With the passage of the 2010 Patient Protection and Affordable Care Act, the nation has a remarkable opportunity to widen access to health care while also improving quality and affordability. Several provisions in the legislation are aimed at improving primary care, which is considered a crucial step towards creating a high-functioning, effective health care delivery system. But simply increasi...

The Harvard/Kennedy School Health Care Delivery Policy Program (HCDP) seeks to understand what changes would be needed to move the US health care delivery system toward a system that is effective, accessible, efficient and integrated. Measurement of the benefits and costs of medical care services is central to this effort, and a productivity research group is among the core research projects as...

stewardship is not a new concept for public policy, but has not been used to its optimum by the health policy-makers. although it is being practiced in most successful models of health system, but the onus to this function is still due till date. lately, few experts in world health organization (who) have realized its importance and have been raising the issue at different platforms to pursue t...

The Work Group’s recommendations led to formation of the Commission on Health Care Facilities in the 21 Century, whose principal charge is to “right-size” the acute and long term care delivery systems. The Commission’s mandate is to shape a health care delivery system that meets community needs, rather than simply preserve existing institutions. The Commission also envisions new acute and long ...

There is a global challenge for health systems to ensure equity in both the delivery and financing of health care. However, many African countries still do not have equitable health systems. Traditionally, equity in the delivery and the financing of health care are assessed separately, in what may be termed 'partial' analyses. The current debate on countries moving toward universal health syste...

BACKGROUND The rhetoric of primary health care philosophy in the district health system is widely cited as a fundamental component of the health transformation process in post-apartheid South Africa. Despite South Africa's progress and attempts at implementing primary health care, various factors still limit its success. DISCUSSION Inconsistencies and poor understanding of primary care and pr...

world action in medical education, notably the global programs of the world federation for medical education, the edinburgh declaration of 1988 and the 1993 world summit, has led to major curricular change in medical schools. for educational reform to result in improved health services of nations, an essential requirement is integration between the medical education system and the health care d...