Accomplishing reform : successful case studies drawn from the health systems of 60 countries

Show simple item record

dc.contributor.author Braithwaite, Jeffrey
dc.contributor.author Mannion, Russell
dc.contributor.author Matsuyama, Yukihiro
dc.contributor.author Shekelle, Paul
dc.contributor.author Whittaker, Stuart
dc.contributor.author Al-Adawi, Samir
dc.contributor.author Ludlow, Kristiana
dc.contributor.author James, Wendy
dc.contributor.author Ting, Hsuen P.
dc.contributor.author Herkes, Jessica
dc.contributor.author Ellis, Louise A.
dc.contributor.author Churruca, Kate
dc.contributor.author Nicklin, Wendy
dc.contributor.author Hughes, Clifford
dc.date.accessioned 2018-03-15T10:47:49Z
dc.date.available 2018-03-15T10:47:49Z
dc.date.issued 2017-10
dc.description.abstract Healthcare reform typically involves orchestrating a policy change, mediated through some form of operational, systems, financial, process or practice intervention. The aim is to improve the ways in which care is delivered to patients. In our book ‘Health Systems Improvement Across the Globe: Success Stories from 60 Countries’, we gathered case-study accomplishments from 60 countries. A unique feature of the collection is the diversity of included countries, from the wealthiest and most politically stable such as Japan, Qatar and Canada, to some of the poorest, most densely populated or politically challenged, including Afghanistan, Guinea and Nigeria. Despite constraints faced by health reformers everywhere, every country was able to share a story of accomplishment—defining how their case example was managed, what services were affected and ultimately how patients, staff, or the system overall, benefited. The reform themes ranged from those relating to policy, care coverage and governance; to quality, standards, accreditation and regulation; to the organization of care; to safety, workforce and resources; to technology and IT; through to practical ways in which stakeholders forged collaborations and partnerships to achieve mutual aims. Common factors linked to success included the ‘acorn-to-oak tree’ principle (a small scale initiative can lead to system-wide reforms); the ‘data-to-information-to-intelligence’ principle (the role of IT and data are becoming more critical for delivering efficient and appropriate care, but must be converted into useful intelligence); the ‘many-hands’ principle (concerted action between stakeholders is key); and the ‘patient-as-the-pre-eminent-player’ principle (placing patients at the centre of reform designs is critical for success). en_ZA
dc.description.department School of Health Systems and Public Health (SHSPH) en_ZA
dc.description.librarian am2018 en_ZA
dc.description.sponsorship This work was supported by National Health and Medical Research Council [grant number 1054146 to J.B.]. en_ZA
dc.description.uri https://academic.oup.com/intqhc en_ZA
dc.identifier.citation Braithwaite, J., Mannion, R., Matsuyama, Y. et al. 2017, 'Accomplishing reform: successful case studies drawn from the health systems of 60 countries', International Journal for Quality in Health Care, vol. 29, no. 6, pp. 880-886. en_ZA
dc.identifier.issn 1353-4505 (print)
dc.identifier.issn 1464-3677 (online)
dc.identifier.other 10.1093/intqhc/mzx122
dc.identifier.uri http://hdl.handle.net/2263/64280
dc.language.iso en en_ZA
dc.publisher Oxford University Press en_ZA
dc.rights © The Author 2017. Published by Oxford University Press in association with the International Society for Quality in Health Care. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/bync-nd/4.0/). en_ZA
dc.subject International health reform en_ZA
dc.subject Healthcare system en_ZA
dc.subject Appropriate healthcare en_ZA
dc.subject Patient-centred care en_ZA
dc.subject Quality improvement en_ZA
dc.subject Patient safety en_ZA
dc.title Accomplishing reform : successful case studies drawn from the health systems of 60 countries en_ZA
dc.type Article en_ZA


Files in this item

This item appears in the following Collection(s)

Show simple item record