Toward Sustainable Transitions in Healthcare Systems
Edited by Jacqueline Broerse, John Grin
Routledge – 2015 – 304 pages
Over the past decades, a series of reform initiatives have been going through health systems of advanced welfare states, including the control of cost development, the tenability of health systems in globalizing economies, dissatisfaction about quality of treatment or quality of life, and the increasing importance of health problems related to lifestyles and life conditions. The reforms pursued to address these problems have led to rather fundamental changes in health systems, but not a true resolution of the persistent problems facing healthcare. This book seeks to investigate how we may understand current problems in health systems from the perspective of notions from transition and system innovation studies. Based on that understanding, what strategies, developed in other domains for bringing about transitions and system innovations, may contribute to further reforms of health systems?
Part I. Nature and development of current health systems 1. Disputing the contemporary health system 2. Key features of modern health systems: nature and historical evolution 3. Is there such a thing as a rational health policy? 4. Rethinking health governance: integrating professionalism strategically in health human resource management Part II. Innovating practices: Experiences and lessons 5. Identifying systemic flaws through analyzing innovative practices in healthcare 6. Sustainable healthcare in advanced welfare states 7. System innovation: health promotion at the work place 8. Setting up and implementing a transition programme in long-term care 9. Trying to transform structure, culture and practice: a comparison of two innovationprojects in the Transition Programme in Long-term Care 10. Learning from patient participation in health research Part III. Towards a transition in healthcare? Implications for policy, practice and research 11. What are the problems with current health systems, and how may we analyze them? 12. How may one ‘do’ systems innovations, and how may we learn from such attempts?
Jacqueline Broerse is Associate Professor of Public Engagement in Health and Life Sciences and Head of the Section Science Communication (Athena Institute) at VU University Amsterdam.
John Grin is Professor of Policy Science, with a focus in System Innovation, at the Department of Political Science at the University of Amsterdam.