Frameworks to assess health systems governance: a systematic review

by Thidar Pyone, Helen Smith, Nynke van den Broek
Health Policy Plan czx007, Published: 03 March 2017

13 pp. 289 kB
https://academic.oup.com/heapol/article-
pdf/doi/10.1093/heapol/czx007/10846240/czx007.pdf

Governance of the health system is a relatively new concept and there are gaps in understanding what health system governance is and how it could be assessed. The authors conducted a systematic review of the literature to describe the concept of governance and the theories underpinning as applied to health systems; and to identify which frameworks are available and have been applied to assess health systems governance. There is a need to validate and apply existing frameworks and share lessons learnt regarding which frameworks work well in which settings. A comprehensive assessment of governance could enable policy makers to prioritize solutions for problems identified as well as replicate and scale-up examples of good practice.

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