health reform is the outcome of dispersed policy initiatives in different sectors, at different levels and across time. policy work which can drive coherent health reform needs to operate across the governance structures as well as the institutions that comprise healthcare systems. building policy capacity to support health reform calls for clarity regarding the nature of such policy work and t...

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...

recognizing the advantages of primary care as a means of improving the entire health system, this text comments on reforms of publicly funded primary health centers, and the rapid development of private forprofit providers in sweden. many goals and expectations are connected to such reforms, which equally require critical analyses of scarce resources, professional trust/motivation and business ...

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Background Ongoing conflict and systematic targeting of health facilities and personnel by the Syrian regime in opposition-controlled areas have contributed to health system and governance mechanisms collapse. Health directorates (HDs) were established in opposition-held areas in 2014 by the interim (opposition) Ministry of Health (MoH), to meet emerging needs. As the local health authori...

a central problem in designing effective models of provider governance in health systems has been to ensure an appropriate balance between the concerns of public sector and/or government decision-makers, on the one hand, and of non-governmental health services actors in civil society and private life, on the other. in tax-funded european health systems up to the 1980s, the state and other publi...

background and objectives: the iranian ministry of health and medical education has introduced clinical gov­ernance as the accepted model of hospital healthcare improvement. subsequently, a growing movement for implementing clinical governance in health facilities has emerged. this study aimed to explore the opinions of the relevant experts and executives to provide insight into current challen...

richard saltman and antonio duran take up the challenging issue of governance in their article “governance, government and the search for new provider models,” and use two case studies of health policy changes in sweden and spain to shed light on the subject. in this commentary, i seek to link their conceptualization of governance, especially its interrelated roles at the macro, meso, and micro...