studiesinhealthservicesorganisationpolicy,27,20.docVIP

 Studies in Health Services Organisation Policy, 27, 2010 Series editors: W. Van Lerberghe, G. Kegels, V. De Brouwere ?ITGPress, Nationalestraat 155, B-2000 Antwerp, Belgium. E-mail: isa@itg.be Josefien van Olmen, Bart Criel, Wim Van Damme, Bruno Marchal, Sara Van Belle, Monique Van Dormael, Tom Hoerée, Marjan Pirard and Guy Kegels Analysing Health Systems To Make Them Stronger D/2010/0450/2 ISBN 9789076070353 ISSN 1370-6462  Analysing Health Systems To Make Them Stronger Authors: Josefien van Olmen, Bart Criel, Wim Van Damme, Bruno Marchal, Sara Van Belle, Monique Van Dormael, Tom Hoerée, Marjan Pirard and Guy Kegels Studies in Health Services Organisation Policy, 27, 2010 Table of Contents Executive Summary 5 Our vision in summary 7 Acronyms 13 Acknowledgements 15 Introduction 17 Background 17 Origin, aim and scope of this book 19 A framework for analysing health systems 21 Goals Outcomes 22 Improved health 24 Social and financial protection 24 Access Coverage 25 Quality of care 28 Responsiveness 29 Values and principles 30 Our perspectives 31 Service delivery 33 Health services and delivery platforms 35 Providers of health services 38 The linkage with other elements of the Health System 40 Our perspectives on the local organisation of a health system 42 Population 44 People as producers of health (care), participation and empowerment 45 Demand and health seeking behaviour 46 Trust in the Health System 47 Context 48 Leadership Governance 49 Policy guidance 50 Coordination and regulation 51 Accountability 52 Financing 53 Our perspectives 55 Human Resources 56 Our perspectives 58 Infrastructure and supplies 59 Infrastructure 59 Supply of drugs 59 Information Knowledge 62 Health Systems Strengthening 65 The different uses of the Health Systems framework 69 A normative perspective 69 Analysing different levels of the Health System 70 Mapping actors and their influences using the framework 74 Case studies analysed with the HS framewo