Since 2000, more and more initiatives have been taken at the international and national levels in order to make stronger national health systems as the core machinery of the global health system. Having this scope in mind, it is essential to have a clear, and clear, vision of national health systems that might breed further progresses in global health. The elaboration and the selection of performance indicators are indeed both well dependent on the conceptual framework adopted for the assessment of the health systems performances.
Like most social systems, health systems are complex adaptive systems where change does not of necessity follow rigid epidemiological models. In complex systems path dependence, emergent properties and other non-linear pattern are under-explored and unmeasured which can lead to the development of unsuitable guidelines for developing receptive health systems.
An increasing number of tools and rule are being published by international agency and development partners to assist health system decision-makers to monitor and assess health systems increase including human capital development using standard definition, indicators and measures.
In response to a series of papers published in 2012 by members of the World Health organization Task Force on Developing Health Systems Guidance, researchers from the Future Health Systems group argue that there is inadequate focus on the 'policy completion gap'. Recognizing the diversity of stakeholders and difficulty of health systems is crucial to ensure that evidence-based rule are tested with requisite humbleness and without a rigid loyalty to models conquered by a limited number of disciplines.
Health Policy and Systems Research is an emerging multidisciplinary field that challenge 'disciplinary capture' by leading health research traditions, arguing that these society generate premature and inappropriately narrow definitions that impede rather than enhance health systems increase.HPSR focuses on low- and middle-income country and draws on the relativist social science model which recognizes that all phenomena are constructed through human behavior and understanding.
In using this approach, HPSR offers insight in to health systems by generate a complex understanding of background in order to enhance health policy education. HPSR calls for greater taking part of local actors, counting policy makers, civil society and researchers, in decision that are made around funding health policy research and health systems strengthening.
No comments:
Post a Comment