scholarly journals Recent changes in the Malawi Health System: A time for reflection

2019 ◽  
Vol 31 (4) ◽  
pp. 223-224
Author(s):  
Adamson S Muula
Keyword(s):  
Health System ◽  
Health Sector ◽  
System A ◽  
Key Issues

In this editorial I intend to present a summary of the key issues which have happened in the health sector in Malawi up to the end of 2019. I do believe doing so not only preserves the record but also encourages discussion and debate that may impact the health sector.

Governance

2017 ◽  
Author(s):  
Joia S. Mukherjee
Keyword(s):  
Global Health ◽  
Health System ◽  
Global Governance ◽  
Health Sector ◽  
Nation State ◽  
System A ◽  
Health Strategy ◽  
External Forces ◽  
Globalized World ◽  
Global Governance For Health

This chapter focuses on governance, a key building block of a health system. A government is responsible for the health of its people. It sets the health strategy and oversees the implementation of health programs. External forces and actors influence the governance of the health sector. This chapter explores governance of health from the perspective of the nation-state coordinating its own health system (sometimes called governance for global health). The chapter examines the internal and external forces that influence national governance for global health. The chapter also looks beyond the level of the nation-state to explore the concept of global governance for health. In the interconnected and globalized world, global governance for health is needed to coordinate the geopolitical forces that impact health and its social determinants.

scholarly journals Applying the WHO recommendations on health-sector response to violence against women to assess the Spanish health system. A mixed methods approach

2014 ◽  
Vol 28 (3) ◽  
pp. 238-241 ◽  
Author(s):  
Isabel Goicolea ◽  
Carmen Vives-Cases ◽  
Fauhn Minvielle ◽  
Erica Briones-Vozmediano ◽  
Ann Öhman
Keyword(s):  
Mixed Methods ◽  
Health System ◽  
Violence Against Women ◽  
Health Sector ◽  
Mixed Methods Approach ◽  
System A ◽  
Spanish Health

scholarly journals Political and Policy Arguments for Integrated Data

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Adalsteinn D Brown ◽  
Andrew S Boozary ◽  
David Henry ◽  
Greg Marchildon ◽  
Michael Schull
Keyword(s):  
Health System ◽  
Medical Profession ◽  
National Level ◽  
Health Sector ◽  
Institution Building ◽  
Management Planning ◽  
The United Kingdom ◽  
Key Issues ◽  
Data Policy ◽  
The Creation

ABSTRACT IntroductionThere is little argument that integrated data can provide a valuable resource for improved health system management, planning, and accountability as well as discovery and commercial use, but policies to enable and support integrated data fall short of the potential represented by integrated data. To understand the current level of progress on policy for integrated data, we looked at two successful and two unsuccessful efforts to support the creation and use of integrated data in health systems. Methods/ApproachWe used document and literature analysis to develop descriptions of the Icelandic Health Sector Database Act, the creation of the Institute for Clinical Evaluative Sciences in Ontario (Canada), the care.data initiative in the United Kingdom, and the Health Datapalooza initiative in the US and used an Ideas, Institutions and Actors framework to compare the experience with integrated data policy and politics. Results and discussionOur analysis suggests that institutions around integrated data remain under-developed and largely focused on specific aspects of integrated data policy or use. There are at least two sets of dominant ideas around integrated data – data as a tool for economic development and health system performance and data as a threat to privacy and liberty – that are often diametrically opposed in different jurisdictions. To a great extent, powerful actors remain disengaged from integrated data discussions and leadership engaged in integrated data policy and politics remains isolated from larger policy and political discussions. The medical profession along with civil society groups can mount effective opposition to integrated data initiatives, although potentially for different reasons (accountability and privacy concerns respectively). ConclusionsOur analysis suggests several key issues around successful integrated data policy and politics that support the importance of strong leadership, an incremental approach to institution building that focuses on public benefits, strongly alignment to missions that are congruent with societal values, and stronger attention to effective and rapid implementation of policy. In addition to the cases studied here, the success of smaller sub-national (e.g. state or provincial) efforts suggests that smaller efforts tend to work better although their success may not receive the attention that could support larger efforts to integrate data on the national level. Further work should focus chiefly on the extension of these arguments to non-health sectors to realize the full value of integrated data.

scholarly journals Strategies for reducing out of pocket payments in the health system: a scoping review

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Faride Sadat Jalali ◽  
Parisa Bikineh ◽  
Sajad Delavari
Keyword(s):  
Health System ◽  
Health Systems ◽  
Scoping Review ◽  
Health Financing ◽  
Developed Countries ◽  
Vulnerable Groups ◽  
System A ◽  
Out Of Pocket Payments ◽  
Review Study ◽  
Developing And Developed Countries

Abstract Background Direct out-of-pocket payments (OOP) are among the most important financing mechanisms in many health systems, especially in developing countries, adversely affecting equality and leading vulnerable groups to poverty. Therefore, this scoping review study was conducted to identify the strategies involving OOP reduction in health systems. Methods Articles published in English on strategies related to out-of-pocket payments were Searched and retrieved in the Web of Science, Scopus, PubMed, and Embase databases between January 2000 and November 2020, following PRISMA guidelines. As a result, 3710 papers were retrieved initially, and 40 were selected for full-text assessment. Results Out of 40 papers included, 22 (55%) and 18 (45%) of the study were conducted in developing and developed countries, respectively. The strategies were divided into four categories based on health system functions: health system stewardship, creating resources, health financing mechanisms, and delivering health services.As well, developing and developed countries applied different types of strategies to reduce OOP. Conclusion The present review identified some strategies that affect the OOP payments According to the health system functions framework. Considering the importance of stewardship, creating resources, the health financing mechanisms, and delivering health services in reducing OOP, this study could help policymakers make better decisions for reducing OOP expenditures.

scholarly journals Analysis of the policymaking process in Burkina Faso’s health sector: case studies of the creation of two health system support units

2017 ◽  
Vol 15 (1) ◽  
Author(s):  
Andre Zida ◽  
John N. Lavis ◽  
Nelson K. Sewankambo ◽  
Bocar Kouyate ◽  
Kaelan Moat ◽  
...  
Keyword(s):  
Health System ◽  
Case Studies ◽  
Health Sector ◽  
System Support ◽  
The Creation

scholarly journals Supportive-expressive dynamic psychotherapy in the community mental health system: A pilot effectiveness trial for the treatment of depression.

Psychotherapy ◽  
2012 ◽  
Vol 49 (3) ◽  
pp. 303-316 ◽  
Author(s):  
Mary Beth Connolly Gibbons ◽  
Sarah M. Thompson ◽  
Kelli Scott ◽  
Lindsay A. Schauble ◽  
Tessa Mooney ◽  
...  
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health System ◽  
Mental Health System ◽  
Effectiveness Trial ◽  
Dynamic Psychotherapy ◽  
System A ◽  
Treatment Of Depression
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