Abstract
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.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 257-277 |
| Number of pages | 21 |
| Journal | Health Policy |
| Volume | 32 |
| Issue number | 1-3 |
| DOIs | |
| State | Published - 1995 |
| Externally published | Yes |
Fingerprint
Keywords
- Health systems
- Mexico
- Policy analysis
- Reform
ASJC Scopus subject areas
- Health Policy
- Public Health, Environmental and Occupational Health
Cite this
Comprehensive policy analysis for health system reform. / Frenk, Julio.
In: Health Policy, Vol. 32, No. 1-3, 1995, p. 257-277.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Comprehensive policy analysis for health system reform
AU - Frenk, Julio
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
UR - http://www.scopus.com/inward/record.url?scp=0029008707&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0029008707&partnerID=8YFLogxK
U2 - 10.1016/0168-8510(95)00739-F
DO - 10.1016/0168-8510(95)00739-F
M3 - Article
VL - 32
SP - 257
EP - 277
JO - Health Policy
JF - Health Policy
SN - 0168-8510
IS - 1-3
ER -