comparable information to be gathered and presented on each, despite differing levels of socio-economic development. The authors agreed on a set of models that were thought to provide reasonable guidance in answering the questions of the source of pressures for reform, the alternative modes of organization that have been found in the world in recent years, and the direction of change among those alternatives.

Author : Institute of Medicine,LeighAnne M. Olsen,Elizabeth G. Nabel,J. Michael McGinnis,Mark B. McClellan
Publisher : National Academies Press
Page : 202 pages
File Size : 51,7 Mb
Release : 2008-09-06
Category : Medical
ISBN : 9780309113694

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Evidence-Based Medicine and the Changing Nature of Health Care by Institute of Medicine,LeighAnne M. Olsen,Elizabeth G. Nabel,J. Michael McGinnis,Mark B. McClellan Pdf

Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.

Author : Oliver Hedderich
Publisher : GRIN Verlag
Page : 57 pages
File Size : 42,5 Mb
Release : 2007-08
Category : Electronic
ISBN : 9783638731829

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Gender and Health Sector Reform: Theory and Evidence by Oliver Hedderich Pdf

Seminar paper from the year 2004 in the subject Economy - Health Economics, grade: 2,0, University of G ttingen, 26 entries in the bibliography, language: English, abstract: The health sector is facing cost explosions for various reasons. Facing limited resources contemporary politics tend to focus on the reduction of costs when talking about reforming the health sector. Reforming the health sector is a complex issue with implications on equity. Since women are particularly vulnerable in health issues, this paper deals with the effects of health sector reforms on gender and equity. Therefore, it describes what kind of challenges the different health systems around the world have to face and how policy responds. The different components of health sector reforms are researched towards the effect on gender equity. Figures and examples are used to prove the evidence of the subject and the implications on gender issues. This paper concludes that women are often disadvantaged in access to health care due to barriers in access to remuneration and cultural barriers within families. This affects women's health status. A major challenge in this context is to promote the participation of women in order to adjust reforms and components of services to their needs.

Author : Institute of Medicine,Committee on Assessing Health Care Reform Proposals
Publisher : National Academies Press
Page : 85 pages
File Size : 52,5 Mb
Release : 1993-02-01
Category : Medical
ISBN : 9780309049269

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Assessing Health Care Reform by Institute of Medicine,Committee on Assessing Health Care Reform Proposals Pdf

This book establishes a framework for assessing health care reform proposals and their implementation. It helps clarify objectives, identifies issues to be addressed in proposals, distinguishes between short- and long-term expectations and achievements, and directs attention to important but sometimes neglected questions about the organization and provision of health care services. In addition, the volume presents a discussion and analysis of issues essential to achieving fundamental goals of health care reform: to maintain and improve health and well-being, to make basic health coverage universal, and to encourage the efficient use of limited resources. The book is a useful resource for anyone developing or assessing options for reform.

Author : Peter A. Berman
Publisher : Harvard Center for Population and Development Studies
Page : 436 pages
File Size : 44,5 Mb
Release : 1995
Category : Business & Economics
ISBN : STANFORD:36105017522322

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Health Sector Reform in Developing Countries by Peter A. Berman Pdf

In Mexico City or Nairobi or Manila, a young girl in one part of the city is near death with measles, while, not far away, an elderly man awaits transplantation of a new kidney. How is one denied a cheap, simple, and effective remedy while another can command the most advanced technology medicine can offer? Can countries like Mexico, Kenya, or the Philippines, with limited funds and medical resources, find an affordable, effective, and fair way to balance competing health needs and demands? Such dilemmas are the focus of this insightful book in which leading international researchers bring together the latest thinking on how developing countries can reform health care. The choices these poorer countries make today will determine the pace of health improvement for vast numbers of people now and in the future. Exploring new ideas and concepts, as well as the practical experiences of nations in all parts of the world, this volume provides valuable insights and information to both generalists and specialists interested in how health care will look in the world of the twenty-first century.

Author : János Kornai,Karen Eggleston
Publisher : Cambridge University Press
Page : 381 pages
File Size : 51,6 Mb
Release : 2001-05-31
Category : Political Science
ISBN : 9781139428644

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Welfare, Choice and Solidarity in Transition by János Kornai,Karen Eggleston Pdf

Reform of the welfare sector is an important yet difficult challenge for all countries in transition from socialist central planning to market-oriented democracies. Here a scholar of the economics of socialism and post-socialist transition and a health economist take on this challenge. This 2001 book offers health sector reform recommendations for ten countries of Eastern Europe, drawn consistently from a set of explicit guiding principles. After discussing sector-specific characteristics, lessons of international experience, and the main set of initial conditions, the authors advocate reforms based on organized public financing for basic care, private financing for supplementary care, pluralistic delivery of services, and managed competition. Policymakers need to achieve a balance, both assuring social solidarity through universal access to basic health services and expanding individual choice and responsibility through voluntary supplemental insurance. The authors also consider the problems that undermine effectiveness of market-based competition in the health sector.