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Getting Health Reform Right (Chapter 3 Judging Health Sector Performance:…
Getting Health Reform Right
Chapter 6
Assessing Health System Performance
Introduction
Efficiency
Access
Quality
Developing a Strategic Performance Problem Focus
Chapter 1
Setting the Scene
The Forces Driving Health Reform
Force #2: Rising Expectations
Force #3: Limited Capacity to Pay
Force #4: Skepticism of Conventional Ideas
Force #1: Rising Costs
Summary
The Changing Global Context of Health Sector Reform
Introduction
Chapter 3
Judging Health Sector Performance: Ethical Theory
Ethical Theory #2: Liberalism
Liberalism and Health Care Financing
Ethical Theory #3: Communitarianism
Ethical Theory #1: Utilitarianism
Objective Utilitarianism
Some Utilitarian Complications: Uncertainty and Time
Subjective Utilitarianism
The Problem of Justification
Introduction
Developing an Ethical Position
Summary and Discussion
Chapter 4
Political Analysis and Political Strategies
Introduction
Agenda-Setting for Health Reform
Politics of Health Sector Reform
Political Analysis
Position and Commitment
Sources of Power and Influence
Political Strategies for Reform
Position Strategies: Bargain to Change the Position of Players
Power Strategies: Distribute Power Resources to Strengthen Friends and Weaken Enemies
Player Strategies: Change the Number of Players, by Creating New Friends and Discouraging Foes
Perception Strategies: Change the Perception of the Problem and the Solution
Negotiation and Political Strategies
Political Strategies and Ethics
Chapter 7
From Diagnosis to Health Sector Reform
Chapter 2
The Health Reform Cycle
Summary
The Policy Cycle
Step #1: Problem Definition
Step #2: Diagnosing the Causes of Health Sector Problems
The Five Control Knobs
Organization
Regulation
Payment
Behavior
Financing
Step #3: Policy Development
New Ideas
Looking Forward
The Design Process
Step #4: Political Decision
Step #5: Implementation
Step #6: Evaluation
Introduction
Chapter 5
Goals for Evaluating Health Systems
Introduction
Choosing and Using Performance Goals
Health Sector Performance Goals
Health Status
Citizen Satisfaction
Financial Risk Protection
Health Sector Performance in Relationship to the General Social and Economic System
The Role of Cost in Problem Definition
Analyzing the Distribution of Costs
The Cultural Context and the Political Process
Summary
In this chapter we have presented