Seizing the moment to rethink health systems

Summary: The COVID-19 pandemic has made vivid the need for resilient, high-quality health systems and presents an opportunity to reconsider how to build such systems. Although even well resourced, well performing health systems have struggled at various points to cope with surges of COVID-19, experi...

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Autores principales: Kojo Nimako, DrPH, Margaret E Kruk, ProfMD
Formato: article
Lenguaje:EN
Publicado: Elsevier 2021
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Acceso en línea:https://doaj.org/article/9749c8e300324be08559e52a6f65febb
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spelling oai:doaj.org-article:9749c8e300324be08559e52a6f65febb2021-11-18T04:48:30ZSeizing the moment to rethink health systems2214-109X10.1016/S2214-109X(21)00356-9https://doaj.org/article/9749c8e300324be08559e52a6f65febb2021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2214109X21003569https://doaj.org/toc/2214-109XSummary: The COVID-19 pandemic has made vivid the need for resilient, high-quality health systems and presents an opportunity to reconsider how to build such systems. Although even well resourced, well performing health systems have struggled at various points to cope with surges of COVID-19, experience suggests that establishing health system foundations based on clear aims, adequate resources, and effective constraints and incentives is crucial for consistent provision of high-quality care, and that these cannot be replaced by piecemeal quality improvement interventions. We identify four mutually reinforcing structural investments that could transform health system performance in resource-constrained countries: revamping health provider education, redesigning platforms for care delivery, instituting strategic purchasing and management strategies, and developing patient-level data systems. Countries should seize the political and moral energy provided by the COVID-19 pandemic to build health systems fit for the future.Kojo Nimako, DrPHMargaret E Kruk, ProfMDElsevierarticlePublic aspects of medicineRA1-1270ENThe Lancet Global Health, Vol 9, Iss 12, Pp e1758-e1762 (2021)
institution DOAJ
collection DOAJ
language EN
topic Public aspects of medicine
RA1-1270
spellingShingle Public aspects of medicine
RA1-1270
Kojo Nimako, DrPH
Margaret E Kruk, ProfMD
Seizing the moment to rethink health systems
description Summary: The COVID-19 pandemic has made vivid the need for resilient, high-quality health systems and presents an opportunity to reconsider how to build such systems. Although even well resourced, well performing health systems have struggled at various points to cope with surges of COVID-19, experience suggests that establishing health system foundations based on clear aims, adequate resources, and effective constraints and incentives is crucial for consistent provision of high-quality care, and that these cannot be replaced by piecemeal quality improvement interventions. We identify four mutually reinforcing structural investments that could transform health system performance in resource-constrained countries: revamping health provider education, redesigning platforms for care delivery, instituting strategic purchasing and management strategies, and developing patient-level data systems. Countries should seize the political and moral energy provided by the COVID-19 pandemic to build health systems fit for the future.
format article
author Kojo Nimako, DrPH
Margaret E Kruk, ProfMD
author_facet Kojo Nimako, DrPH
Margaret E Kruk, ProfMD
author_sort Kojo Nimako, DrPH
title Seizing the moment to rethink health systems
title_short Seizing the moment to rethink health systems
title_full Seizing the moment to rethink health systems
title_fullStr Seizing the moment to rethink health systems
title_full_unstemmed Seizing the moment to rethink health systems
title_sort seizing the moment to rethink health systems
publisher Elsevier
publishDate 2021
url https://doaj.org/article/9749c8e300324be08559e52a6f65febb
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