Strengthening Health System Governance: Better policies, stronger performance

Better policies, stronger performance
ed
ISBN: 978-0-335-26134-5
Verlag: Open University Press

Buch, Englisch, 288 Seiten, Format (B × H): 152 mm x 231 mm, Gewicht: 420 g

Reihe: UK Higher Education Humanities & Social Sciences Health & Social Welfare

Highly Commended in Health and Social Care in the 2017 BMA Medical Book Awards.Governance is the systematic, patterned way in which decisions are made and implemented. The governance of a health system therefore shapes its ability to respond to the various well-documented challenges that health systems face today, and its capacity to cope with both everyday challenges and new policies and problems.This book provides a robust framework that identifies five key aspects of governance, distilled from a large body of literature, that are important in explaining the ability of health systems to provide accessible, high-quality, sustainable health. These five aspects are transparency, accountability, participation, organizational integrity and policy capacity. Part 1 of this book explains the significance of this framework, drawing out strategies for health policy success and lessons for more effective governance. Part 2 then turns to explore eight case studies in a number of different European regions applying the framework to a range of themes including communicable diseases, public-private partnerships, governing competitive insurance market reform, the role of governance in the pharmaceutical sector, and many more.The book explores how:

- Transparency, accountability, participation, integrity and capacity are key aspects of health governance and shape decision making and implementation
- There is no simply “good” governance that can work everywhere; every aspect of governance involves costs and benefits. Context is crucial.
- Governance can explain policy success and failure, so it should be analysed and in some cases changed as part of policy formation and preparation.
- Some policies simply exceed the governance capacity of their systems and should be avoided. This book is designed for health policy makers and all those working or studying in the areas of public health, health research or health economics.

Autoren/Hrsg.

Greer, Scott

Wismar, Matthias

Figueras, Josep

Fachgebiete

• Sozialwissenschaften Soziologie | Soziale Arbeit Soziale Arbeit/Sozialpädagogik Soziale Dienste, Soziale Organisationen

Inhaltsverzeichnis

ForewordPART 1: TAPIC a framework for analyzing and improving health system governance Chapter 1: Introduction: Strengthening governance amidst changing governanceChapter 2: Governance: A FrameworkChapter 3: Strategies for Policy Success: Achieving “Good” GovernanceChapter 4: Measuring governance:Accountability, management and research Chapter 5: Policy lessons for health governance PART 2: Sectoral case studies on health system governanceChapter 6: Governing competitive insurance market reform: Case studies from the Netherlands and SwitzerlandChapter 7: The governance of public-private partnerships: Lessons from the UK and Germany Chapter 8: The governance of coverage in health systems: England’s National Institute for Health and Care ExcellenceChapter 9: Understanding the role of governance in the pharmaceutical sector: from laboratory to patientChapter 10: Intergovernmental governance for health: Federalism, decentralization, and communicable diseasesChapter 11: Austerity: Reforming systems under financial pressureChapter 12: Issues of governance in implementing complex policy innovations:Lessons from primary healthcare reforms in Estonia and Bosnia & HerzegovinaChapter 13: Hospital governance: Policy capacity and reform in England, France, and Italy

Über Autor(innen)

Scott Greer is Associate Professor of Health Policy and Management at the School of Public Health, University of Michigan, USA, and Senior Expert Advisor on Health Governance at the European Observatory on Health Systems and Policies and Head of the WHO European Centre for Health Policy, Belgium.Matthias Wismar is Senior Health Policy Analyst for the European Observatory on Health Systems and Policies, Belgium.Josep Figueras is Director of the European Observatory on Health Systems and Policies and Head of the WHO European Centre for Health Policy, Belgium.