Effective Ways to Realise Policy Reforms in Health Systems – OECD Health Working papers No. 51 – 29 March 2010

Posted on April 7, 2010. Filed under: Health Mgmt Policy Planning, Health Systems Improvement | Tags: |

Effective Ways to Realise Policy Reforms in Health Systems – OECD Health Working papers No. 51 – 29 March 2010

“1. Sometimes it is argued that the content of a reform is less important in determining whether or not it receives public and legislative approval than the timing of the proposal; the way in which the reform is presented; the discussions with stakeholders; and a multitude of other factors. The OECD has a crosscutting project on these issues, entitled Making Reform Happen. A number of OECD directorates are considering the factors lying behind successful implementation of reforms in their different policy areas, including tax, environment, agriculture, trade, competition, education, health, pensions, product markets and labour markets.

2. This paper is a contribution to the wider OECD project. It is based on evidence from the countries which have seen their health systems reviewed by the OECD in recent years, and on a selected review of the literature. It considers four issues in particular, these being the ones used across all the different reform areas covered by the Making Reform Happen project:
• The existence of appropriate institutions to support reforms from decision to implementation.
• The impact on, and reactions of, those affected by the reforms.
• Reform agendas, timing and interactions across different policy areas.
• The role of evidence and international organisations to sustain reforms.

3. It concludes that a number of stages of reform need to be implemented before a reform can be said to be successful; failure in one of them will generally lead to failure of the reform. Issues particular to the health sector include:”

…contiinues on the site


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