Success and Crisis in National Health Systems: A Comparative Approach.

1991 ◽  
Vol 20 (2) ◽  
pp. 294
Author(s):  
David G. Warren ◽  
Mark G. Field
1990 ◽  
Vol 11 (2) ◽  
pp. 269
Author(s):  
Milton I. Roemer ◽  
Mark G. Field

JAMA ◽  
1990 ◽  
Vol 264 (15) ◽  
pp. 2013
Author(s):  
William J. Bicknell

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Archana Shrestha ◽  
Rashmi Maharjan ◽  
Biraj Man Karmacharya ◽  
Swornim Bajracharya ◽  
Niharika Jha ◽  
...  

Abstract Background Cardiovascular diseases (CVDs) are the leading cause of deaths and disability in Nepal. Health systems can improve CVD health outcomes even in resource-limited settings by directing efforts to meet critical system gaps. This study aimed to identify Nepal’s health systems gaps to prevent and manage CVDs. Methods We formed a task force composed of the government and non-government representatives and assessed health system performance across six building blocks: governance, service delivery, human resources, medical products, information system, and financing in terms of equity, access, coverage, efficiency, quality, safety and sustainability. We reviewed 125 national health policies, plans, strategies, guidelines, reports and websites and conducted 52 key informant interviews. We grouped notes from desk review and transcripts’ codes into equity, access, coverage, efficiency, quality, safety and sustainability of the health system. Results National health insurance covers less than 10% of the population; and more than 50% of the health spending is out of pocket. The efficiency of CVDs prevention and management programs in Nepal is affected by the shortage of human resources, weak monitoring and supervision, and inadequate engagement of stakeholders. There are policies and strategies in place to ensure quality of care, however their implementation and supervision is weak. The total budget on health has been increasing over the past five years. However, the funding on CVDs is negligible. Conclusion Governments at the federal, provincial and local levels should prioritize CVDs care and partner with non-government organizations to improve preventive and curative CVDs services.


2017 ◽  
Vol 6 (4) ◽  
pp. 436-445 ◽  
Author(s):  
Jorge Osma ◽  
Michaela Sprenger ◽  
Tobias Mettler

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Daniele Coen ◽  
Ciro Paolillo ◽  
Mario Cavazza ◽  
Gianfranco Cervellin ◽  
Andrea Bellone ◽  
...  

The world is facing a new pandemic that sets the national health systems, their structures and professionals in a crisis never experienced before. (...)


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