Getting Health Reform Right : A Guide to Improving Performance and Equity

Getting Health Reform Right : A Guide to Improving Performance and Equity

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This book presents a new multi-disciplinary framework for developing and analyzing health sector reform plans in a wide variety of national circumstances. By focusing on the health care system as a means to an end, the authors provide tools and techniques for designing reforms that will produce real improvements in health sector performance. Integrating economic analysis, political strategy, managerial considerations, and ethical concerns, they offer practical guidance for dealing with the many difficult challenges of health sector reform. The book's methods and approach are based on the authors' extensive experience as researchers, advisors, and teachers of health care reform around the world. Rather than taking a one-size-fits-all approach, they stress the need for each nation to develop plans that are consistent with its administrative capacities, economic circumstances, political realities, and social values. The first half of the book reviews general methods for defining problems in an ethically self-reflexive way, diagnosing the causes of those problems, developing relevant policies, and marshalling political support. The second half examines five health sector reform qcontrol knobsq - arenas in which government can act to improve the performance of the health system. Each control knob - financing, payment, organization, regulation, and behavior - is extensively discussed to inform readers about available options and the lessons of international experience. This book draws together an exceptionally wide range of analytical methods and practical experience, and fills a major gap in the literature on health reform and health systems for lower and middle-income nations. It will be of value to policymakers, administrators, consultants, academics, and students alike.Concentrating high-tech services in a national facility (like the National Heart Institute in Kuala Lumpur) can take ... technical analysis of whether there are any feasible policy interventions that will have a positive impact on system ... and there is an art to balancing the gains from more study against the added costs.

Title:Getting Health Reform Right : A Guide to Improving Performance and Equity
Author: Department of Health Policy and Management Marc J. Roberts Professor of Political Economy and Health Policy, William Hsiao K.T. Li Professor of Economics and Director of the Program in Healthcare Financing, Department of Population and International Health Peter Berman Professor of Population and International Health Economics, Michael R. Reich Taro Takemi Professor of International Health all at Harvard School of Public Health
Publisher:Oxford University Press, USA - 2003-10-16

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