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 ...

This article is a conceptual essay aimed at supporting analyses of the regionalization processes implemented in Brazil's Unified Health System, from the perspective of regional governance. The authors conducted a literature review in the social sciences, public administration, and critical geography, focusing on the concepts of governance, territorial governance, and regional governance in the ...

background quality of health services is one of the most important factors for delivery of these services. regarding the importance and vital role of quality in the health sector, a concept known as “clinical governance” (cg) has been introduced into the health area which aims to enhance quality of health services. thus, this study aimed to assess private and public hospitals’ readiness to impl...

this article provides a commentary to ole norheim’ s editorial entitled “ethical perspective: five unacceptable trade-offs on the path to universal health coverage.” it reinforces its message that an inclusive, participatory process is essential for ethical decision-making and underlines the crucial importance of good governance in setting fair priorities in healthcare. solidarity on both natio...

BACKGROUND Global constitutionalism is a way of looking at the world, at global rules and how they are made, as if there was a global constitution, empowering global institutions to act as a global government, setting rules which bind all states and people. ANALYSIS This essay employs global constitutionalism to examine how and why global health governance, as currently structured, has strugg...

PURPOSE To provide an overview of essential elements of good governance of data linkage for health-related research, to consider lessons learned so far and to examine key factors currently impeding the delivery of good governance in this area. Given the considerable hurdles which must be overcome and the changing landscape of health research and data linkage, a principled, proportionate, risk-b...

In this commentary, we endorse concerns about the health impact of the trans-pacific partnership (TPP), paying particular attention to its mechanisms for investor state dispute settlement. We then describe the different, judgeled approach being advocated by the European Commission team negotiating the Trans-Atlantic Trade and Investment Partnership, arguing that, while not perfect, it offers si...

Background Negotiations surrounding the Trans-Pacific Partnership (TPP) trade and investment agreement have recently concluded. Although trade and investment agreements, part of a broader shift to global economic integration, have been argued to be vital to improved economic growth, health, and general welfare, these agreements have increasingly come under scrutiny for their direct and indirect...