This book offers a global perspective on healthcare reform and its relationship with efforts to improve quality and safety. It looks at the ways reforms have developed in 30 countries, and specifically the impact national reform initiatives have had on the quality and safety of care. It explores how reforms drive quality and safety improvement, and equally how they act to negate such goals. Every country included in this book is involved in a reform and improvement process, but each takes place in a particular social, cultural, economic and developmental context, leading to differing emphases and varied progress. Methods for tackling common problems - financing, efficiencies, effectiveness, evidence-based practice, institutional reforms, quality improvement, and patient safety initiatives - also differ. Representatives from each nation provide a chapter to convey their own situation.
’In Healthcare Reform, Quality and Safety the editors and contributing authors skilfully address questions about whether, how and to what extent healthcare reforms affect quality and safety. The book provides valuable and extensive international comparisons between health reform strategies from 30 health systems in five global regions. Perhaps uniquely, the authors present distinct differences in health systems, national healthcare reforms and quality and safety outcomes while they also note similarities in goals, values and, occasionally, outcomes.’ Paula Hyde, Durham University, UK ’What do people do when reforming health systems? They take different approaches in different countries - with different results but important common lessons. This book offers a unique collection of case studies from 30 countries plus commentary and synthesis from leading academics in the field of health system reform.’ Trisha Greenhalgh, University of Oxford, UK ’A remarkable compendium describing the journeys of change and reform in the world’s healthcare systems. These accounts show the integrity of those involved, the challenges they face and the difficulty of evaluating system level change. Ultimately I was most struck by the optimism and humanity of the authors in sharing their stories and their determination to learn from both failure and success across the world.’ Charles Vincent, University of Oxford, UK
Contents: Foreword, David W. Bates and Clifford F. Hughes; Introduction, Jeffrey Braithwaite, Yukihiro Matsuyama, Russell Mannion and Julie Johnson. Part I Africa and Western Asia: Ghana, Sodzi Sodzi-Tettey; The Gulf States, Tawfik A.M. Khoja and Abdelrahman A. Kamel; Israel, Eyal Zimlichman; Oman, Ahmed Al-Mandhari; South Africa, Stuart Whittaker, Carol Marshall and Grace Labadarios. Part II Eastern Asia and Southern Asia: China, Sun Niuyun; Hong Kong, Eng Kiong Yeoh and Hong Fung; India, Girdhar J. Gyani; Japan, Yukihiro Matsuyama. Part III South Eastern Asia and Oceania: Australia, Stephen Duckett; Indonesia, Sophia Hermawan and Brette Blakely; New Zealand, Jackie Cumming; Papua New Guinea, William Adu-Krow and Paulinus Lingani Ncube Sikosana. Part IV The Americas: Argentina, Hugo Arce and Ezequiel García Elorrio; Brazil, José Carvalho de Noronha, Victor Grabois and Adelia Quadros Farias Gomes; Chile, Giorgio Solimano and Leonel Valdivia; Mexico, Enrique Ruelas, Octavio Gómez-Danté and Walverly Morales; United States of America, Julie K. Johnson and Arlene S. Bierman. Part V Europe: Denmark, Janne Lehmann Knudsen, Carsten Engel and Jesper Eriksen; England, Martin Powell and Russell Mannion; Germany, Holger Pfaff, Tristan D. Gloede and Antje Hammer; Italy, Americo Cicchetti, Silvia Coretti and Valentina Iacopino; Norway, Ellen Catharina Tveter Deilkås, Tor Ingebrigtsen and Ånen Ringard; Scotland, Andrew Thompson and David R. Steel; Sweden, John Øvretveit, Magna Andreen Sachs and Marion Lindh; Discussion: integrating and synthesizing the evidence across countries, Jeffrey Braithwaite, Yukihiro Matsuyama, Russell Mannion and Julie Johnson. References; Index.