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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...

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...

health reform is the outcome of dispersed policy initiatives in different sectors, at different levels and across time. policy work which can drive coherent health reform needs to operate across the governance structures as well as the institutions that comprise healthcare systems. building policy capacity to support health reform calls for clarity regarding the nature of such policy work and t...

Drawing on an in-depth analysis of eight global health networks, a recent essay in this journal argued that global health networks face four challenges to their effectiveness: problem definition, positioning, coalition-building, and governance. While sharing the argument of the essay concerned, in this commentary, we argue that these analytical concepts can be used to explicate a concept that h...

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 Ongoing conflict and systematic targeting of health facilities and personnel by the Syrian regime in opposition-controlled areas have contributed to health system and governance mechanisms collapse. Health directorates (HDs) were established in opposition-held areas in 2014 by the interim (opposition) Ministry of Health (MoH), to meet emerging needs. As the local health authori...

stewardship is not a new concept for public policy, but has not been used to its optimum by the health policy-makers. although it is being practiced in most successful models of health system, but the onus to this function is still due till date. lately, few experts in world health organization (who) have realized its importance and have been raising the issue at different platforms to pursue t...