jeremy shiffman’s editorial appropriately calls on making all forms of power more apparent and accountable, notably productive power derived from expertise and claims to moral authority. this commentary argues that relationships based on productive power can be especially difficult to reveal in global health policy because of embedded notions about the nature of power and politics. yet, it is e...

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...

Although there is evidence that non-government health system actors can individually or collectively develop practical strategies to address primary health care (PHC) challenges in the community, existing frameworks for analysing health system governance largely focus on the role of governments, and do not sufficiently account for the broad range of contribution to PHC governance. This is impor...

introduction: primary care organizations are the entities through which clinical governance is developed at local level. to implement clinical governance in primary care, awareness about principles, prerequisites and barriers of this quality improvement paradigm is necessary. the aim of this study is to pool evidence about implementing clinical governance in primary care organizations. data sou...

BACKGROUND Previous studies show that health systems governance influences health system performance and health outcomes. However, there are few examples of how to implement and monitor good governing practices in fragile and conflict affected environments. Good governance has the potential to make the health system people-centered. More research is needed on implementing a people-centered gove...

As countries strive to strengthen their health systems in resource constrained contexts, policy makers need to know how best to improve the performance of their health systems. To aid these decisions, health system stewards should have a good understanding of how health systems operate in order to govern them appropriately. While a number of frameworks for assessing governance in the health sec...

decentralization is the process of dispersing decision-making closer to the point of peripheral area, service or action. basically decentralized governance, if properly planned and implemented, offers important opportunities for enhanced human development. the studies about this issue in different countries show that most of the decentralizations have been implemented in european countries and ...

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...

Measuring performance is critical to assess effectiveness of public health expenditure. Performance of health care delivery however relies on adequate accountability indicators as benchmark for efficiency. Individual programs sometimes track specific output but do not examine overall health care delivery system. This is difficult to measure but is critical if health care systems are to achieve ...