Transitions And Boundaries In The Coordination And Reform Of Health Services

Health systems worldwide are grappling with the challenge of coordinating difference in an increasingly complex care environment. In response this book features the latest research on organizational studies in healthcare and explores the relationship between strategic and organic change and what this means for the way we organize health work. Focusing on the complexity of healthcare environments, it discusses the need to cross professional and organizational boundaries. Specifically, this book focuses on the implications for health systems in the way that they continue to balance planning and intervention with organic learning systems. Comprising the best contributions from the 2018 Conference on Organizational Behaviour in Health Care (OBHC), this book is an important resource for healthcare researchers, as well as policy-makers and managers within the industry. Contributors explore the extent to which healthcare is codified through empirical analysis of practical interventions and conceptual debate.

This work poses the question: is it possible to learn from the health care systems of other countries? It offers guidelines for comparing health care reforms, & considers the impact on reform of structural differences in health care systems.

Nowadays, health care is confronted with a wide variety of problems: new emerging or re-emerging diseases, rising costs, increasingly complex management processes, and so on. Since the 1990s most nations have tried to deal with problems by reforming their health systems. However, many of these reforms did not succeed in realizing the desired gains in efficiency and equity. This book aims at exploring persistent problems in health systems and health system reform from an innovative perspective - the perspective of the new, emerging scientific field of system innovation and transition theory. This generates new and refreshing insights on how to innovate and strengthen health systems. In particular, strategies that could be labeled transition experiments - involving all relevant stakeholders exploring new constellations in niches - are described and analyzed.

We are now entering the third decade of the 21st Century, and, especially in the last years, the achievements made by scientists have been exceptional, leading to major advancements in the fast-growing field of health services. “Advancements and Challenges in Implementation Science: 2022”, led by Professor Nick Sevdalis, Specialty Chief Editor of the Implementation Science section, is focused on new insights, novel developments, current challenges, latest discoveries, recent advances and future perspectives in the field of implementation science.

Health systems have long been considered key determinants of well-being within modern societies, a valuable resource which have faced a series of reform initiatives throughout the past decades. These reforms have been used to manage the cost of development, measure the tenability of health systems in globalizing economies and promote the increasing importance of health problems related to lifestyle and living conditions, yet they have failed to provide a true resolution to the persistent economical and logistical problems facing modern-day health systems. This rich, interdisciplinary work explores the hypothesis that many of these problems cannot be adequately addressed without structural changes to our health systems, and examines the embedded features of our health systems that underlie contemporary challenges as well as how, and under what conditions, our health systems can be made more sustainable. Combining and building upon theoretical approaches from transition and innovation studies for analysing health system deficits, Toward Sustainable Transitions in Healthcare Systems raises fundamental questions about how new research, new needs and exogenous trends are transforming current health innovation systems. Providing an original and substantial analysis of the complex structural features of the health innovation system, this book will be of interest to students and practitioners of the politics of health, social epidemiology, medical sociology and those with an interest in transition theory.

"This is the first book to fully review the Mexican health system, its organization and governance, health financing, health care provision, health reforms and health system performance. The book is based on the most recent data and focuses on the three main components that constitute Mexico's health system: 1) employment-based social insurance programs, 2) public assistance services for the uninsured, and 3) a private sector composed of service providers, insurers, and pharmaceutical and medical device manufacturers and distributors."--

This analysis of the United States health care system reviews developments in organization and governance, health financing, health care provision, health reforms, and health system performance. The U.S. system has both considerable strengths and notable weaknesses. It has a large and well-trained health workforce, a wide range of high-quality medical specialists as well as secondary and tertiary institutions, a robust health sector research program, and, for selected services, among the best medical outcomes in the world. But it also suffers from incomplete coverage of its citizenry, health expenditure levels per person far exceeding all other countries, poor objective and subjective indicators of quality and outcomes, and an unequal distribution of resources and outcomes across the country and among different population groups. Because of the adoption of the Affordable Care Act in 2010, and subsequent revisions to it, the U.S. is facing a period of enormous change. There is a great need to improve coverage and improve equity, better ensure quality outcomes, and find ways to better control expenditures. Health Systems in Transition: USA provides an in-depth discussion of these issues and a thorough review of the U.S. health care system.