Implementing healthcare reform: who, how, and when.

The most effective leadership style for the new landscape of healthcare.

When leaders in healthcare organizations are asked, “What’s the one word that best characterizes the impact of the Affordable Care Act (ACA) on the U.S. healthcare delivery system,” most will answer “Change.” And when midto lowerlevel employees in those same organizations are asked to describe the one thing they dislike or fear most about the ACA, they, too, say “Change.” As if they are not alr...

The Why, Who, What, How, and When of Patient Engagement in Healthcare Organizations: A Response to Recent Commentaries

Remote Hospital Reform in the Context of Australian Health Care Reforms

Public hospitals play an important role in the delivery of essential healthcare in Australia as in many countries. The Australian Government has in the recent years implemented national healthcare reform to improve the performance of and access to public hospital services. This reform extends to all public hospitals including remote hospitals. However, there is limited information on how reform...

Seriously Implementing Health Capacity Strengthening Programs in Africa; Comment on “Implementation of a Health Management Mentoring Program: Year-1 Evaluation of Its Impact on Health System Strengthening in Zambézia Province, Mozambique”

Faced with the challenges of healthcare reform, skills and new capabilities are needed to support the reform and it is of crucial importance in Africa where shortages affects the health system resilience. Edwards et al provides a good example of the challenge of implementing a mentoring program in one province in a sub-Saharan country. From this example, various aspects of strengthening the cap...

U-Form vs. M-Form: How to Understand Decision Autonomy Under Healthcare Decentralization?; Comment on “Decentralisation of Health Services in Fiji: A Decision Space Analysis”

For more than three decades healthcare decentralization has been promoted in developing countries as a way of improving the financing and delivery of public healthcare. Decision autonomy under healthcare decentralization would determine the role and scope of responsibility of local authorities. Jalal Mohammed, Nicola North, and Toni Ashton analyze decision autonomy within decentralized services...