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...

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Main Authors: Tata Chanturidze, Konrad Obermann
Format: Article
Language:English
Published: Kerman University of Medical Sciences 2016-08-01
Series:International Journal of Health Policy and Management
Subjects:
Online Access:http://www.ijhpm.com/article_3205_7cf9e9806ec57a2b0d0a9941a6b2a97c.pdf
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author Tata Chanturidze
Konrad Obermann
author_facet Tata Chanturidze
Konrad Obermann
author_sort Tata Chanturidze
collection DOAJ
description 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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spelling doaj.art-a8fe64771ac74246a2fa9b85a553cdd92022-12-21T18:15:34ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392322-59392016-08-015850751010.15171/ijhpm.2016.60Governance in Health – The Need for Exchange and Evidence; Comment on “Governance, Government, and the Search for New Provider Models”Tata Chanturidze0Konrad Obermann1Oxford Policy Management Ltd, Oxford, UKMannheim Institute of Public Health, Universität Heidelberg, Heidelberg, GermanyGovernance 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.http://www.ijhpm.com/article_3205_7cf9e9806ec57a2b0d0a9941a6b2a97c.pdfGovernanceEvidenceOperationalizationDecision-Making
spellingShingle Tata Chanturidze
Konrad Obermann
Governance in Health – The Need for Exchange and Evidence; Comment on “Governance, Government, and the Search for New Provider Models”
International Journal of Health Policy and Management
Governance
Evidence
Operationalization
Decision-Making
title Governance in Health – The Need for Exchange and Evidence; Comment on “Governance, Government, and the Search for New Provider Models”
title_full Governance in Health – The Need for Exchange and Evidence; Comment on “Governance, Government, and the Search for New Provider Models”
title_fullStr Governance in Health – The Need for Exchange and Evidence; Comment on “Governance, Government, and the Search for New Provider Models”
title_full_unstemmed Governance in Health – The Need for Exchange and Evidence; Comment on “Governance, Government, and the Search for New Provider Models”
title_short Governance in Health – The Need for Exchange and Evidence; Comment on “Governance, Government, and the Search for New Provider Models”
title_sort governance in health the need for exchange and evidence comment on governance government and the search for new provider models
topic Governance
Evidence
Operationalization
Decision-Making
url http://www.ijhpm.com/article_3205_7cf9e9806ec57a2b0d0a9941a6b2a97c.pdf
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AT konradobermann governanceinhealththeneedforexchangeandevidencecommentongovernancegovernmentandthesearchfornewprovidermodels