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Strategies for health services 

Strategies for health services
Chapter:
Strategies for health services
Author(s):

Chien Earn Lee

DOI:
10.1093/med/9780199661756.003.0242
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date: 23 September 2019

Strategies for health services need to take into account the complex nature and contexts of healthcare. Key contextual factors that need to be considered include norms and values, macroeconomics, demographic pressures, changing disease patterns, technological changes, the quest for quality and reducing waste, and rising patient expectations. Healthcare systems have responded to the evolving environment by reassessing the relationship between the state and the market, the way health services are organized and financed, and the involvement of patients in their own care. These developments bring new opportunities to reorient health services towards the maximization of health gain. This chapter discusses strategies where public health professionals can play a potentially vital role in translating these opportunities into reality. It starts by looking at the needs assessment and priority setting process to ensure that the health services provided reflect the health needs of the population that they serve. Following that, it reviews the design and organization of health services to enhance the efficiency with which services are delivered. It concludes by discussing the enablers (i.e. intelligent purchasing, a workforce with the appropriate capacity and capability, and a robust information and knowledge management system) that are necessary to implement, sustain, and enhance these services.

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