Health sector reforms in comparative perspective--an unending quest ... or chasing a chimera.
Given the problematic nature of attempts to reform national delivery systems for health care, the paper reviews the context and logic of reforms in the health sector. After a background on approaches to building capacity within three generations of public sector reforms, it examines the reforms applied to financing, organizing and delivering health services and suggests strategies for reform that take capacity into account.
Björkman
James Warner
JW
Institute of Social Studies, The Hague, The Netherlands. bjorkman@iss.nl
D001938:Brazil; D018166:Health Care Reform / Q000458:organization & administration