A Process Map of Health System Governance

Many theories of health system governance have been developed. One such framework is the principal-agent theory. This view assumes that healthcare providers and users are actors with incentives and sanctions. There is an information asymmetry and a power differential among groups. In this framework, the state, the citizen and the provider are viewed as the principals. By addressing these problems, healthcare systems can be improved. However, there are limitations to this framework.

It is difficult to evaluate in a methodical way

As the concept of health system governance is multidimensional and complex, it is difficult to assess in a systematic way. In order to achieve effective governance, existing frameworks must be validated, applied, and compared with each other. The results of these assessments should inform policies and practice to improve and sustain health systems. This article provides a visual process map of the five elements of health system governance. The resulting diagram will help policy makers prioritize interventions and identify ways to replicate good practices.

It experiences health policies and procedures

In the framework, five components are considered: roles of front-line healthcare workers, responsibilities and power distribution, and health policies and procedures. These workers’ daily experiences and perspectives contribute to discussions of health system governance and help craft policies and procedures that will improve the quality of healthcare. They also provide valuable input to the development of policies and procedures. In sum, these aspects are essential for effective health systems. So, how do we create the conditions for effective governance?

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