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Reforming the health sector: towards a healthy new public management

โœ Scribed by Steven Russell; Sara Bennett; Anne Mills

Publisher
John Wiley and Sons
Year
1999
Tongue
English
Weight
92 KB
Volume
11
Category
Article
ISSN
0954-1748

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โœฆ Synopsis

New public management (NPM) ideas have been reยฏected in the international health sector reform agenda. This paper summarizes the extent and depth of reform in the ยฎve countries studied, as reยฏected in four key policy arrangements, and reviews the various dimensions of capacity which have hindered policy development and implementation. The paper concludes that NPM reforms place demands on government which are not only technically complex but require political leadership, major institutional reform and shifts in organizational culture: it was thus not surprising that none of the case-study countries had undertaken far-reaching NPM reforms in the health sector. Key lessons for capacity strengthening are drawn from the country experiences.

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