HEALTH SYSTEMS AND HEALTH REFORM: INTERNATIONAL MODELS

2014 ◽  
pp. 25-64
Keyword(s):  
Health Systems ◽  
Health Reform

Health Systems and Citizenship

2019 ◽  
pp. 148-162
Author(s):  
Ana Raquel Matos ◽  
Mauro Serapioni
Keyword(s):  
Health Systems ◽  
Health Reform ◽  
Healthcare Systems ◽  
Health Domain

This chapter presents the characteristics of the southern healthcare systems, namely of Portugal, Spain, Italy and Greece. It briefly identifies the main processes of health reform so that readers can understand the context in which experiences of participation in the health domain were developed.

scholarly journals Health Systems and Health Reform in Europe

2008 ◽  
Vol 43 (4) ◽  
pp. 184-218 ◽  
Author(s):  
Melanie Lisac ◽  
Kerstin Blum ◽  
Sophia Schlette ◽  
Hans Maarse ◽  
Yvette Bartholomée ◽  
...  
Keyword(s):  
Health Systems ◽  
Health Reform

scholarly journals Health reforms in Greece, Italy and Spain: studies on the Mediterranean paradigm

Dynamis ◽  
2019 ◽  
Vol 39 (1) ◽  
Author(s):  
Enrique Perdiguero-Gil
Keyword(s):  
Twentieth Century ◽  
National Health Service ◽  
Health Service ◽  
Health Systems ◽  
National Health ◽  
Health Reform ◽  
European Countries ◽  
Reform Processes ◽  
The Mediterranean ◽  
Southern European Countries

This dossier focuses on some characteristics of the health reform processes in three southern European countries —Greece, Italy and Spain— over the second half of the twentieth century. We are interested in the proposals, projects and debates that sought to reorganise the health systems of these three countries. The paper on Italy analyses some aspects of the discussion that led to a national health service in 1978–

scholarly journals The Language of Health Reform and Health Management: critical issues in the management of health systems

2016 ◽  
Vol 11 (3) ◽  
pp. 38-44 ◽  
Author(s):  
David Briggs ◽  
Godfrey Isouard
Keyword(s):  
Health Systems ◽  
Health Reform ◽  
Health Management ◽  
Healthcare Delivery ◽  
Leadership Role ◽  
Current Status ◽  
Health Administration ◽  
Economic Determinants ◽  
Critical Issues ◽  
Development Goals

Health reform has been a constant feature of most health systems for a number of decades and has often focused on structural change. The lexicon of health reform and health management has also become intertwined with managers reporting that reform has become a constant and that rather than influencing that change they are in fact influenced by it and by its impact on their role, professional development and career. There is a challenge for health service managers to return to a leadership role in enabling health reform. In doing so will this challenge us to think differently about management? This article addresses the significant body of research into health reform and health management through the lens of language used in reporting the context and the significant impact that it has had on the management role. It describes what directions that role might take, the qualities required in selecting capable managers and questions the current status quo in the education, training and development of this significant sector of the health system workforce. It concludes by proposing a way forward that acknowledges that contemporary health reform is shifting the paradigm of healthcare delivery in a way that requires the dominant view of health management to be challenged. This might be achieved by the use of a critical lens on the language of management, a focus on a grounded approach about what managers need to do and an acceptance of variability in that role in adaptive complex contexts. Abbreviations: DNOP – Distributed Networks of Practice; MDG – Millennium Development Goals; PHC – Primary Healthcare; PHN – Primary Health Network; SDG – Sustainable Development Goals; SEDOH – Social Economic Determinants of Health; SHAPE – Society for Health Administration Programs in Education.

scholarly journals Health Reform: What have we learned and were to next!

