The Medical Journal of Australia ISSN: 0025729X 3 May 2010 192 9 1-2 ©The Medical Journal of Australia 2010 www.mja.com.au Viewpoint power are, at best, overstated. Although the Comm greater fiscal power and can ensure stable, long-ter would be better to reform the tax system to meet th health system than compromise health care delivery antiquated tax system. As noted in two articles i (recentl...

background: drugs play a strategic role as a health commodity. thus, the supply chain management of drugs is an important issue to reducing costs and thereby improving patient health. objective: this study evaluated the status of drug supply chain management and health reform in the pharmaceutical sector of teaching hospitals in ahvaz, iran. methods: this cross-sectional study was carried out i...

Starting in 2003, Turkey introduced major health system reforms through the Health Transformation Program (HTP). The HTP aimed to address inequities care services across Turkey. This study explores whether regional disparities several indicators persist ten years after HTP. For this purpose, we use administrative records and individual-level data from only regionally representative survey, Life...

This paper illustrates how advocates for gender equity succeeded in influencing the restructuring of the health system in Bangladesh in the mid-1990s but failed to influence its implementation. Using published and unpublished documents and personal interviews, it traces the changing fortunes of health sector reforms and reform advocates from 1995 to 2002 and analyses the major challenges and st...

The Commonwealth Fund Commission on a High Performance Health System, to hold increases in national health expenditures to no more than long-term economic growth, recommends a set of synergistic provider payment reforms, consumer incentives, and systemwide reforms to confront costs while improving health system performance. This approach could slow spending by a cumulative $2 trillion by 2023—i...

SIR I enjoyed the paper by Persaud about ethical medical practice and health service organisation (1). The author chronicles some of the ethical disadvantages of the American system. However, he mistakenly equates the health service reforms with an American-style system. This is wrong, because the internal market envisaged by the health service reforms is quite different from the mainly insuran...