Health Systems Improvement Across the Globe: Success Stories from 60 Countries, 1st Edition (Hardback) book cover

Health Systems Improvement Across the Globe

Success Stories from 60 Countries, 1st Edition

Edited by Jeffrey Braithwaite, Russell Mannion, Yukihiro Matsuyama, Paul Shekelle, Stuart Whittaker, Samir Al-Adawi

CRC Press

606 pages | 118 B/W Illus.

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Hardback: 9781472482044
pub: 2017-08-03
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pub: 2017-08-07
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Following on from 2015’s Healthcare Reform, Quality and Safety: Perspectives, Participants, Partnerships and Prospects in 30 Countries, this book encompasses a global perspective on healthcare while shifting the focus from reform to showcasing success stories of healthcare systems worldwide. It provides explanations of why various facets of healthcare systems work well in different contexts and offers the reader alternative models for consideration. The book features contributions from 60 countries, going much further than the common practice of focusing on affluent Western nations, to provide a comprehensive exploration of the success of healthcare systems globally. The majority of literature on health-sector improvement attempts to address the problems within systems, relating the errors that can and do occur, for example, and offering solutions and preventative strategies. This book of country case studies will approach the enhancement of health systems, patient safety and the quality of care in a new and innovative way, comprehensively surveying and synthesizing the success stories of healthcare systems around the world, utilizing Hollnagel’s Safety-II approach to acknowledge the importance of exploring what goes right, what works well, and why it works. These success stories may include reference to macro, meso or micro levels of healthcare systems, various sectors (e.g., aged care, acute care or primary care), or specific programs or projects. Health System Improvement Across the Globe: Success Stories from 60 Countries is unprecedented in terms of both reach and positive emphasis, and as such will be instrumental in changing ways of thinking about and guiding health-sector improvement.

Table of Contents



About the Editors

About the Contributors



Part I The Americas

1 Argentina: Successful Initiatives in Quality and Patient Safety in Argentina

2 Brazil: Knowledge Management for Quality Improvement in Brazil

3 Canada: Improving Stroke Outcomes in Canada: The Accreditation Canada Stroke Distinction Program

4 Chile: Constructing Symbolic Capital: A Case Study from Chile

5 Ecuador: Improving Hospital Management as Part of the Health Reform Process in Ecuador: The Case of Abel Gilbert Pontón Hospital

6 Guyana: Holistic Geriatric Mega-Clinics for Care of the Elderly in Guyana

7 Mexico: Monitoring and Evaluation Strategy of Mexican Health Reform: Content, Conditions for Implementation, and Sustainability

8 The United States of America: The Use of Report Cards and Outcome Measurements to Improve the Safety of Surgical Care: The American College of Surgeons National Surgical Quality Improvement Program

9 Venezuela: Misión Barrio Adentro: Universal Health Coverage Efforts in Venezuela

Part II Africa

10 Ghana: Arresting the Brain Drain in Ghana

11 Namibia: A Public Health Approach to Quality Management: How a Disease-Specific Improvement Program Propelled a National Health-Systems-Wide Quality Program in Namibia

12 Nigeria: Removing the Imaginary Walls That Divide and Limit

13 Rwanda: Community-Based Health Insurance in Rwanda: How It Fostered Achievement of the Millennium Development Goals

14 South Africa: The Development of an Equitable National Juristic Body to Regulate Public and Private Healthcare Establishments in South Africa: A Progress Report

15 West Africa (Guinea, Liberia, and Sierra Leone): Quality Improvement in Ebola-Affected Countries: From Recoveryto Resilience

Part III Europe

16 Austria: Stroke Units in Austria: Incubators for Improved Health Outcomes

17 Denmark: Cancer Patient Pathways

18 England: A NICE Success Story from the English National Health Service

19 Estonia: Primary Healthcare Reform as a Promoter of Quality in the Estonian Healthcare System

20 Finland: Evidence-Based Medicine and Health Information Technology: Transforming Clinical Practices in Finland

21 France: The French Healthcare System and Its Alternative Approach to Patient Safety

22 Germany: Scaling Up a Population-Based Integrated Healthcare System: The Case of " Healthy Kinzigtal" in Germany

23 Ireland: St. James’ s Hospital National Haemophilia System

24 Israel: A Nationwide Health Information Exchange Program in Israel: A Unique Case Study

25 Italy: Post-Marketing Successful Strategies to Manage Pharmaceutical Innovation

26 Malta: Reform of the Medical Profession and Reversal of Brain Drain in Malta: A Success Story

27 The Netherlands: Patient Safety in Dutch Hospitals: How Can We Explain Success?

28 Northern Ireland: Adopting a Collaborative Approach to Improve Care for Women and Their Babies in Northern Ireland

29 Norway: Improving Patient Safety in Norwegian Hospitals through a Standardized Approach toward the Measurement and Monitoring of Adverse Events

30 Portugal: Reducing Hospital-Acquired Infection in Portuguese Hospitals: A Collaborative Approach toward Quality Improvement

