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
"Preface Acknowledgments About the Editors About the Contributors Contributors Introduction Part I The Americas 1 Argentina: Achieving Universal Coverage 2 Brazil: Patient Safety: Distance-Learning Contribution 3 Canada: The Future of Health Systems: Personalization 4 Chile: The Struggle for an Integrated Health Insurance System 5 Guyana: Paradigm Shift: From Institutional Care to Community-Based Mental Health Services 6 Mexico: Leveraging Conditional Cash Transfers and Universal Health Coverage to Tackle Non-Communicable Diseases 7 Trinidad and Tobago: Nurse Training: A Competency-Based Approach 8 The United States of America: The U.S. Healthcare System: A Vision for the Future 9 Venezuela: Learning from Failure and Leveraging Technology: Innovations for Better Care Part II Africa 10 Namibia: Lessons from Patient Involvement in HIV Care: A Paradigm for Patient Activation and Involvement across Health Systems 11 Nigeria: Doing More with Less: Lean Thinking in the Health System 12 South Africa: Regulated Standards: Implementation and Compliance 13 Rwanda: Embracing One Health as a Strategy to Emerging Infectious Diseases Prevention and Control 14 Africa: Equity for All: A Global Health Perspective for the Continent Part III Europe 15 Austria: Primary Healthcare Centers: A Silver Bullet? 16 Denmark: Patient-Reported Outcomes: Putting the Patient First 17 England: Getting Personal? Personal Health Budgets 18 Estonia: e-Consultation Services: Cooperation between Family Doctors and Hospital Specialists 19 Finland: A Real-Life Experiment in Precision Medicine 20 France: Horizon 2030: Adopting a Global-Local Approach to Patient Safety 21 Germany: Health Services Research and Future Planning in Pediatric Care 22 Greenland: Everyday Life with Chronic Illness: Developing a Democratic and Culture-Sensitive Healthcare Practice 23 Italy: The Introduction of New Medical Devices in an Era of Economic Constraints 24 Malta: The National Cancer Plan: Strengthening the System 25 The Netherlands: Reform of Long-Term Care 26 Northern Ireland: Developing a Framework to Support Building Improvement Capacity across a System 27 Norway: Bridging the Gap: Opportunities for Hospital Clinical Ethics Committees in National Priority Setting 28 Portugal: Prevention of Antimicrobial Resistance through Antimicrobial Stewardship: A Nationwide Approach 29 Russia: The Future of Physicians’ Specialization 30 Scotland: Deliberative Engagement: Giving Citizen Involvement Meaning and Impact 31 Spain: How Can Patient Involvement and a Person-Centered Approach Improve Quality in Healthcare? The Patients’ University and Other Lessons from Spain 32 Sweden: The Learning Health System 33 Switzerland: Teamwork and Simulation 34 Turkey: Moving Quality in Healthcare Beyond Hospitals: The Turkish Accreditation Model 35 Wales: Realizing a Data-Driven Healthcare Improvement Agenda: A Manifesto for World-Class Patient Safety 36 Central and Eastern Europe: Strengthening Community-Based Family Care and Improving Health Equities 37 Central Asia: From Russia with Love: Health Reform in the Stans of Central Asia Part IV Eastern Mediterranean 38 Iran: Hospital Accreditation: Future Directions 39 Jordan: Improving Quality of Care by Developing a National Human Resources for Health Strategy 40 Lebanon: m-Health for Healthcare Delivery Reform: Prospects for Lebanese and Refugee Communities 41 Oman: Paradigm Change: Healthy Villages to Meet Tomorrow’s Health Needs 42 Pakistan: The Way Forward 43 Qatar: Hospice Palliative Care 44 The United Arab Emirates: Improving Healthcare through a National Unified Medical Record 45 Yemen: Integrating Public Health and Primary Care: A Strategy for the Health System of the Future 46 Middle East and North Africa (MENA): Health Systems in Transition Part V South-East Asia and the Western Pacific 47 Australia: The Silver Tsunami: The Impact of the Aging Population on Healthcare 48 China: Integrated Stratified Healthcare System 49 Hong Kong: Integrated Health Services: A Person-Centered Approach 50 India: How to Build a First-World Health System on a Third- World Budget 51 Japan: Toward a Community-Friendly Dementia Strategy 52 Malaysia: The Future Malaysian Antenatal Care System: Building upon the Old 53 Mongolia: Health System Financing 54 New Zealand: Strengthening Primary Healthcare 55 Papua New Guinea: Strengthening the Collection, Analysis, and Use of Health Data through eHealth Solutions 56 Taiwan: ""My Data, My Decision"": Taiwan’s Health Improvement Journey from Big Data to Open Data 57 South-East Asia: Taming Communicable Diseases Discussion and Conclusion References Index"
Jeffrey Braithwaite, Paul G. Shekelle, Samir Al-Adawi
