TY - JOUR
T1 - Accomplishing reform
T2 - successful case studies drawn from the health systems of 60 countries
AU - Braithwaite, Jeffrey
AU - Mannion, Russell
AU - Matsuyama, Yukihiro
AU - Shekelle, Paul
AU - Whittaker, Stuart
AU - Al-Adawi, Samir
AU - Ludlow, Kristiana
AU - James, Wendy
AU - Ting, Hsuen P.
AU - Herkes, Jessica
AU - Ellis, Louise A.
AU - Churruca, Kate
AU - Nicklin, Wendy
AU - Hughes, Clifford
N1 - Copyright the Author(s) 2017. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.
PY - 2017/10/1
Y1 - 2017/10/1
N2 - Healthcare reform typically involves orchestrating a policy change, mediated through some form of operational, systems, financial, process or practice intervention. The aim is to improve the ways in which care is delivered to patients. In our book ‘Health Systems Improvement Across the Globe: Success Stories from 60 Countries’, we gathered case-study accomplishments from 60 countries. A unique feature of the collection is the diversity of included countries, from the wealthiest and most politically stable such as Japan, Qatar and Canada, to some of the poorest, most densely populated or politically challenged, including Afghanistan, Guinea and Nigeria. Despite constraints faced by health reformers everywhere, every country was able to share a story of accomplishment—defining how their case example was managed, what services were affected and ultimately how patients, staff, or the system overall, benefited. The reform themes ranged from those relating to policy, care coverage and governance; to quality, standards, accreditation and regulation; to the organization of care; to safety, workforce and resources; to technology and IT; through to practical ways in which stakeholders forged collaborations and partnerships to achieve mutual aims. Common factors linked to success included the ‘acorn-to-oak tree’ principle (a small scale initiative can lead to system-wide reforms); the ‘data-to-information-to-intelligence’ principle (the role of IT and data are becoming more critical for delivering efficient and appropriate care, but must be converted into useful intelligence); the ‘many-hands’ principle (concerted action between stakeholders is key); and the ‘patient-as-the-pre-eminent-player’ principle (placing patients at the centre of reform designs is critical for success).
AB - Healthcare reform typically involves orchestrating a policy change, mediated through some form of operational, systems, financial, process or practice intervention. The aim is to improve the ways in which care is delivered to patients. In our book ‘Health Systems Improvement Across the Globe: Success Stories from 60 Countries’, we gathered case-study accomplishments from 60 countries. A unique feature of the collection is the diversity of included countries, from the wealthiest and most politically stable such as Japan, Qatar and Canada, to some of the poorest, most densely populated or politically challenged, including Afghanistan, Guinea and Nigeria. Despite constraints faced by health reformers everywhere, every country was able to share a story of accomplishment—defining how their case example was managed, what services were affected and ultimately how patients, staff, or the system overall, benefited. The reform themes ranged from those relating to policy, care coverage and governance; to quality, standards, accreditation and regulation; to the organization of care; to safety, workforce and resources; to technology and IT; through to practical ways in which stakeholders forged collaborations and partnerships to achieve mutual aims. Common factors linked to success included the ‘acorn-to-oak tree’ principle (a small scale initiative can lead to system-wide reforms); the ‘data-to-information-to-intelligence’ principle (the role of IT and data are becoming more critical for delivering efficient and appropriate care, but must be converted into useful intelligence); the ‘many-hands’ principle (concerted action between stakeholders is key); and the ‘patient-as-the-pre-eminent-player’ principle (placing patients at the centre of reform designs is critical for success).
KW - international health reform
KW - healthcare system
KW - appropriate healthcare
KW - patient-centred care
KW - quality improvement
KW - patient safety
UR - http://purl.org/au-research/grants/nhmrc/1054146
UR - http://www.scopus.com/inward/record.url?scp=85040591191&partnerID=8YFLogxK
U2 - 10.1093/intqhc/mzx122
DO - 10.1093/intqhc/mzx122
M3 - Article
C2 - 29036604
AN - SCOPUS:85040591191
SN - 1353-4505
VL - 29
SP - 880
EP - 886
JO - International Journal for Quality in Health Care
JF - International Journal for Quality in Health Care
IS - 6
ER -