Within less than a decade the World Bank has become the largest single source of finance (loans) for health in low and middle income countries as well as a major player in the field of pharmaceuticals. Often 20-50% of the recurrent government health budget in developing countries is used to procure drugs. Drugs are among the most salient and cost-effective elements of health care and often a ke...

The public health and the public education systems in the United States have encountered problems in quality of service, accountability, and availability of resources. Both systems are under pressure to adopt the general organizational reform of privatization. The debate over privatization in public education is contentious, but in public health, the shift of functions from the public to the pr...

Many low- and middle-income countries are seeking to reform their health financing systems to move towards universal coverage. This typically means that financing is based on people's ability to pay while, for service use, benefits are based on the need for health care. Financing incidence analysis (FIA) and benefit incidence analysis (BIA) are two popular tools used to assess equity in health ...

it is difficult to disagree with the general argument that successful health reform requires a significant degree of policy capacity or that all players in the policy game need to move beyond self-interested advocacy. however, an overly broad definition of policy capacity is a problem. more important perhaps, health reform inevitably requires not just policy capacity but political leadership an...

The Authors present the main activities and results of a Project financed by the Italian-Egyptian Debt Swap Agreement (IEDDS/DS) of the Italian Development Cooperation to repay public debt. The Health Governance Project operated within the Egyptian health reform paradigm and aimed at producing evidence for policy makers to direct and reorient the health sector and service management. It develop...

background: today health care system is considered as a important organization to achieve equity and improve the performance so it is necessary for policy makers and decision makers improve performance of health care system. this study was performed to evaluate the health care reform program with emphasis to decrease catastrophic payment of patients hospitalized in public hospitals. methods: th...

background: the objective of the health system reform plan is to review individuals’ satisfaction in the field of health and to reduce their concerns and medical expenses. the disregarding of some workers in this plan seems to have resulted in their dissatisfaction, which can in turn cause problems such as neglecting of patients and patients' dissatisfaction. therefore, the identification ...

recognizing the advantages of primary care as a means of improving the entire health system, this text comments on reforms of publicly funded primary health centers, and the rapid development of private forprofit providers in sweden. many goals and expectations are connected to such reforms, which equally require critical analyses of scarce resources, professional trust/motivation and business ...

The Korean health care system has been recognized by other countries for its rapid expansion of national health insurance. The government's policy of promoting the private sector, relying on market forces for various allocation decisions, and using the fee-for-service payment system has created a number of challenges for the Korean health system. Among these are rapid growth of health care expe...