TY - JOUR
T1 - Comprehensive policy analysis for health system reform
AU - Frenk, Julio
N1 - Funding Information:
The study was made possible by the generous support of 15 Mexican corporations, which are fully acknowledged in the FUNSALUD report. In addition, a grant was awarded by the National Council of Science and Technology (CONACYT). The two meetings of the International Advisory Group had the support of the Pan American Health Organization, Harvard University, the Rockefeller Foundation, and the World Bank. The Consumer Satisfaction Survey was sponsored in part through a grant from the Pew Charitable Trusts to the Mexican Commission for Health Research at the National Academy of Medicine.
PY - 1995
Y1 - 1995
N2 - This article presents the results of a comprehensive approach to policy analysis that may serve as an input for health system reform. The comprehensive character of this effort stems from the attempt to combine, in a coherent framework, various analytical tools that have been developed recently, such as measurement of the burden of disease, cost-effectiveness analysis to integrate packages of essential interventions, national health accounts, assessment of system performance, consumer surveys, and political mapping. These tools were all applied in a study that was carried out in Mexico from August 1993 through September 1994. After explaining the logic of the study, the paper summarizes the findings and recommendations under five headings that shape the form of reform: the problems, the principles, the purposes, the proposals, and the protagonists. Rather than describing these various elements in detail, the paper focuses on the strategic aspects, which are most relevant to other countries currently planning or implementing reform initiatives. The article concludes that, under the current wave of international interest in health system reform, it is necessary to establish a mechanism for shared learning at the global level. Only in this way will it be possible to reproduce the analytical skills and accumulate the body of evidence that health systems require for their sustained improvement.
AB - This article presents the results of a comprehensive approach to policy analysis that may serve as an input for health system reform. The comprehensive character of this effort stems from the attempt to combine, in a coherent framework, various analytical tools that have been developed recently, such as measurement of the burden of disease, cost-effectiveness analysis to integrate packages of essential interventions, national health accounts, assessment of system performance, consumer surveys, and political mapping. These tools were all applied in a study that was carried out in Mexico from August 1993 through September 1994. After explaining the logic of the study, the paper summarizes the findings and recommendations under five headings that shape the form of reform: the problems, the principles, the purposes, the proposals, and the protagonists. Rather than describing these various elements in detail, the paper focuses on the strategic aspects, which are most relevant to other countries currently planning or implementing reform initiatives. The article concludes that, under the current wave of international interest in health system reform, it is necessary to establish a mechanism for shared learning at the global level. Only in this way will it be possible to reproduce the analytical skills and accumulate the body of evidence that health systems require for their sustained improvement.
KW - Health systems
KW - Mexico
KW - Policy analysis
KW - Reform
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U2 - 10.1016/0168-8510(95)00739-F
DO - 10.1016/0168-8510(95)00739-F
M3 - Article
C2 - 10156642
AN - SCOPUS:0029008707
VL - 32
SP - 257
EP - 277
JO - Health Policy
JF - Health Policy
SN - 0168-8510
IS - 1-3
ER -