title: Reform follows failure: II. Pressure for change in the Lebanese health sector.
abstract: This paper describes how, against a background of growing financial crisis, pressure for reform is building up in the Lebanese health care system. It describes the various agendas and influences that played a role. The Ministry of Health, backed by some international organizations, has started taking the lead in a reform that addresses both the way care is delivered and the way it is financed. The paper describes the interventions made to prepare reform. The experience in Lebanon shows that this preparation is a process of muddling through, experimentation and alliance building, rather than the marketing of an overall coherent blueprint.
authors.affiliation: Institute for Tropical Medicine, Antwerp, Belgium.
authors.forename: W
authors.initials: W
authors.lastname: van Lerberghe
authors.forename: W
authors.initials: W
authors.lastname: Ammar
authors.forename: R
authors.initials: R
authors.lastname: el Rashidi
authors.forename: M
authors.initials: M
authors.lastname: Awar
authors.forename: A
authors.initials: A
authors.lastname: Sales
authors.forename: A
authors.initials: A
authors.lastname: Mechbal
mesh_terms: D000553:Ambulatory Care / Q000191:economics / Q000458:organization & administration; D002017:Budgets; D002202:Capital Financing; D003220:Conflict, Psychological; D003906:Developing Countries; D018166:Health Care Reform; D019981:Health Care Sector; D006779:Hospitals, Public / Q000191:economics / Q000458:organization & administration; D007255:Information Services; D007861:Lebanon; D017149:Private Sector; D011640:Public Policy; D014857:Warfare