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This book offers a global perspective on healthcare reform and its
relationship with efforts to improve quality and safety. It looks
at the ways reforms have developed in 30 countries, and
specifically the impact national reform initiatives have had on the
quality and safety of care. It explores how reforms drive quality
and safety improvement, and equally how they act to negate such
goals. Every country included in this book is involved in a reform
and improvement process, but each takes place in a particular
social, cultural, economic and developmental context, leading to
differing emphases and varied progress. Methods for tackling common
problems - financing, efficiencies, effectiveness, evidence-based
practice, institutional reforms, quality improvement, and patient
safety initiatives - also differ. Representatives from each nation
provide a chapter to convey their own situation. The editors draw a
conclusion from these numerous contributions and synthesize the
themes emerging into a coherent 'lessons learned' summary that
delivers value to the numerous stakeholders. Healthcare Reform,
Quality and Safety forms a compendium of the current 'state of the
art' in global healthcare reform. This is the first book of its
type, and offers a unique opportunity for cross-fertilization of
ideas to the mutual benefit of countries involved in the project.
The content will be of interest to governments, policymakers,
managers and leaders, clinicians, teaching academics, researchers
and students.
This book offers a global perspective on healthcare reform and its
relationship with efforts to improve quality and safety. It looks
at the ways reforms have developed in 30 countries, and
specifically the impact national reform initiatives have had on the
quality and safety of care. It explores how reforms drive quality
and safety improvement, and equally how they act to negate such
goals. Every country included in this book is involved in a reform
and improvement process, but each takes place in a particular
social, cultural, economic and developmental context, leading to
differing emphases and varied progress. Methods for tackling common
problems - financing, efficiencies, effectiveness, evidence-based
practice, institutional reforms, quality improvement, and patient
safety initiatives - also differ. Representatives from each nation
provide a chapter to convey their own situation.
In this book, we invited 146 authors with expertise in health
policy, systems design, management, research, or practice, from
each of the countries included, to consider health reforms or
systems improvements in their country or region. The resulting case
studies, of 52 individual countries and five regional groupings,
cover 152 countries or territories, or three-quarters of the
world's nations. Each chapter author was asked to think 5-15 years
into the future and make a prediction on how their health system
could be strengthened as a result of the successful unfolding of
their case study. The types of projects our authors have chosen to
explicate into the future are wide-ranging. They vary from
e-consultation services in Estonia, achieving universal health
coverage in Argentina and Mexico, reforming long-term care in the
Netherlands, reassessing care for the aging population and the
frail elderly in Australia, streamlining the health system through
Lean Thinking in Nigeria, using regulation to improve care in South
Africa, developing a new accreditation model in Turkey, through to
a critique of physician specialization in Russia and applying IT
initiatives to improve care in China, Lebanon, Taiwan, Papua New
Guinea, the United Arab Emirates, Venezuela and Wales. Chapter
writers recognized that the improvement work they were doing was
part of a moving target. There was general agreement that the
effective use of limited resources and overcoming hurdles and
constraints were crucial to enhancing health systems in order to
deliver better care over the medium term. While some initiatives
required considerable funding, many were relatively inexpensive.
These case studies demonstrate ways in which fruitful application
of partnerships and creativity can make considerable gains in
strengthening healthcare delivery systems. Features The third book
in a series on international health reform Involves 146
contributing authors, five regional editors, a series editor and a
highly skilled support team to explore sustainable improvement in
health systems in the future Encompasses a time horizon of the next
5-15 years Covers 152 countries or territories, with 52 individual
countries and an analysis of five regional groupings comprising 100
countries
Following on from 2015's Healthcare Reform, Quality and Safety:
Perspectives, Participants, Partnerships and Prospects in 30
Countries, this book encompasses a global perspective on healthcare
while shifting the focus from reform to showcasing success stories
of healthcare systems worldwide. It provides explanations of why
various facets of healthcare systems work well in different
contexts and offers the reader alternative models for
consideration. The book features contributions from 60 countries,
going much further than the common practice of focusing on affluent
Western nations, to provide a comprehensive exploration of the
success of healthcare systems globally. The majority of literature
on health-sector improvement attempts to address the problems
within systems, relating the errors that can and do occur, for
example, and offering solutions and preventative strategies. This
book of country case studies will approach the enhancement of
health systems, patient safety and the quality of care in a new and
innovative way, comprehensively surveying and synthesizing the
success stories of healthcare systems around the world, utilizing
Hollnagel's Safety-II approach to acknowledge the importance of
exploring what goes right, what works well, and why it works. These
success stories may include reference to macro, meso or micro
levels of healthcare systems, various sectors (e.g., aged care,
acute care or primary care), or specific programs or projects.
