scholarly journals National Health Reforms in Georgia during 1994-2021 and their Success

2021 ◽  
Vol 12 (2) ◽  
pp. 102-108
Author(s):  
Iza Gigauri ◽  
Kakhaber Djakeli
Keyword(s):  
Health Care ◽  
Health Reform ◽  
Health Care Systems ◽  
Universal Coverage ◽  
Health Care Reforms ◽  
Health Reforms ◽  
Health Related ◽  
Care Systems ◽  
Cost Efficient ◽  
Health Model

Abstract The Health Reform of the country is a very difficult burden for two reasons: firstly, we need an appropriate economy level in the country, that can bear the new health model, established through reform, and secondly, the country needs a health system that is appropriate either for its economic system or for its tradition and history. Health reformers need to match all the points of the health reform concept, its implementation, and the systems of the country. Due to its Soviet past, Georgia struggled in the last twenty years to find an effective and cost efficient health model for its citizens. Starting from the 90s, Georgia instituted three health reforms and finally found some sustainable measures. The present article explores the three waves of the Georgian Health Care reforms, and analyses the factors of their success and the reasons for their failures. The importance of studying the Health Care systems is derived from Sustainable Development Goals targeting Health issues including health-related topics to improve the population’s health and wellbeing as well as achieve universal coverage of health services. The research contributes to the knowledge regarding the Health Care Reforms, and their practical implications on a country.

scholarly journals Η επίδραση του θεσμικού, πολιτικού και διοικητικού περιβάλλοντος στη μεταρρύθμιση του τομέα της υγείας στην Ελλάδα, 1950-2005

2013 ◽  
Author(s):  
Ηλίας Γορανίτης
Keyword(s):  
Health Care ◽  
Health Care Reform ◽  
Health Care Systems ◽  
Implementation Process ◽  
The United States ◽  
International Experience ◽  
Health Care Reforms ◽  
Care Systems ◽  
Veto Points ◽  
Theories Of Change

The Greek NHS, thirty years after its establishment, faces important performance deficiencies. With an ongoing economic crisis placing a further burden, a call for national health care reform is urgent. This doctoral thesis drawing upon (a) political theories of change, (b) institutional, political and administrative developments in Greece as well as (c) international experience, aims to provide a framework, in terms of planning and implementation process, for health care reform in Greece. The existing order of things, in every public policy system, impedes change and forces policies along specific paths, the deviation from which to a new policy paradigm is extremely difficult. The Greek NHS has never deviated from this path indicating the existence of strong interest groups, institutions with high set-up cost and limited political willingness or ability for strategic approach to overcome the ‘veto points’ of the reform in the system. In this thesis the way forward in reforming fragmented and path-dependent health care systems like the Greek NHS has been identified. By addressing big questions such as: How the Greek NHS reached this low performing level? What are the ingredients of a well performing health care system? What factors impede or promote successful reforms? How health care reforms in systems with multiple ‘veto points’ should be implemented? Political science and international experience from Spain, Portugal, Italy, the Netherlands and the United States provide important insights to our study.

Organizational Leadership and Health Care Reform

2016 ◽  
pp. 1043-1063
Author(s):  
T. Ray Ruffin ◽  
Joyce Marie Hawkins ◽  
D. Israel Lee
Keyword(s):  
Health Care ◽  
Organizational Leadership ◽  
Health Care Systems ◽  
Future Research ◽  
Health Care Reforms ◽  
Use Of Technology ◽  
Hitech Act ◽  
Care Systems ◽  
Future Research Directions ◽  
And Function

Policies, health, and government regulations affect various Health Care organizations and their members. One such policy, the Health Information Technology for Economic and Clinical Health (HITECH) Act, attempts to improve the performance of health care systems through the use of technology, such as Electronic Health Records (Bluementhal, 2010). The most critical task of leadership is to establish a mindset at the top of the organization and function to infuse a culture of excellence throughout the organization (Bentkover, 2012). Health organizations can only progress if their members share a set of values and are single-mindedly committed to achieving openly defined objectives (Bentkover, 2012). This chapter investigates organizational leadership in relation to health care reforms to include trends in health care leadership, Stratified Systems Theory (SST), Systems Thinking, and regulators perspectives. The chapter will consist of the following sections: background; issues controversies, and problems; solutions and recommendation; future research directions; and conclusion.

scholarly journals Ayushman Bharat: An Ethical Analysis of the World’s Biggest Health Scheme

2021 ◽  
pp. 82-88
Author(s):  
Rajesh Kumar Bhola ◽  
B. B. Pradhan
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Tertiary Care ◽  
Indian Government ◽  
Private Hospitals ◽  
Indian People ◽  
Quality Healthcare ◽  
The People ◽  
Health Related ◽  
Care Systems

An affordable health scheme has been always required by the Indian people. Even after passing74 years of Indian independence, quality healthcare has not been accessible to the Indian people. The data have shown out of the vast population of India only 25 percent of people are insured under the private and government insurance scheme. To overcome this problem Indian government has launched the Ayushman Bharat scheme on 25 December 2018 on the occasion of the birth anniversary of Pt. Deen Dayal Upadhyaya. The Ayushman Bharat is the Hindi translation of “India blessed with long life”. This scheme is the biggest health care scheme in the world which covers the huge population of India and the covered population under this scheme is more than 100 million. The scheme has categories into the primary, secondary, and tertiary care domain to address the health-related problems of the people and the most important and fascinating feature of the scheme is that a beneficiary avails the facilities in government hospital along with private hospitals. The present study reviews different aspects of the scheme in relevance to the helath sector to provide better perpective towards Indian health care systems.

