Health Sector Reform

Topics: Policy, Government, Political science Pages: 3 (304 words) Published: February 15, 2013
← No uniform recipe for change

← Emerging HSR:
← Financing the health care/ services
← Insurance (compulsory and private)
← Separation between providers and regulator
← Promoting the private share in service delivery
← Promoting the family medicine/ gateway practice

← Challenges facing the Governments:
← Lack of policy making and analysis capability
← Lack of research based policy making
← Top-down implementation
← Lack of ownership
← Importing best practices without appraisal and adaptation

Policy is not developed in a vacuum BUT
in a comlpex context!!!

How best to formulate policy?
← by comprehensively understanding the policy context
← Failing to understand the context, leads to misconceptions over role, appropriateness, policy process and political feasibility. ← The research focused on observing 7 countries

Policy context
1. Situational factors
2. Structural factors
3. Cultural factors
4. Environmental factors

1. Political and political regime
2. Ideological
3. Demographic and epidemiological

Walt & Gilson
1. Structural context
2. Policy content
3. Policy actors
4. Processes of decision-making

← Understanding the context is a MUST. Why??
← Objective of HSR: the context explains why the issue is raised on the agenda now! ← Policy appropriateness: helps in identifying options (most appropriate) ← Policy process: especially how different stakeholders/ players react; differences over time and location ← Policy feasibility: margin of maneuvering; constraints,

Accordingly, it is best to consider the following 6 factors in HSE Policy context 1. Demographic and epidemiological
2. Processes of social and economic change
3. Economic and financial policies...
Continue Reading

Please join StudyMode to read the full document

You May Also Find These Documents Helpful

  • Health Care Reform Essay
  • Healthcare Reform Essay
  • Health Insurance Essay
  • Essay on Health Policy and Economic Analysis
  • Healthcare Reform Research Paper
  • Health Care Reform Essay
  • Maintaining Quality Standards in the Health Sector Essay
  • health reform Essay

Become a StudyMode Member

Sign Up - It's Free