Health Systems and Policy
There is no perfect health system. As societies change, health systems and policies evolve to adapt to the health needs of the society. The health needs of a society are often subjective and shaped by the social and political environment, so too are the health policies made to respond to these needs. As the outcome goals of these needs may be both convergent and divergent, health systems become more and more complex as new health policies are introduced into the existing health system.
Regardless of which sector within a health system you work as a medical administrator, you will find yourself in a position to influence health system and policy reform. It is important to develop a framework to understanding these complex connections within health systems to be able to effectively assist your clinicians with navigating through these systems to achieve the optimal results.
This chapter describes health systems according to its inputs, processes, outputs and outcomes. It also describes the economic and sociopolitical characteristics of a health system, using the Australian health system as an example. Some key concepts of analysing a health system are also described. In the second part of this chapter, some concepts on governing a health system and health policymaking are described. The chapter concludes with some discussion around health policy challenges for medical administrators.
KeywordsHealth systems Health system policy Health system processes Australian health system Workforce of a health system Policymaking in the health system Analysing health system performance
- 1.Kleczkowski B, Roemer MI, Van Der Werff A. National health systems and their reorientation towards health for all. Geneva: World Health Organisation; 1984.Google Scholar
- 4.AIHW. Australia’s health 2014: Australia's Health System 2014. 10 September 2015 [cited 2015]. http://www.aihw.gov.au/australias-health/2014/health-system/.
- 5.Duckett S, Willcox S. The Australian Health Care System. Victoria: Oxford University Press; 2011. 379 p.Google Scholar
- 6.Van Olmen J, Criel B, Van Damme W, Marchal B, Van Belle S, Van Dormael M, Hoeree T, Pirard M, Kegels G. Analysing health systems to make them stronger. In: Studies in Health Services Organisation & Policy. Antwerp: ITGPRESS; 2010.Google Scholar
- 7.AIHW. National Health Performance Framework: Australian Institute of Health and Welfare; [updated 1 September 2015]. http://meteor.aihw.gov.au/content/index.phtml/itemId/392569.
- 8.WHO. Health Systems Governance: World Health Organisation; 2015. http://www.who.int/healthsystems/topics/stewardship/en/.
- 9.Palmer G, Short SD. Health care & public policy: an Australian analysis. 3rd ed. Macmillan Education Australia: South Melbourne; 2000.Google Scholar
- 10.Porche D. Health policy—application for nurses and other healthcare professionals. Jones & Bartlett Learning: United States of America; 2012.Google Scholar
- 11.WHO. Analysing Disrupted Health Sectors—A modular manual: World Health Organisation; [updated 2015]. http://www.who.int/hac/techguidance/tools/disrupted_sectors/adhsm_mod5_en.pdf.
- 12.Tuohy C. Accidental logics: the dynamics of change in the health care arena in the United States, Britain, and Canada. New York: Oxford University Press; 1999.Google Scholar