This book explores the methods and approach necessary to investigate the setting up and running of a health system. It will enable the reader to begin to investigate his own health system, and compare and contrast it with other systems. The continual monitoring of change allows for the detection and identification of longitudinal trends within and across systems, and evolution in systems can then occur. Looking at systems can furnish alternative ideas, and help to establish newmodels of care. The book presents a modular approach to analysing health care systems, and the author explains how this can be put to practical use. Topics are discussed at both conceptual and operational levels, and methods of applying the approach are outlined. Case histories illustrate the use of the modular approach in `real life situations. An appendix of terms and concepts is provided to facilitate use.
Part I. Concepts; Determining the Rules:: Definitions and Concepts at Stake; Too Many Trees, Cant See the Woods:: A Critical Analysis of Existing and Suggested Models; Part II. The Modular Approach; What Do We Need?:: Population Needs and Their Measurement; Resources at the Systems Command:: Analysis of Manpower, Physical Resources, and Socio-economic Development; Getting Ready for the Process:: Analysis of Health Care Organization; The Hustle and Bustle of Health Care Delivery:: Whats it All About?; Light at the End of the Tunnel:: The Outcomes of the Health Process; Traditional Outcomes, Positive Health Outcomes; New Horizons for Systems Outcomes:: Issues of Effectiveness, Efficiency, Equity, and Quality; Apples and Oranges:: Limitations for Cross-national/Regional Comparisons of Health Systems; Discussion of Problems in Design Methodolgy and in Data Collection; Part III. Applications; Is the Blender Effective? Cross-National Correlations Between Input Factors and Determinants of Process and Outcome; Can We Do the Puzzle?:: Pros and Cons of Integrating the Modules into a Comprehensive Model; A Modular Approach to Competitive Reform in Health Systems; The Sky is the Limit:: Prospects for the Future;
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