Health Sector Reform and Social Determinants of Health are central issues for the current international policy debate, considering the turbulent scenario and the threat of economic recession in a global scale. Although these themes have been discussed for a long time, three major issues still calls the attention of the scientific community and health policymakers. The first one is the matter of...

The Atlantic Healthcare Collaboration for Innovation and Improvement in Chronic Disease (AHC) Quality Improvement Collaborative (QIC) in Eastern Canada provided an approach to spur system-level reform across multiple health systems for patients and families living with chronic disease. Developed and led by senior executives with a unique governance approach and involving clinical front-line tea...

PURPOSE The purpose of this paper is to explore involving doctors in shared leadership. It examines the policies that have led to the focus on shared leadership and the implications for practice. DESIGN/METHODOLOGY/APPROACH This is a conceptual paper, examining policy developments and key literature to understand the move towards shared leadership. It focuses on UK NHS, and in particular doct...

Japan’s total fertility rate is very low (1.29 in 2003), and Japanese life expectancy is among the highest (78.4 years for males and 85.3 years for females at birth in 2003) in developed countries. Consequently, the population is aging rapidly, which has had a heavy impact on welfare state reform in Japan. In European healthcare reforms, early reforms in the 1980s emphasized cost containment; t...

BACKGROUND With market-oriented economic and health-care reform, public hospitals in China have received unprecedented pressures from governmental regulations, public opinions, and financial demands. To adapt the changing environment and keep pace of modernizing healthcare delivery system, public hospitals in China are expanding clinical services and improving delivery efficiency, while control...

A reform of a pay-as-you-go social security makes the pensioners worse off and the working generations better off in the period of the reform (in a dynamically efficient economy without altruism). The observed reluctance across all age groups to support such reforms is usually explained by the insurance properties of these schemes. I propose an alternative in a two sector setting. Since the old...

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...

Recent evaluations of the impact of Turkish healthcare reforms on the efficiency of public hospitals suffer from simultaneous structural changes in the healthcare sector as well as from lack of data on some of the key ingredients of the reform. In this note, we analyze the major obstacles in a fair evaluation of the efficiency of public hospitals taking Sulku(2011)’s data envelopment analysis a...

For more than a decade, healthcare reform has emphasized coordinated “patient-centered care”. To that end, policymakers have invested in integration of healthcare providers’ information flows. Research has studied healthcare providers’ information needs but overlooked communicative exchanges among participants in coordinating treatment plan decisions. Consequently, although medical literature a...

since its establishment in 1948, the history of the national health service (nhs) has been characterized by organisational turbulence and system reform. at the same time, progress in science, medicine and technology throughout the western world have revolutionized the delivery of healthcare. the nhs has become a much loved, if much critiqued, national treasure. it is against this backdrop that ...