Strengthening Health System Governance: Better Policies, Stronger Performance

Front Cover
Open University Press, Jan 16, 2016 - Health services administration - 288 pages
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 sy

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About the author (2016)

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.

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