What is a Health System

نویسندگان

  • William C. Hsiao
  • K. T. Li
  • Peter Berman
  • Michael Reich
  • Marc Roberts
چکیده

Health system reforms and health system comparisons have been popular topics of discussion for the policy and research communities. Yet, there is no clear concept and definition for a health system. As a result, comparisons are often made between apples and oranges, resulting in confused discourses and misleading conclusions. This paper argues that for policy and economic research purposes, it is most useful to conceptualize a health system as a set of relationships in which the structural components (means) and their interactions are associated and connected to the goals the system desires to achieve (ends). The model identifies three common goals and five means that nations use to achieve their goals. The differences in the structural components may explain the variety of observed system outcomes.

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تاریخ انتشار 2004