scholarly journals How would the HSPA framework play out in practice? ‘Cross-sectoral collaboration (Governance)'

2021 ◽  
Vol 31 (Supplement_3) ◽  
Author(s):  
Dheepa Rajan
Keyword(s):  
Health System ◽  
System Performance ◽  
Contextual Factors ◽  
Social Determinant ◽  
Health System Performance ◽  
Health It ◽  
Intermediate Outcomes ◽  
Social Determinant Of Health

Abstract The presentation will discuss housing as a social determinant of health. It will highlight how housing links to health system performance and thus demonstrate how contextual factors, usually placed outside the health system's boundaries, impact on intermediate outcomes and final goals.

Optimizing health IT to improve health system performance: A work in progress

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 100483 ◽  
Author(s):  
Robert S. Rudin ◽  
Shira H. Fischer ◽  
Cheryl L. Damberg ◽  
Yunfeng Shi ◽  
Paul G. Shekelle ◽  
...  
Keyword(s):  
Health System ◽  
System Performance ◽  
Health System Performance ◽  
Health It ◽  
Work In Progress ◽  
Improve Health System ◽  
Improve Health

scholarly journals An evaluation of the global health security agenda steering group governance interventions

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
N E DeShore ◽  
J A Johnson ◽  
P Malone ◽  
R Greenhill ◽  
W Wuenstal
Keyword(s):  
Global Health ◽  
Health System ◽  
System Performance ◽  
Health System Performance ◽  
Global Health Security ◽  
Member States ◽  
Health Security ◽  
Governance Indicators ◽  
Positive Effect ◽  
Global Health Security Agenda

Abstract Background Member States lack of compliance with 2005 IHR implementation led to the launched of the Global Health Security Agenda. This research will provide an understanding of how the Global Health Security Agenda Steering Group (GHSA SG) governance interventions impact health system performance and global health security. This will enhance the understanding of a Steering Group's governance interventions in complex Global Health initiatives. Research questions: To what extent have GHSA SG governance interventions contributed towards enabling health system performance of WHO Member States? To what extent have GHSA SG governance interventions contributed towards the implementation of global health security among WHO Member States? Methods Correlational analysis using Spearman's rho examined the relationship between governance, health system performance and global health security variables at one point in time. A convenience non-probability sample consisting of eight WHO Member States was used. SPSS Statistics generated the bivariate correlation analyzes. Results Governance and health system performance analysis indicated a statistically significant strong positive effect size in 11 out of 18 and moderate positive effect size in the remaining seven out of 18 health system performance indicators. Governance and global health security analysis concluded three of the governance indicators had strong and moderate positive coefficients. Global health security variables demonstrated weak effects in the remaining three governance indicators. Conclusions This study presents a case for health systems embedding in global health security. Health system performance is only as effective at protecting populations when countries achieve core capacities of preparedness and response to global health threats. The associations provide stakeholders information about key characteristics of governance that influence health system performance and global health security implementation. Key messages This study provides an argument for the continued support of the GHSA 2024 Framework with implementation of global health security capabilities and meeting 2005 IHR requirements. The GHSA SG governance role remains profoundly important in establishing sustainable efforts internationally towards achieving the objectives of the GHSA in support of the 2005 IHR standards.

scholarly journals Using Higher-Order Constructs to Estimate Health-Disease Status: The Effect of Health System Performance and Sustainability

Mathematics ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1228
Author(s):  
Alicia Ramírez-Orellana ◽  
María del Carmen Valls Martínez ◽  
Mayra Soledad Grasso
Keyword(s):  
Health System ◽  
Social Services ◽  
System Performance ◽  
Structural Equation ◽  
Disease Incidence ◽  
Disease Status ◽  
Well Being ◽  
Equation Modeling ◽  
Health System Performance ◽  
The Relationship

This article aims to provide information to public agencies and policymakers on the determinants of health systems and their relationships that influence citizens’ health–disease status. A total of 61 indicators for each of 17 Spanish autonomous communities were collected from the Spanish Ministry of Health, Social Services, and Equality between 2008 and 2017. The applied technique was partial least squares structural equation modeling (PLS-SEM). Concerning health–disease status, an influence of sustainability and performance on the health system was hypothesized. The findings revealed that health system sustainability had a negative effect on health–disease status, measured in terms of disease incidence. However, the relationship between health system performance and health–disease status is positive. Furthermore, health system performance mediates the relationship between sustainability and health–disease status. According to our study, if we consider the opposite poles that make up the definition of health–disease status (well-being and disease), this concept is defined more by the incidence of the negative aspect.

