Comprehensive policy analysis for health system reform

Research output: Contribution to journalArticle

15 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)257-277
Number of pages21
JournalHealth Policy
Volume32
Issue number1-3
DOIs
StatePublished - 1995
Externally publishedYes

Fingerprint

Policy Making
Health
Cost of Illness
Mexico
Cost-Benefit Analysis
Learning

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 journalArticle

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