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 formulation of global health policy is political; and all institutions operating in the global health landscape are political. this is because policies and institutions inevitably represent certain values, reflect particular ideologies, and preferentially serve some interests over others. this may be expressed explicitly and consciously; or implicitly and unconsciously. but it’s important t...

there are two dominant approaches to describe and understand the anatomy of complete health and well-being systems internationally. yet, neither approach has been able to either predict or explain occasional but dramatic crises in health and well-being systems around the world and in developed emerging market or developing country contexts. as the impacts of such events can be measured not simp...

Background and Aim: Public health expenditures and the quality of governance are among factors affecting the health status of a population. Therefore, the purpose of this study was to investigate the interaction effects of good governance and public health expenditures on the health status of children in upper-middle income countries. Materials and Methods: This descriptive-analytical applied ...

the global health agenda has been dominating the current global health policy debate. furthermore, it has compelled countries to embrace strategies for tackling health inequalities in a wide range of public health areas. the article by robert and colleagues highlights that although globalization has increased opportunities to share and spread ideas, there is still great asymmetry of power accor...

in this paper we emphasize the importance of questioning the global validity of significant concepts underpinning global health policy. this implies questioning the concept of global health as such and accepting that there is no global definition of the global. further, we draw attention to ‘quality’ and ‘empowerment’ as examples of world-forming concepts. these concepts are exemplary for the g...

richard saltman and antonio duran take up the challenging issue of governance in their article “governance, government and the search for new provider models,” and use two case studies of health policy changes in sweden and spain to shed light on the subject. in this commentary, i seek to link their conceptualization of governance, especially its interrelated roles at the macro, meso, and micro...

0

Background and Objectives: The Iranian Ministry of Health and Medical Education has introduced clinical gov‌ernance as the accepted model of hospital healthcare improvement. Subsequently, a growing movement for implementing clinical governance in health facilities has emerged. This study aimed to explore the opinions of the relevant experts and executives to provide insight into current challen...

this paper reviews the essence of effective governance and importance of a multi-sectoral approach in generating health systems response to hiv/aids. this comprehensive approach highlights the importance of integrating reproductive sexual health programs and hiv prevention services, including peer education, life skills, and voluntary counseling and testing (vct), for prevention of mother–to-ch...