2018 ◽  
Vol 13 (3) ◽  
pp. ii
Author(s):  
David Briggs
Keyword(s):  
Public Health ◽  
Hong Kong ◽  
Health Policy ◽  
Health Services ◽  
Health Systems ◽  
National Health ◽  
Public Health Policy ◽  
Health Reform

Recently I was talking to a colleague of mine from Hong Kong and he reminded me that Hong Kong had had 28 years of health reform. A period just slightly longer than we had known each other. We are deeply imbued in the management and organisation of health services and health systems and, therefore public health policy. He suggested that there should be a lot of learning for us all from that period and, he was exploring how that might happen. I agreed with the idea and the need to think it through. I also recognised potential for the Journal to play some role in that suggestion. Most national health systems have undergone extensive reform so there should be a lot of learning for all of us from that reform.....

scholarly journals Medicare billing law and practice: Complex, incomprehensible and beginning to unravel

2019 ◽  
Author(s):  
Margaret Faux ◽  
Jonathan Wardle ◽  
Jon Adams
Keyword(s):  
High Risk ◽  
Health System ◽  
Health Systems ◽  
Health Reform ◽  
Payment System ◽  
Data Driven ◽  
Operating Environment ◽  
Medical Practitioners ◽  
Medical Billing

Australia’s Medicare is still widely considered one of the world’s best health systems. However, continual political tinkering for forty years has led to a medical billing and payment system that has become labyrinthine in its complexity and is more vulnerable to abuse now, from all stakeholders, than when first introduced. Continuing to make alterations to Medicare without addressing underlying structural issues, may compound Australia’s health reform challenges, increase the incidence of non-compliance and expenditure and thwart necessary reforms to develop a modern, data driven, digitally informed health system. For the medical practitioners who are required to navigate the increasing complexity and relentless change, they will remain at high risk of investigation and prosecution in what has become an anarchic operating environment that they cannot avoid, but do not understand.

scholarly journals From Global to Local: strengthening district health systems management as entry point to achieve health-related sustainable development goals

2016 ◽  
Vol 11 (3) ◽  
pp. 81-86 ◽  
Author(s):  
Phudit Tejativaddhana ◽  
David Briggs ◽  
Romnalin Tonglor
Keyword(s):  
Health Systems ◽  
Health Reform ◽  
Developed Countries ◽  
Distributed Networks ◽  
Systems Management ◽  
District Health ◽  
Healthcare Needs ◽  
District Health Systems ◽  
Health Systems Management ◽  
Networks Of Practice

Thailand has performed admirably in its health reform over the last few decades. Healthcare is provided at a relatively low cost and healthcare needs have transitioned to begin to address diseases and mortality of developed countries. The challenges now faced by Thailand are similar to most developed countries reflecting adult mortality and risk factors of an uppermiddle income population and the need to modify institutional structures to reflect these changing circumstances. The approach to these challenges has focused on the ‘implementation of knowledge based health development’ and critically identifies ‘the triangle that moves the mountain’ (health reform) as a movement that mobilises; the creation of relevant knowledge, social movement and political involvement’ to address ‘inter-connected, complex and extremely difficult to solve’ problems. The move to District Health Systems as the access point to healthcare and the service delivery structure demands competent qualified leadership and management. It requires an understanding of the differences in managing professionally dominated complex adaptive systems compared to traditional approaches of managing within bureaucratic structures. This can be best described as managing connected, integrated care focused both on individuals as patients and communities with a strong emphasis on primary healthcare, prevention and evidence-based practice. It also requires an understanding of how distributed networks of practice (DNOP) provide the potential for researchers, practitioners and other agencies and communities to collaborate, learn and improve healthcare across geographic, jurisdictional and organisational boundaries. This approach provides recognition of the need to build the capacity and capability of health professionals in the management and leadership of health systems and Thailand is moving towards this goal in implementing specific health systems management curriculum which focuses on action-based research and learning together at the District health level augurs well for continued ability to address current health challenges and to achieve SDGs. Abbreviations: DHS – District Health System; DNOP – Distributed Networks of Practice; HSRI – Health Systems Research Institute; MoPH – Ministry of Public Health; NHSO – National Health Security Office; SDG – Strategic Development Goal; UHC – Universal Health Coverage.

Health Systems and Citizenship

2017 ◽  
pp. 100-114
Author(s):  
Ana Raquel Matos ◽  
Mauro Serapioni
Keyword(s):  
Health Systems ◽  
Health Reform ◽  
Healthcare Systems ◽  
Health Domain

This chapter presents the characteristics of the southern healthcare systems, namely of Portugal, Spain, Italy and Greece. It briefly identifies the main processes of health reform so that readers can understand the context in which experiences of participation in the health domain were developed.

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