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...

BACKGROUND Healthcare system reform of Sanming city has become a leading healthcare reform model in China. It has developed a rigorous pharmaceutical reform consisted of the Zero Mark-up Drug Policy and the Centralized Procurement of Medicine Policy to bring down drug expenses and total health expenditures. However, despite the credit and much attention have been given to Sanming's pharmaceutic...

In the wake of the 2013 Presidential reelection, states now face the reality of implementing the healthcare reform, including ACA section 2302 (Concurrent Care for Children). The purpose of our study was to examine the influence of economic, political, and legal factors on state implementation of ACA 2302. Using data from 2010 to 2012, our analysis revealed that for early implementers economic,...

Palestinian refugees served by the United Nation Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) are experiencing increasing rates of diagnosis of non-communicable diseases. In response, in 2011 UNRWA initiated an Agency-wide programme of primary healthcare reform, informed by the Chronic Care Model framework. Health services were reorganized following a family-centred a...

With the coming of a super-aging society, Japan is faced with pressing social problems including medical expenditures increasing at an annual rate of about 1 trillion yen and an overstretched healthcare system—drastic structural reform in healthcare and medical care has become an urgent matter. Under the Japan Revitalization Strategy (revised in June 2014) to promote national growth, Japan aims...

Our world is caught in the terrible cycle of poverty, illiteracy, violence, and devastating disease. Countries have been subject to the weighty challenge inherent in addressing the recklessly growing population, pervasive unemployment, rising longevity, the burden of diseases, insurgencies, and political insecurity (1). Although healthcare systems have improved dramatically during recent years ...

The lack of health human resources is a global issue. China also faces the same issue, in addition to the equity of human resources allocation. With the launch of new healthcare reform of China in 2009, have the issues been improved? Relevant data from China Health Statistical Yearbook and a qualitative study show that the unequal allocation of health human resources is getting worse than before.

Healthcare reform has been a constant phenomenon for the last two decades, regardless of being Bismarckian or Beveridgean. The launch of new reforms has increased in pace to a point that was defined, in a recent BMJ article on the UK National Health Service, as ‘constant redisorganisation’. Most of the policy analysis literature on healthcare reforms has been of Anglo-American origin. Consequen...

BACKGROUND: Timely access to healthcare is essential to ensuring optimal health outcomes, and not surpris­ ingly, is at the heart of healthcare reform efforts. While the Veterans Health Administration (VA) has made improved access a priority, women veterans still underutilize VA healthcare relative to men. Eliminating access disparities requires a better understanding of the barriers to care th...