Health Policy and Planning, Vol 13, 59-77, Copyright © 1998 by Oxford University Press
T Bossert, W Hsiao, M Barrera, L Alarcon, M Leo and C Casares
Ministries of health are being called upon to lead major health reforms; at
the same time they must reform themselves to become more modern
institutions and assume new and different functions and roles in the more
dynamic reformed system. The literature on public administration and on
health reform has recommended many processes of institutional reform and
development, building on private sector management techniques, popularized
by `reinventing government' and `total quality management'. More recently,
thoughtful insights have emphasized improving public management through a
focus on creating `public value'; on political, as well as administrative,
leadership; improving institutional performance through strengthening the
'task networks' of organizations needed to achieve strategic objectives;
and creating a learning culture within the organization. This article
applies these recent approaches to the specific needs of ministries of
health in order to improve their capacity to lead major health reforms.
This combined approach is then used to analyze and make recommendations to
the Ministry of Health in Colombia where the authors were providing
technical support for a major new health reform.
ARTICLES
Transformation of ministries of health in the era of health reform: the case of Colombia
Program in Health Care Financing, Harvard School of Public Health, Cambridge, MA, USA
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