conclusions the findings showed that based on the managers’ point of view, the reform plan was able to achieve its primary goals; however, it could not meet their exceptions in improving the society health status. therefore, it is necessary to design some interventions for changing this perception. results a total of 43.2% of managers believed that this reform was a good restrictor for malpract...

background: the objective of the health system reform plan is to review individuals’ satisfaction in the field of health and to reduce their concerns and medical expenses. the disregarding of some workers in this plan seems to have resulted in their dissatisfaction, which can in turn cause problems such as neglecting of patients and patients' dissatisfaction. therefore, the identification ...

The article argues for the importance of employment reform as a subject for international HRM scholarship. Employment reform has been one of the most signiŽ cant, but also most neglected, recent initiatives in international HRM. Explanations by the World Bank and IMF for the poorer than expected outcomes of reform to date emphasize the importance of political commitment. They are compared with ...

Lesotho has been implementing financial management reforms, including performance-based budgeting (PBB) since 2005 in an effort to increase accountability, transparency and effectiveness in governance, yet little is known about how these efforts are affecting the health sector. Supported by several development partners and $24 million in external resources, the PBB reform is intended to strengt...

Dissatisfaction with the U.S. health care system is widespread, but no consensus has emerged as to how to reform it. The principal methods of finance-employer-based insurance, means-tested insurance, and Medicare-are deeply and irreparably flawed. Policymakers confront two fundamental questions: Should reform be incremental or comprehensive? And should priority be given to reforming the financi...

We study the policy choice of an office-holding politician who is concerned with the public’s perception of his capabilities. The politician decides whether to maintain the status quo or to conduct a risky reform. The success of the reform depends critically upon the abilities of the politician, which is privately known to the politician. The public observes both his policy choice and the outco...

This paper examines political feasibility and its implications for health reform. I discuss the political obstacles to health reform in the United States, disentangling perennial barriers from contemporary constraints. I then explore major reform options and their political prospects. I argue that while incremental reform now appears to be the most feasible option, the political climate may cha...

This article explores the key issues involved in the attempts at reform of the present medical malpractice system. Investigating the effects that federal tort reform legislation would have on physicians, patients, lawyers, and the medical malpractice insurers, Dr. Gunnar succinctly outlines the issues surrounding the present "crisis in healthcare" and explores the separate interests involved. T...

It is difficult to disagree with the general argument that successful health reform requires a significant degree of policy capacity or that all players in the policy game need to move beyond self-interested advocacy. However, an overly broad definition of policy capacity is a problem. More important perhaps, health reform inevitably requires not just policy capacity but political leadership an...