Governance in Health – The Need for Exchange and Evidence; Comment on “Governance, Government, and the Search for New Provider Models”
Governance in health is cited as one of the key factors in balancing the concerns of the government and public sector with the interests of civil society/private players, but often remains poorly described and operationalized. Richard Saltman and Antonio Duran look at two aspects in the search for...
Main Authors: | , |
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Format: | Article |
Language: | English |
Published: |
Kerman University of Medical Sciences
2016-08-01
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Series: | International Journal of Health Policy and Management |
Subjects: | |
Online Access: | http://www.ijhpm.com/article_3205_7cf9e9806ec57a2b0d0a9941a6b2a97c.pdf |
Summary: | Governance in health is cited as one of the key factors in balancing the concerns of the government and public
sector with the interests of civil society/private players, but often remains poorly described and operationalized.
Richard Saltman and Antonio Duran look at two aspects in the search for new provider models in a context of
health markets signalling liberalisation: (i) the role of the government to balance public and private interests
and responsibilities in delivering care through modernised governance arrangements, and (ii) the finding that
operational complexities may hinder well–designed provider governance models, unless governance reflects
country-specific realities. This commentary builds on the discussion by Saltman and Duran, and argues that the
concept of governance needs to be clearly defined and operationalized in order to be helpful for policy debate
as well as for the development of an applicable framework for performance improvement. It provides a working
definition of governance and includes a reflection on the prevailing cultural norms in an organization or society
upon which any governance needs to be build. It proposes to explore whether the “evidence-based governance”
concept can be introduced to generate knowledge about innovative and effective governance models, and
concludes that studies similar to the one by Saltman and Duran can inform this debate. |
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ISSN: | 2322-5939 2322-5939 |