31 Russia: Progress in Healthcare Quality in Russia

32 Scotland: Partnership and Collaboration as the Hallmark of Scottish Healthcare Improvement

33 Serbia: Using Data to Protect Vulnerable Children

34 Spain: Organ Donation and Transplantation: ONT’s Success Story

35 Sweden: Sweden Mines the Gold in Clinical Data for Research and Better Patient Care

36 Switzerland: Switzerland’s Use of Breakthrough Collaboratives to Improve Patient Safety

37 Turkey: Establishment of a National Healthcare Accreditation System

38 Wales: Implementing Shared Decision-Making in Practice: Demonstrating Strategic Improvement

Part IV Eastern Mediterranean

39 Afghanistan: Improving Afghanistan’s Hospital Services: Implementation of Minimum Required Standards

40 The Gulf States (Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and the United Arab Emirates): Unified Procurement of Pharmaceuticals and Medical Supplied for Gulf Cooperation Council Countries: A Great Success Story

41 Iran: Iran’s Health Transformation Plan

42 Jordan: Health Care Accreditation Council of Jordan: Driving System Reform, Patient Safety, and Quality

43 Lebanon: "You Don’t Have to be Superman to Save Lives. Give Blood": Improving the Health System through Social Innovation—The Case of Donner Sang Compter

44 Oman: Al-Shifa Electronic Health Record System: From Simple Start to Paradigm Model

45 Pakistan: Health Systems, Accreditation, and Databases: Pakistan’s Perspective

46 Qatar: Successful Implementation of a Deteriorating Patient Safety Net System: The Qatar Early Warning System

47 The United Arab Emirates: Abu Dhabi Healthcare Reform: Improving Quality through a Single Payment System

48 Yemen: Improvement of Basic Health Services in Yemen: A Successful Donor-Driven Improvement Initiative

Part V South-East Asia and the Western Pacific

49 Australia: Two Decades of Evolving a Patient Safety System: An Australian Story of Reducing Harm to Deteriorating Patients

50 China: Self-Service Encounter System in Tertiary Hospitals

51 Fiji: A Context-Specific Approach to Primary Care Strengthening in Fiji

52 Hong Kong: Integrating Care for High-Risk Elderly Patients after Discharge from Hospitals in Hong Kong

53 India: India’ s Road Map to "Affordable and Safe Health for All" through Public– Private Partnership

54 Japan: Universal Insurance

55 Malaysia: From Maternal Mortality to Maternal Health: The Malaysian Experience

56 New Zealand: Ko Awatea: Improving Quality, Promoting Innovation

57 Papua New Guinea: Establishment of the Provincial Health

Authority in Papua New Guinea

58 Taiwan: Taiwan’s Health Information Technology Journey: From Flash Drive to Health Cloud

Discussion and Conclusion



About the Editors

Professor Jeffrey Braithwaite is a leading health services and systems researcher with an international reputation for his work investigating and contributing to systems improvement. He has particular expertise in the culture and structure of acute settings, leadership, management and change in health sector organisations, quality and safety in health care, resilient health care, accreditation and surveying processes in international context and the restructuring of health services. Professor Braithwaite is well known for bringing management and leadership concepts and evidence into the clinical arena and he has published extensively (more than 400 refereed contributions, and 600 total publications) about organisational, social and team approaches to care which has raised the importance of these in Australia and internationally. He has presented at or chaired international and national conferences, workshops, symposia and meetings on more than 600 occasions, including over 70 keynote addresses. Theories and ideas he has helped shape, formulate or devise, and provided research findings for, are now in common use as a result of his work: multi-method, triangulated approaches to research, the boundary-less hospital, accreditation models in general practice and beyond, clinician-managers as key players in reform initiatives, fundamental principles for the governance of health systems, diversity in clinical professional groups, inter-professional learning and culture change rather than restructuring as a more sustainable strategy for reform. His empirical results have exposed the distinctive attitudes of clinical professional groups, how clinician-managers enact their leadership responsibilities, the relationships between efficiencies and structural type of teaching hospitals, the behavioural displays of clinicians in service structures and the status of system-wide patient safety improvement initiatives. Professor Braithwaite is the recipient as at 2014 of career research funding of $59.85 million spread over 62 grants; total new research funding and grants in the last five years amounts to $40 million; more than 80% of this grant funding is category one, peer-reviewed, chiefly ARC and NHMRC funding. He referees for 30 journals and the health research bodies of Ireland, New Zealand, Switzerland and the United Kingdom as well as for many international conferences and symposia. He publishes in the leading journals in three convergent fields and thus expresses his work at a unique intersection of organisational studies, health services research and clinical care. Journals he contributes to include the British Medical Journal, The Lancet, PLoS Medicine, Journal of the Royal Society of Medicine, Health Services Management Research, BMJ Quality and Safety, International Journal for Quality in Health Care, Social Science & Medicine, BMC Health Services Research, International Journal of Health Planning and Management and Journal of Health, Organisation and Management. His books include Resilient Health Care (edited with Erik Hollnagel and Bob Wears, Ashgate, 2013) The relevance of everyday clinical work (edited with Bob Wears and Erik Hollnagel, Ashgate, 2015) and Culture and Climate in Health Care Organisations (edited with Paula Hyde and Catherine Pope, Palgrave Macmillan, 2010).

Subject Categories

BISAC Subject Codes/Headings:
BUSINESS & ECONOMICS / Industries / Service Industries
MEDICAL / Administration
TECHNOLOGY & ENGINEERING / Industrial Health & Safety