THE FOUNDATIONAL WORK IN HEALTH REFORM, CELEBRATING 15 YEARS OF INFLUENCE Featuring a new introduction by the authors Getting Health Reform Right is the world's leading text for understanding and managing health systems and their reform. Its simple, analytical model allows readers to design their own approach to improve health-system performance based on three outcomes of greatest importance (health status, citizen satisfaction, and financial risk protection), with step-by-step instructions for defining problems, diagnosing causes, devising solutions, and implementing changes. "Rapidly assumed the status of a classic and proved an inspiration to a generation of students and policymakers. It is as relevant today as when it was first published." -Peter C. Smith, Emeritus Professor of Health Policy, Imperial College Business School, London "Has become the mainstay of health-system reform conversations among policymakers in India. Its unique and accessible framing, which goes beyond abstract ideas, has resonated strongly in debates over how to improve health system performance." -Nachiket Mor, former Director, Bill and Melinda Gates Foundation, India

Getting Health Reform Right, Anniversary Edition: A Guide to Improving Performance and Equity

Reich, Michael R.

Hsiao, William

Berman, Peter

Roberts, Marc J.

Health, Fitness & Dieting

Oxford University Press

Getting Health Reform Right: A Guide to Improving Performance and Equity

This book presents a new multi-disciplinary framework for developing and analyzing health sector reform plans in a wide variety of national circumstances. By focusing on the health care system as a means to an end, the authors provide tools and techniques for designing reforms that will produce real improvements in health sector performance. Integrating economic analysis, political strategy, managerial considerations, and ethical concerns, they offer practical guidance for dealing with the many difficult challenges of health sector reform. The book's methods and approach are based on the authors' extensive experience as researchers, advisors, and teachers of health care reform around the world. Rather than taking a one-size-fits-all approach, they stress the need for each nation to develop plans that are consistent with its administrative capacities, economic circumstances, political realities, and social values. The first half of the book reviews general methods for defining problems in an ethically self-reflexive way, diagnosing the causes of those problems, developing relevant policies, and marshalling political support. The second half examines five health sector reform "control knobs" - arenas in which government can act to improve the performance of the health system. Each control knob - financing, payment, organization, regulation, and behavior - is extensively discussed to inform readers about available options and the lessons of international experience. This book draws together an exceptionally wide range of analytical methods and practical experience, and fills a major gap in the literature on health reform and health systems for lower and middle-income nations. It will be of value to policymakers, administrators, consultants, academics, and students alike.

Medical Books

Administration & Medicine Economics

Biographical sketches show how six writers and public figures prepared for their deaths

Six Lives, Six Deaths: Portraits from Modern Japan

Self-Help

Lifton, Dr. Robert Jay

Shuichi, Kato

Death & Grief

Yale University Press

In the last half century, the nature of war has changed dramatically. Wars in the post-Cold War period have occurred mainly within national borders rather than between sovereign states. In these conflicts, civilians are increasingly the deliberate targets of war rather than accidental victims. Women and children in particular have become the intentional targets of murder, rape, and kidnapping. The book focuses on the impact of war on women and girls, and the potential for women as peacemakers. The text addresses major policy issues facing organizations involved in humanitarian assistance, and highlights actions to address and resolve armed violence and conflict. 
Wounds of War presents ten country profiles, along with information on eleven key topics related to the impacts of war, including the economies of war, small arms and light weapons, landmines, violence against women and girls, and missing persons.

Wounds of War (Harvard Series on Population and International Health)

Politics & Social Sciences

Lamb, Julie M.

Levy, Marcy

Social Sciences

Harvard Center for Population and Development Studies

Many people in developing countries lack access to health technologies, even basic ones. Why do these problems in access persist? What can be done to improve access to good health technologies, especially for poor people in poor countries? 
This book answers those questions by developing a comprehensive analytical framework for access and examining six case studies to explain why some health technologies achieved more access than others. The technologies include praziquantel (for the treatment of schistosomiasis), hepatitis B vaccine, malaria rapid diagnostic tests, vaccine vial monitors for temperature exposure, the Norplant implant contraceptive, and female condoms. Based on research studies commissioned by the Bill &amp; Melinda Gates Foundation to better understand the development, adoption, and uptake of health technologies in poor countries, the book concludes with specific lessons on strategies to improve access. These lessons will be of keen interest to students of health and development, public health professionals, and health technology developers―all who seek to improve access to health technologies in poor countries.

Access: How Do Good Health Technologies Get to Poor People in Poor Countries? (Harvard Series on Population and International Health)

Frost, Laura J.

Toxic Politics: Responding to Chemical Disasters

Politics & Government

Cornell University Press

This book applies an established analytical framework for health sector reform (Getting Health Reform Right, Oxford, 2004) to the performance problems of the pharmaceutical sector. The book is divided into three sections. The first section presents the basic ideas for analysis. It begins by insisting that reform start with a clear understanding of the performance deficiencies of the current system. Like all priority setting in the public sector, this 'definition of the problem' involves both ethical choices and political processes. Early chapters explain the foundations of these ideas and apply them to the pharmaceutical sector. The relationship of ultimate outcomes (like health status or risk protection) to classic health systems concepts like efficiency, access and quality is also explored. The last chapter in the first part is devoted to 'diagnosis'―explaining how to move from the definition of a problem to an understanding of how the functioning of the system produces the undesirable outcomes in question. The second part of the book devotes one chapter to each of five 'control knobs': finance, payment, organization, regulation and persuasion. These are sets of potential interventions that governments can use to improve pharmaceutical sector performance. Each chapter presents basic concepts and discusses examples of reform options. Throughout we provide 'conditional guidance'―avoiding the approach of a 'one size fits all' model of 'best practices' in these five arenas for reform. Instead we stress the need for local knowledge of political systems, administrative capacities, community values and market conditions in order to design pharmaceutical sector policies appropriate to a country’s particular circumstances. The last part of the book is a set of teaching cases. Each is preceded by questions and is followed by a brief note on the lessons to be learned. The goal is to help readers develop the skills they need to deal effectively with pharmaceutical sector reform problems in their own countries.

Pharmaceutical Reform: A Guide to Improving Performance and Equity (World Bank Training Series)

World Bank Publications

Governing Health Systems: For Nations and Communities Around the World examines the complex relationships between governance and performance in community and national health systems. Each chapter provides an in-depth case study, using both qualitative and quantitative methods, on health systems in many countries, including Uganda, Ghana, India, Zambia, Japan, Nigeria, Indonesia, Brazil, Palestine, and South Korea. The chapters were written by former Takemi Fellows, who were mid-career research fellows at the Harvard T.H. Chan School of Public Health, and their colleagues. This case study approach yields important findings as well as contextual insights about the challenges and accomplishments in addressing governance issues in national and community health systems around the world. Health policymakers around the world are struggling to address the multiple challenges of governing health systems. These challenges also represent important themes for the research mission of the Takemi Program in International Health at the Harvard T.H. Chan School of Public Health. This book is based on the program’s thirtieth anniversary symposium held in October 2013 at Harvard. The studies presented in this book―deep examinations of illustrative examples of health system governance for communities and nations―contribute to our knowledge about global health and assist policymakers in dealing with the complex practical problems of health systems. In short, this book addresses central questions about governing health systems―and why governance matters.

Governing Health Systems: For Nations and Communities Around the World

Business & Money

Takemi, Keizo

Job Hunting & Careers

Routledge

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Books by Reich, Michael R.