Bruno Marchal
Department of Public Health, Institute of Tropical Medicine, Antwerpen, Belgium
[ 1 ] - The Need for Global Application of the Accountability for Reasonableness Approach to Support Sustainable Outcomes; Comment on “Expanded HTA: Enhancing Fairness and Legitimacy”
The accountability for reasonableness (AFR) concept has been developed and discussed for over two decades. Its interpretation has been studied in several ways partly guided by the specific settings and the researchers involved. This has again influenced the development of the concept, but not led to universal application. The potential use in health technology assessments (HTAs) has recently be...
[ 2 ] - Complex Leadership in Healthcare: A Scoping Review
Background Nowadays, health systems are generally acknowledged to be complex social systems. Consequently, scholars, academics, practitioners, and policy-makers are exploring how to adopt a complexity perspective in health policy and system research. While leadership and complexity has been studied extensively outside health, the implications of complexity theories for the study of leader...
[ 3 ] - “They Are After Quantity, Not Quality”: Health Providers’ Perceptions of Fee Exemption Policies in Morocco
Background A free obstetric care policy (FOCP) has been implemented in Morocco in 2008 in order to further decrease maternal mortality. Methods Through in-depth interviews we explored the perceptions of health professionals in public Moroccan h...
[ 4 ] - The Need for a Dynamic Approach to Health System-Centered Innovations; Comment on “What Health System Challenges Should Responsible Innovation in Health Address? Insights From an International Scoping Review”
Lehoux and colleagues plea for a health systems perspective to evaluate innovations. Since many innovations and their scale-up strategies emerge from processes that are not (centrally) steered, we plea for any assessment with a dynamic, instead of a sequential, approach. We provide further guidance on how to adopt such dynamic approach, in order to better un-derstand an...
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