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. The editors draw a conclusion from these numerous contributions and synthesize the themes emerging into a coherent ’lessons learned’ summary that delivers value to the numerous stakeholders. Healthcare Reform, Quality and Safety forms a compendium of the current ’state of the art’ in global healthcare reform. This is the first book of its type, and offers a unique opportunity for cross-fertilization of ideas to the mutual benefit of countries involved in the project. The content will be of interest to governments, policymakers, managers and leaders, clinicians, teaching academics, researchers and students.
’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, United Kingdom
"With contributions from over 50 authors, this book looks at the ways in which healthcare 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 reform can drivee quality and safety improvement, and equally how they can act to negate such goals."
—The RoSPAOS&H Journal, January/February 2017 Issue