By Marc J. Roberts, William Hsiao, Peter Berman, Michael R. Reich
This publication provides a brand new multi-disciplinary framework for constructing and studying future health quarter reform plans in a wide selection of nationwide conditions. by way of targeting the future health care procedure as a way to an finish, the authors supply instruments and strategies for designing reforms that may produce genuine advancements in healthiness region functionality. Integrating fiscal research, political approach, managerial issues, and moral matters, they provide useful information for facing the numerous tricky demanding situations of overall healthiness zone reform.
The book's tools and strategy are in line with the authors' wide adventure as researchers, advisors, and academics of health and wellbeing care reform around the globe. instead of taking a one-size-fits-all strategy, they pressure the necessity for every state to increase plans which are in step with its administrative capacities, monetary situations, political realities, and social values. the 1st 1/2 the booklet reports common tools for outlining difficulties in an ethically self-reflexive means, diagnosing the reasons of these difficulties, constructing appropriate regulations, and marshalling political aid. the second one part examines 5 health and wellbeing area reform "control knobs" - arenas during which executive can act to enhance the functionality of the wellbeing and fitness method. each one keep an eye on knob - financing, fee, association, legislation, and behaviour - is commonly mentioned to notify readers approximately on hand thoughts and the teachings of overseas experience.
This ebook attracts jointly a very wide variety of analytical equipment and sensible event, and fills an incredible hole within the literature on healthiness reform and healthiness platforms for reduce and middle-income countries. it is going to be of price to policymakers, directors, specialists, teachers, and scholars alike.
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Sample text
The policy cycle. " pervade efforts at health-sector reform. Our approach calls for an explicit examination of the ethical bases of health policies and rejects the notion that the values of all health systems are, or should be, the same. Because we believe that all policy positions (including our own) involve ethical dimensions, this book seeks to make our own values and goals explicit. Readers can then determine how useful our perspective is to them. We also reject the view that the health-sector reform process is exclusively technical.
In World Health Report 1999: Making a Difference. Geneva: World Health Organization. 2000. World Health Report 2000, Health Systems: Improving Performance. Geneva: World Health Organization. World Bank. 1993. World Development Report 1993: Investing in Health. New York: Oxford University Press. 1997. Confronting AIDS: Public Priorities in a Global Epidemic. New York: Oxford University Press. -. 2001. Poverty Reduction Strategy Sourcebook. Washington, DC: World Bank. htm. Accessed June 2002.
Our approach to these choices includes a guide to ethical theory, which we address in Chapter 3. For sound policy development, problems should be defined in terms of health-system performance goals. Although health reformers often hold multiple objectives, HEALTH-REFORM CYCLE 37 we believe that a short list of health-system goals—those that in our experience are the most relevant to health reform—can be identified. We present these in Chapter 5, and link mem to the ideas of ethical theory presented in Chapter 3.