ABSTRACT

In this book, we invited 146 authors with expertise in health policy, systems design, management, research, or practice, from each of the countries included, to consider health reforms or systems improvements in their country or region. The resulting case studies, of 52 individual countries and five regional groupings, cover 152 countries or territories, or three-quarters of the world’s nations. Each chapter author was asked to think 5–15 years into the future and make a prediction on how their health system could be strengthened as a result of the successful unfolding of their case study.

The types of projects our authors have chosen to explicate into the future are wide-ranging. They vary from e-consultation services in Estonia, achieving universal health coverage in Argentina and Mexico, reforming long-term care in the Netherlands, reassessing care for the aging population and the frail elderly in Australia, streamlining the health system through Lean Thinking in Nigeria, using regulation to improve care in South Africa, developing a new accreditation model in Turkey, through to a critique of physician specialization in Russia and applying IT initiatives to improve care in China, Lebanon, Taiwan, Papua New Guinea, the United Arab Emirates, Venezuela and Wales.

Chapter writers recognized that the improvement work they were doing was part of a moving target. There was general agreement that the effective use of limited resources and overcoming hurdles and constraints were crucial to enhancing health systems in order to deliver better care over the medium term. While some initiatives required considerable funding, many were relatively inexpensive. These case studies demonstrate ways in which fruitful application of partnerships and creativity can make considerable gains in strengthening healthcare delivery systems.

Features

  • The third book in a series on international health reform
  • Involves 146 contributing authors, five regional editors, a series editor and a highly skilled support team to explore sustainable improvement in health systems in the future
  • Encompasses a time horizon of the next 5–15 years
  • Covers 152 countries or territories, with 52 individual countries and an analysis of five regional groupings comprising 100 countries

part |68 pages

The Americas

chapter |7 pages

Argentina

Achieving Universal Coverage

chapter |8 pages

Brazil

Patient Safety: Distance-Learning Contribution

chapter |6 pages

Canada

The Future of Health Systems: Personalization

chapter |7 pages

Chile

The Struggle for an Integrated Health Insurance System

chapter |10 pages

Guyana

Paradigm Shift: From Institutional Care to Community-Based Mental Health Services

chapter |6 pages

Mexico

Leveraging Conditional Cash Transfers and Universal Health Coverage to Tackle Non-Communicable Diseases

chapter |8 pages

Trinidad and Tobago

Nurse Training: A Competency-Based Approach

chapter |6 pages

The United States of America

The U.S. Healthcare System: A Vision for the Future

chapter |6 pages

Venezuela

Learning from Failure and Leveraging Technology: Innovations for Better Care

part |45 pages

Africa

chapter |9 pages

Namibia

Lessons from Patient Involvement in HIV Care: A Paradigm for Patient Activation and Involvement across Health Systems

chapter |9 pages

Nigeria

Doing More with Less: Lean Thinking in the Health System

chapter |9 pages

South Africa

Regulated Standards: Implementation and Compliance

chapter |6 pages

Rwanda

Embracing One Health as a Strategy to Emerging Infectious Diseases Prevention and Control

chapter |7 pages

Africa

Equity for All: A Global Health Perspective for the Continent

part |166 pages

Europe

chapter |7 pages

Austria

Primary Healthcare Centers: A Silver Bullet?

chapter |7 pages

Denmark

Patient-Reported Outcomes: Putting the Patient First

chapter |6 pages

England

Getting Personal? Personal Health Budgets

chapter |6 pages

Estonia

e-Consultation Services: Cooperation between Family Doctors and Hospital Specialists

chapter |7 pages

Finland

A Real-Life Experiment in Precision Medicine

chapter |7 pages

France

Horizon 2030: Adopting a Global-Local Approach to Patient Safety

chapter |7 pages

Germany

Health Services Research and Future Planning in Pediatric Care

chapter |7 pages

Greenland

Everyday Life with Chronic Illness: Developing a Democratic and Culture-Sensitive Healthcare Practice

chapter |7 pages

Italy

The Introduction of New Medical Devices in an Era of Economic Constraints

chapter |6 pages

Malta

The National Cancer Plan: Strengthening the System

chapter |7 pages

The Netherlands

Reform of Long-Term Care

chapter |8 pages

Northern Ireland

Developing a Framework to Support Building Improvement Capacity across a System

chapter |6 pages

Norway

Bridging the Gap: Opportunities for Hospital Clinical Ethics Committees in National Priority Setting

chapter |7 pages

Portugal

Prevention of Antimicrobial Resistance through Antimicrobial Stewardship: A Nationwide Approach

chapter |6 pages

Russia

The Future of Physicians’ Specialization

chapter |7 pages

Scotland

Deliberative Engagement: Giving Citizen Involvement Meaning and Impact

chapter |6 pages

Spain

How Can Patient Involvement 1and a Person-Centered Approach Improve Quality in Healthcare? The Patients’  University and Other Lessons from Spain

chapter |5 pages

Sweden

The Learning Health System

chapter |7 pages

Switzerland

Teamwork and Simulation

chapter |6 pages

Turkey

Moving Quality in Healthcare Beyond Hospitals: The Turkish Accreditation Model

chapter |6 pages

Wales

Realizing a Data-Driven Healthcare Improvement Agenda: A Manifesto for World-Class Patient Safety

chapter |6 pages

Central and Eastern Europe

Strengthening Community-Based Family Care and Improving Health Equities

chapter |6 pages

Central Asia

From Russia with Love: Health Reform in the Stans of Central Asia

part |69 pages

Eastern Mediterranean

chapter |7 pages

Iran

Hospital Accreditation: Future Directions

chapter |6 pages

Jordan

Improving Quality of Care by Developing a National Human Resources for Health Strategy

chapter |7 pages

Lebanon

m-Health for Healthcare Delivery Reform: Prospects for Lebanese and Refugee Communities

chapter |7 pages

Oman

Paradigm Change: Healthy Villages to Meet Tomorrow’s Health Needs

chapter |5 pages

Pakistan

The Way Forward

chapter |7 pages

Qatar

Hospice Palliative Care

chapter |7 pages

The United Arab Emirates

Improving Healthcare through a National Unified Medical Record

chapter |6 pages

Yemen

Integrating Public Health and Primary Care: A Strategy for the Health System of the Future

chapter |7 pages

Middle East and North Africa (MENA)

Health Systems in Transition

part |103 pages

South‑East Asia and the Western Pacific

chapter |6 pages

Australia

The Silver Tsunami: The Impact of the Aging Population on Healthcare

chapter |7 pages

China

Integrated Stratified Healthcare System

chapter |7 pages

Hong Kong

Integrated Health Services: A Person-Centered Approach

chapter |7 pages

India

How to Build a First-World Health System on a Third-World Budget

chapter |8 pages

Japan

Toward a Community-Friendly Dementia Strategy

chapter |7 pages

Malaysia

The Future Malaysian Antenatal Care System: Building upon the Old

chapter |8 pages

Mongolia

Health System Financing

chapter |6 pages

New Zealand

Strengthening Primary Healthcare

chapter |6 pages

Papua New Guinea

Strengthening the Collection, Analysis, and Use of Health Data through eHealth Solutions

chapter |10 pages

Taiwan

“My Data, My Decision”: Taiwan’s Health Improvement Journey from Big Data to Open Data

chapter |8 pages

South-East Asia

Taming Communicable Diseases