The concept of stewardship in health policy
There is widespread agreement that both the configuration and the application of state authority in the health sector should be realigned in the interest of achieving agreed policy objectives. The desired outcome is frequently characterized as a search for good governance serving the public interest...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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The World Health Organization
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| Series: | Bulletin of the World Health Organization |
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| Online Access: | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862000000600005&lng=en&tlng=en |
| _version_ | 1797287704234295296 |
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| author | Richard B. Saltman Odile Ferroussier-Davis |
| author_facet | Richard B. Saltman Odile Ferroussier-Davis |
| author_sort | Richard B. Saltman |
| collection | DOAJ |
| description | There is widespread agreement that both the configuration and the application of state authority in the health sector should be realigned in the interest of achieving agreed policy objectives. The desired outcome is frequently characterized as a search for good governance serving the public interest. The present paper examines the proposal in The World Health Report 2000 that the concept of stewardship offers the appropriate basis for reconfiguration. We trace the development of stewardship from its initial religious formulation to more recent ecological and sociological permutations. Consideration is given to the potential of stewardship for encouraging state decision-making that is both normatively based and economically efficient. Various dilemmas that could impede or preclude such a shift in state behaviour are examined. We conclude that the concept of stewardship holds substantial promise if adequately developed and effectively implemented. |
| first_indexed | 2024-03-07T18:38:19Z |
| format | Article |
| id | doaj.art-519184f33753403aa42e94f7c82393f9 |
| institution | Directory Open Access Journal |
| issn | 0042-9686 |
| language | English |
| last_indexed | 2024-03-07T18:38:19Z |
| publisher | The World Health Organization |
| record_format | Article |
| series | Bulletin of the World Health Organization |
| spelling | doaj.art-519184f33753403aa42e94f7c82393f92024-03-02T04:40:16ZengThe World Health OrganizationBulletin of the World Health Organization0042-968678673273910.1590/S0042-96862000000600005S0042-96862000000600005The concept of stewardship in health policyRichard B. Saltman0Odile Ferroussier-Davis1Emory UniversityEmory UniversityThere is widespread agreement that both the configuration and the application of state authority in the health sector should be realigned in the interest of achieving agreed policy objectives. The desired outcome is frequently characterized as a search for good governance serving the public interest. The present paper examines the proposal in The World Health Report 2000 that the concept of stewardship offers the appropriate basis for reconfiguration. We trace the development of stewardship from its initial religious formulation to more recent ecological and sociological permutations. Consideration is given to the potential of stewardship for encouraging state decision-making that is both normatively based and economically efficient. Various dilemmas that could impede or preclude such a shift in state behaviour are examined. We conclude that the concept of stewardship holds substantial promise if adequately developed and effectively implemented.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862000000600005&lng=en&tlng=enpublic health administrationgovernmenthealth care rationinghealth policyethicsinstitutionalsocial responsibility |
| spellingShingle | Richard B. Saltman Odile Ferroussier-Davis The concept of stewardship in health policy Bulletin of the World Health Organization public health administration government health care rationing health policy ethics institutional social responsibility |
| title | The concept of stewardship in health policy |
| title_full | The concept of stewardship in health policy |
| title_fullStr | The concept of stewardship in health policy |
| title_full_unstemmed | The concept of stewardship in health policy |
| title_short | The concept of stewardship in health policy |
| title_sort | concept of stewardship in health policy |
| topic | public health administration government health care rationing health policy ethics institutional social responsibility |
| url | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862000000600005&lng=en&tlng=en |
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