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Review
. 2016 May 10;55(3):225-227.
doi: 10.1515/sjph-2016-0028. eCollection 2016 Sep 1.

Health care reforms

Dorjan Marušič  1 , Valentina Prevolnik Rupel  2
Affiliations
Review

Health care reforms

Dorjan Marušič et al. Zdr Varst. .

Abstract
in English, Slovenian

In large systems, such as health care, reforms are underway constantly. The article presents a definition of health care reform and factors that influence its success. The factors being discussed range from knowledgeable personnel, the role of involvement of international experts and all stakeholders in the country, the importance of electoral mandate and governmental support, leadership and clear and transparent communication. The goals set need to be clear, and it is helpful to have good data and analytical support in the process. Despite all debates and experiences, it is impossible to clearly define the best approach to tackle health care reform due to a different configuration of governance structure, political will and state of the economy in a country.

V velikih sistemih, kot je zdravstveni, se reforme oblikujejo ves čas. V prispevku so prikazane značilnosti zdravstvene reforme in dejavniki, ki določajo njeno uspešnost. V članku poudarjamo pomen znanja tima, ki zdravstveno reformo izvaja, pomen vloge mednarodnih strokovnjakov in vseh deležnikov v domačem zdravstvenem sistemu, pomen mandata in vladne podpore predlagani reformi, pomen vodenja reforme in jasne ter transparentne komunikacijske strategije. Postavljeni cilji reforme morajo biti razumljivi, v veliko pomoč izpeljavi reforme pa so dobri podatki in njihova analiza. Kljub vsem razpravam in izkušnjam številnih držav ni mogoče natančno opredeliti najboljšega pristopa za izvedbo zdravstvene reforme, saj se mora proces izvedbe prilagajati strukturam vodenja, politični volji ter ekonomskemu stanju v državi.

Keywords: communication; governmental support; health care reforms; health care systems; knowledgeable personnel; leadership.

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Conflict of interest statement

The authors declare that no conflicts of interest exist.

References

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