Does health system performance reporting stimulate change?

2018 ◽  
Vol 31 (6) ◽  
pp. 235-238 ◽  
Author(s):  
Kira Leeb
Keyword(s):  
Health System ◽  
System Performance ◽  
International Health ◽  
Health System Performance ◽  
Making Sense ◽  
Performance Reporting ◽  
Canadian Institute ◽  
National Organizations ◽  
Health Quality ◽  
Key Aspects

For numerous countries, including Canada, regular health system performance reporting has become increasingly routine if not mandated by legislation. In Canada, the health system performance reporting agenda includes multiple players at all levels from national organizations to provincial health (quality) councils and others. Canada, like many other countries, also participates in international health system performance reporting initiatives. Making sense of what all of these reporting initiatives are telling us about health system performance both within Canada and compared to other countries is becoming increasingly more challenging. For almost 20 years, the Canadian Institute for Health Information has worked with provinces, territories, and other key partners to develop comparable, standardized pan-Canadian performance indicators. Throughout this process, many lessons have been identified including the actionability one can reasonably expect from public reporting initiatives. This article outlines some of the key aspects of these lessons.

State Health System Performance And State Health Reform

2007 ◽  
Vol 26 (Suppl2) ◽  
pp. w664-w666 ◽  
Author(s):  
Karen Davis ◽  
Cathy Schoen
Keyword(s):  
Health System ◽  
System Performance ◽  
Health Reform ◽  
Health System Performance ◽  
State Health

scholarly journals Effects of results based financing models on the performance of exposed health zones in Benin

2018 ◽  
Vol 5 (10) ◽  
pp. 4188
Author(s):  
Lamidhi Salami ◽  
Edgard-Marius Ouendo ◽  
Benjamin Fayomi
Keyword(s):  
Health Services ◽  
Health System ◽  
System Performance ◽  
Health Care Services ◽  
Child Health Services ◽  
Double Difference ◽  
Health System Performance ◽  
Care Services ◽  
Curative Care ◽  
Results Based Financing

Background: Since 2011, Benin adhered to results-based financing (RBF), with the implementation of RBF_PRPSS model by Health System Performance Strengthening Project (PRPSS) and RBF_PASS model by health system support project (PASS). Notwithstanding the lack of evidence on this experimental phase, the Ministry of Health initiated the extension of the RBF_PRPSS model to uncovered areas. This comparative study was led to evaluate the health system performance in RBF zones.Methods: The study examined data from sixty-seven health facilities in six health zones offering maternal and child health services, using the double difference, the Student's test and the variance comparison, with 5% significance level.Results: The study found that between 2011 and 2014, staff numbers remained stable in the RBF strata (p>0.05). The cumulative duration over a six-month period of stock-outs of five key drugs (paracetamol, amoxicillin, oxytocin, iron, sulfadoxine pyrimetamine) decreased from 51 days to 29 days (p<0.05). Direct revenues per health facility increased more in the RBF strata (p<0.05). Financial viability increased in RBF_PRPSS stratum. Health services utilization improved significantly for institutional delivery, tetanus toxoid immunization, DTP (Hib) HepB 3 and MCV immunization and curative care. Decreasing of maternal and neonatal mortalities in RBF strata were not significant.Conclusions: In sum, the RBF implementation has not yet generated a significant effect on the overall performance of the health system in exposed areas, although it is already accompanied by a significant improvement in the utilization of certain health care services. 

scholarly journals Aiming Higher: Results from a State Scorecard on Health System Performance, 2014

2014 ◽  
Author(s):  
Douglas McCarthy McCarthy ◽  
Cathy Schoen Schoen ◽  
David C. Radley Radley ◽  
Jacob A. Lippa Lippa ◽  
Susan L. Hayes Hayes
Keyword(s):  
Health System ◽  
System Performance ◽  
Health System Performance
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