Health care reform is a general rubric used for discussing major health policy creation or changes. For the most part, governmental policy affects health care delivery in a given place.
A recent study shows that no healthcare system is best at everything.
This is an interesting question.
The term ‘reform’ is used when a government tries to change its existing system(s). Reform is often considered as ‘good’ as it is expected to bring positive changes. In developing countries, given their huge unmet needs and scope for economic progress, there is always a room for reform. It will continue to be the scenario till they reach ‘equilibrium’. There is no time limit for this process because systems evolve continuously based on changes from within and outside. For instance, when a country tries to reform one sector (say, fiscal), it triggers a spiral effect on the other sectors. In health, technological changes (smart card, telemedicine, new treatment methods, insurance, etc.) also necessitate reforms. Even in developed countries, there is a shift away from hospitalization towards home care and systemic adjustments are necessary to capture this technological trend.
Dear Varatharajan, I think you are the best person to answer this question. Thank you very much.
developing countries think that frequent reforms in health system can solve all problems. unfortunately the problem is structural and comes from government and the way they govern system. I think social, political and economic development can change everything.
Reform should be constructive rather than sake for reform. There must be addressed particular steps of reform: Goals, methods/methods/theories/models, defined players, implementation strategies, outcome measurement, feedback and redefine/refine the goals...
for sure sir, I think any reform should evoke and raise from each society by itself by public consensus on it. not only by international organizations for example WHO or UN. you know a Turkish proverb says: you can not produce water with pouring water into well!!
The intention of governments in developing countries is to better the lives of the citizenry by periodically reforming healthcare systems to improve healthcare delivery, Unfortunately some governments use reforms as a political gimmick without actually making a difference in the health of the people.
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