Health System Improvement Across the Globe: Success Stories from 60
Countries is unprecedented in terms of both reach and positive
emphasis, and as such will be instrumental in changing ways of
thinking about and guiding health-sector improvement.
Following on from 2015's Healthcare Reform, Quality and Safety:
Perspectives, Participants, Partnerships and Prospects in 30
Countries, this book encompasses a global perspective on healthcare
while shifting the focus from reform to showcasing success stories
of healthcare systems worldwide. It provides explanations of why
various facets of healthcare systems work well in different
contexts and offers the reader alternative models for
consideration. The book features contributions from 60 countries,
going much further than the common practice of focusing on affluent
Western nations, to provide a comprehensive exploration of the
success of healthcare systems globally. The majority of literature
on health-sector improvement attempts to address the problems
within systems, relating the errors that can and do occur, for
example, and offering solutions and preventative strategies. This
book of country case studies will approach the enhancement of
health systems, patient safety and the quality of care in a new and
innovative way, comprehensively surveying and synthesizing the
success stories of healthcare systems around the world, utilizing
Hollnagel's Safety-II approach to acknowledge the importance of
exploring what goes right, what works well, and why it works. These
success stories may include reference to macro, meso or micro
levels of healthcare systems, various sectors (e.g., aged care,
acute care or primary care), or specific programs or projects.
Health System Improvement Across the Globe: Success Stories from 60
Countries is unprecedented in terms of both reach and positive
emphasis, and as such will be instrumental in changing ways of
thinking about and guiding health-sector improvement.
In this book, we invited 146 authors with expertise in health
policy, systems design, management, research, or practice, from
each of the countries included, to consider health reforms or
systems improvements in their country or region. The resulting case
studies, of 52 individual countries and five regional groupings,
cover 152 countries or territories, or three-quarters of the
world's nations. Each chapter author was asked to think 5-15 years
into the future and make a prediction on how their health system
could be strengthened as a result of the successful unfolding of
their case study. The types of projects our authors have chosen to
explicate into the future are wide-ranging. They vary from
e-consultation services in Estonia, achieving universal health
coverage in Argentina and Mexico, reforming long-term care in the
Netherlands, reassessing care for the aging population and the
frail elderly in Australia, streamlining the health system through
Lean Thinking in Nigeria, using regulation to improve care in South
Africa, developing a new accreditation model in Turkey, through to
a critique of physician specialization in Russia and applying IT
initiatives to improve care in China, Lebanon, Taiwan, Papua New
Guinea, the United Arab Emirates, Venezuela and Wales. Chapter
writers recognized that the improvement work they were doing was
part of a moving target. There was general agreement that the
effective use of limited resources and overcoming hurdles and
constraints were crucial to enhancing health systems in order to
deliver better care over the medium term. While some initiatives
required considerable funding, many were relatively inexpensive.
These case studies demonstrate ways in which fruitful application
of partnerships and creativity can make considerable gains in
strengthening healthcare delivery systems. Features The third book
in a series on international health reform Involves 146
contributing authors, five regional editors, a series editor and a
highly skilled support team to explore sustainable improvement in
health systems in the future Encompasses a time horizon of the next
5-15 years Covers 152 countries or territories, with 52 individual
countries and an analysis of five regional groupings comprising 100
countries
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