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Meeting the challenge of health system transformation in European countries

Lookup NU author(s): Emeritus Professor David Hunter

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).

Abstract

© The Author(s) 2022. Transforming health systems is a complex, messy business with no quick or simple solutions. Countries struggle to make it happen with policy failure often the result. Reporting on a World Health Organization Europe project aimed at understanding how health system transformation can succeed, the paper draws on three European country case studies to offer insights and lessons for policymakers elsewhere engaged in similar efforts. Critical to success in implementation is the adoption of a receptive context for change. Building on the policy capacity literature, it emphasizes the importance of environmental pressure, the quality and coherence of policy, leadership style, supportive organizational culture, and managerial-health profession relations.

Publication metadata

Author(s): Hunter DJ, Bengoa R

Publication type: Article

Publication status: Published

Journal: Policy and Society

Year: 2023

Volume: 42

Issue: 1

Pages: 14-27

Print publication date: 01/03/2023

Online publication date: 28/05/2022

Acceptance date: 20/05/2022

Date deposited: 03/04/2024

ISSN (print): 1449-4035

ISSN (electronic): 1839-3373

Publisher: Oxford University Press

URL: https://doi.org/10.1093/polsoc/puac022

DOI: 10.1093/polsoc/puac022

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