Forest and colleagues have persuasively made the case that policy capacity is a fundamental prerequisite to health reform. They offer a comprehensive life-cycle definition of policy capacity and stress that it involves much more than problem identification and option development. I would like to offer a Canadian perspective. If we define health reform as re-orienting the health system from acut...

Mental health issues are usually given very low priority in health service policies. Although this is changing, African countries are still confronted with so many problems caused by communicable diseases and malnutrition that they have not waken up to the impact of mental disorders. Every country must formulate a mental health policy based on its own social and cultural realities. Such policie...

The management implications of information technology in research, public health and policy development are identified in this chapter. The dangers of applying global analysis to individual health care situations and vice versa are examined and the mechanisms that can be used to identify diffuse disaster in global and individual medical practice are explored. The chapter concludes by noting tha...

65>$ B@>JBDC$ 0/;>2$ 2>CD63/@?530?$ 65D6$ 5DF>$ 8>>@$ 5D2$=DCC?$K/2$D@652/0/C/43?6?$ to take a critical stance against such structural and 3@?636B63/@DC$F3/C>@=>$)M./<3@4$6/$NB2$L>@?>?O*I $ P/C3?<$ 5D?$ DC?/$ 8>=/<>$ D@$ 3<0/26D@6$ 5DCC2@$ >65@/42D051I$ GF>@$ 65>$ 06$ /K$ =CD??3=$ D@652/0/C/41$R$ =BC6B2>$ R$ 5D?$8>>@$2>65/B456+$M65>$2@$...

we argue that the field of health policy and management (hpam) ought to confront the gap between theory, policy, and practice. although there are perennial efforts to reform healthcare systems, the conceptual barriers are considerable and reflect the theory-policy-practice gap. we highlight four dimensions of the gap: 1) the dominance of microeconomic thinking in health policy analysis and desi...

health systems have entered a third era embracing whole systems thinking and posing complex policy and management challenges. understanding how such systems work and agreeing what needs to be put in place to enable them to undergo effective and sustainable change are more pressing issues than ever for policy-makers. the theory-policy-practice-gap and its four dimensions, as articulated by chini...

gorik ooms recently made a strong case for considering the centrality of normative premises to analyzing and understanding the underappreciated importance of the nexus of politics, power and process in global health. this critical commentary raises serious questions for the practice and study of global health and global health governance. first and foremost, this commentary underlines the impor...

background: around one out of two mothers give births by cesarean section (cs) surgery in iran and about half of this number is due to previous cs. recently health sector evolution (hsep) program (started in april 2014) targets the high rate of cs in iran. to assess the impact of the interventions, we emphasized that the first birth cesarean (fbc) proportion is one of the main indicators to ass...

conclusions along with adaptation and development process of cpgs, their utilization should also be planned; otherwise spent time and money would be in vain. certainly, imposing above-mentioned interventions with the ultimate goal of sustainable behavior change in health system service providers is beyond the capacity of specific groups or few academic centers. it requires the participation of ...