The Challenge of Health Sector Reform
What Must Governments Do?
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Challenge of Health Sector Reform by Anne Mills
Book DescriptionNew approaches to the management of publicly funded health services in developed countries, plus acknowledgement of government failure to ensure equity and efficiency, have combined to stimulate a widespread movement for health sector reform in low- and middle-income countries. Common policy trends include separating purchaser and provider functions; increased autonomy for public sector organizations such as hospitals; encouraging competition between providers; and increased funding from non-tax sources, such as user fees. This book examines the feasibility and desirability of such reform in low-income countries, based on in-depth case studies in Ghana, Zimbabwe, Sri Lanka, India and Thailand. It asks what capacities governments require to assume effectively these new and often complex roles, and how capable governments appear to be in performing these new functions. On the basis of research findings, the book challenges the conventional reform wisdom, and argues that reform approaches are needed that are more deeply rooted in, and sensitive to, the institutional characteristics of individual countries.
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Book DetailsISBN: 9780333736180
(216mm x 140mm x 22mm)
Imprint: Palgrave Macmillan
Publisher: Palgrave Macmillan
Publish Date: 30-Nov-2000
Country of Publication: United Kingdom
Books By Author Anne Mills
Private Health Providers in Developing Countries, Paperback (June 1997)
This work presents the results from a co-ordinated programme of research on the private health care sector including studies carried out by Asian, African and Latin American researchers. It draws upon both industrialized and developing country literature.
Health Economics Research in Developing Countries, Hardback (April 1993)» View all books by Anne Mills
Presents a number of empirical studies of the application of economic concepts and techniques to health in developing countries. It clarifies the ways in which health economics can be used in practice and reports research results that are of importance to policy-makers.
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Author Biography - Anne Mills
NIMAL ATTANAYAKE Senior Lecturer and Coordinator of the Health Economics Study Programme, Department of Economics, University of Colombo, Sri Lanka CHARLES HONGORO Medical Research Officer, Public Health Unit, Blair Research Institute, Ministry of Health and Child Welfare, Zimbabwe V.R. MURALEEDHARAN Associate Professor of Economics, Department of Humanities and Social Sciences, Indian Institute of Technology, Madras PAUL SMITHSON Health Sector Policy and Systems Adviser, Department for International Development
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