Managing innovation The development of health services world wide has been piecemeal and uncoordinated. Some control has been exerted over health service resources by controlling capital and by manpower strategies, but these are relatively crude methods largely concerned with control of resources and not with quality of health care provided. The main determinant of the quality of health care is...

Israel, like many other European countries, has recently reformed its health care system. The regulated market created by the National Health Insurance (NHI) law embodies many of the principles of managed competition. The purpose of this paper is to present initial findings from an evaluation of the first 3 years of the reform (1995-1997) regarding the implementation of the reform and the exten...

More than 85% of the world's population lives in 153 low-income and middle-income countries (LAMICs). Although country-level information on mental health systems has recently become available, it still has substantial gaps and inconsistencies. Most of these countries allocate very scarce financial resources and have grossly inadequate manpower and infrastructure for mental health. Many LAMICs a...

THE IMMINENT EXPIRATION of the Health Professions Educational Assistance Act of 1976 (Public Law 94484) has refocused discussion among Federal officials upon the direction that health manpower policy should now take. As affected parties, State Governments and health professions schools are assessing their priorities and formulating positions on the issues that will be debated. Although items fo...