scholarly journals Making governance work in the health care sector: evidence from a ‘natural experiment’ in Italy

2015 ◽  
Vol 11 (1) ◽  
pp. 17-38 ◽  
Author(s):  
Sabina Nuti ◽  
Federico Vola ◽  
Anna Bonini ◽  
Milena Vainieri
Keyword(s):  
Health Care ◽  
Performance Evaluation ◽  
Natural Experiment ◽  
Health Care Systems ◽  
Universal Coverage ◽  
Regional Governance ◽  
Wide Range ◽  
Care Systems ◽  
Governance Models ◽  
Regional Governments

AbstractThe Italian Health care System provides universal coverage for comprehensive health services and is mainly financed through general taxation. Since the early 1990s, a strong decentralization policy has been adopted in Italy and the state has gradually ceded its jurisdiction to regional governments, of which there are twenty. These regions now have political, administrative, fiscal and organizational responsibility for the provision of health care. This paper examines the different governance models that the regions have adopted and investigates the performance evaluation systems (PESs) associated with them, focusing on the experience of a network of ten regional governments that share the same PES. The article draws on the wide range of governance models and PESs in order to design a natural experiment. Through an analysis of 14 indicators measured in 2007 and in 2012 for all the regions, the study examines how different performance evaluation models are associated with different health care performances and whether the network-shared PES has made any difference to the results achieved by the regions involved. The initial results support the idea that systematic benchmarking and public disclosure of data are powerful tools to guarantee the balanced and sustained improvement of the health care systems, but only if they are integrated with the regional governance mechanisms.

scholarly journals What services should be guaranteed in universal health-care systems?

2020 ◽  
Vol 12 (3) ◽  
pp. 193
Author(s):  
Kadjo Yves Cedric Adja ◽  
Davide Golinelli
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Systems ◽  
Models Of Care ◽  
Equal Access ◽  
Universal Health Care ◽  
New Models ◽  
Health Related ◽  
Care Systems ◽  
Universal Health

Abstract COVID-19 pandemic highlighted the importance of public, universal and equal access health-care, and reminded us that challenges are always incumbent for health-care systems. Because accessible and universal health-care systems will be critical into the future, it will be crucial to earmark adequate resources, fostering the financing of sectors that for many years have been neglected such as primary care and public health, and investments in new models of care and in health-related workforce.

scholarly journals Major health system reforms in 27 European countries in 2018 and 2019

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
W Quentin ◽  
K Polin ◽  
M Hjortland ◽  
E van Ginnekin ◽  
A Maresso
Keyword(s):  
Health Reform ◽  
Hospital Care ◽  
Health Care Systems ◽  
European Countries ◽  
Major Health ◽  
Health Reforms ◽  
The Status ◽  
Important Health ◽  
Care Systems ◽  
Cross Country

Abstract Background Countries in Europe are continuously reforming their health care systems. Often similar reforms are happening simultaneously in different countries, and policymakers would benefit from considering reform experiences made abroad. However, no systematic information is available about reforms happening simultaneously across countries. This presentation provides an overview of major health reform trends in Europe in 2018 and 2019. Methods For the HSPM network's annual meetings in 2018 and 2019, information was collected from national experts on the three most important health reforms in each country happening in that year. In the 2019 survey round, experts were also asked to provide an update on the status of the three reforms they had reported in 2018. Subsequently, all reforms were clustered independently, assigning each reform to one (or several) of 11 categories. Results In 2018, national experts reported on 78 reforms from 26 European countries. Together, more than one-third of the reforms fell under three clusters: 'coverage & resource generation', 'purchasing & payment' and 'hospital care'. Each of these clusters included reforms from at least nine countries. In 2019, national experts reported 79 reforms from 27 countries. The top clusters were 'primary & ambulatory care' and 'governance', with fourteen and twelve reporting countries respectively. Most 2018 reforms (47/78) were still reported as ongoing in 2019, indicating the complexity of many reforms. More than 20 reforms were reported as implemented, while six reforms were abandoned. Conclusions Health reforms in different countries often focus on similar topics. Some countries are experimenting with reforms that have already been implemented or abandoned in other countries. There is huge potential for cross-country learning as information on reform experiences may provide inspiration for reforms or help avoid the making the same mistakes in another country.

Organizational Leadership and Health Care Reform

2016 ◽  
pp. 42-62
Author(s):  
T. Ray Ruffin ◽  
Joyce Marie Hawkins ◽  
D. Israel Lee
Keyword(s):  
Health Care ◽  
Organizational Leadership ◽  
Health Care Systems ◽  
Future Research ◽  
Health Care Reforms ◽  
Use Of Technology ◽  
Hitech Act ◽  
Care Systems ◽  
Future Research Directions ◽  
And Function

Policies, health, and government regulations affect various Health Care organizations and their members. One such policy, the Health Information Technology for Economic and Clinical Health (HITECH) Act, attempts to improve the performance of health care systems through the use of technology, such as Electronic Health Records (Bluementhal, 2010). The most critical task of leadership is to establish a mindset at the top of the organization and function to infuse a culture of excellence throughout the organization (Bentkover, 2012). Health organizations can only progress if their members share a set of values and are single-mindedly committed to achieving openly defined objectives (Bentkover, 2012). This chapter investigates organizational leadership in relation to health care reforms to include trends in health care leadership, Stratified Systems Theory (SST), Systems Thinking, and regulators perspectives. The chapter will consist of the following sections: background; issues controversies, and problems; solutions and recommendation; future research directions; and conclusion.

Sign in / Sign up

Export Citation Format

Share Document