TY - JOUR
T1 - Health system stewardship of National Health Ministries in the WHO European region: concepts, functions and assessment framework
AU - Veillard, Jeremy Henri Maurice
AU - Brown, Adalsteinn Davidson
AU - Barış, Enis
AU - Permanand, Govin
AU - Klazinga, Niek Sebastian
PY - 2011
Y1 - 2011
N2 - To propose an operational framework for assessing the completeness and consistency of the stewardship function of national health ministries. The authors carried out a purposive and multidisciplinary review of the literature and derived an operational framework through iterative discussions and participatory methods. The results of the literature review were compared to the authors' observations of stewardship in action and key functions were matched with case examples from Europe and North America. The operational framework relates six functions of stewardship with national contexts, values and ultimate goals pursued by health systems: to define the vision for health and strategy to achieve better health; to exert influence across all sectors for better health; to govern the health system in a way that is consistent with prevailing values; to ensure that system design is aligned with health system goals; to better leverage available legal and regulatory instruments; and to compile, disseminate and apply intelligence. Challenges in the implementation of stewardship relate to: limitations to the role of health ministries; and to governance, operational and change implementation issues. The framework proposed seems flexible enough to help assess the health system stewardship function; however it should be further tested in practice
AB - To propose an operational framework for assessing the completeness and consistency of the stewardship function of national health ministries. The authors carried out a purposive and multidisciplinary review of the literature and derived an operational framework through iterative discussions and participatory methods. The results of the literature review were compared to the authors' observations of stewardship in action and key functions were matched with case examples from Europe and North America. The operational framework relates six functions of stewardship with national contexts, values and ultimate goals pursued by health systems: to define the vision for health and strategy to achieve better health; to exert influence across all sectors for better health; to govern the health system in a way that is consistent with prevailing values; to ensure that system design is aligned with health system goals; to better leverage available legal and regulatory instruments; and to compile, disseminate and apply intelligence. Challenges in the implementation of stewardship relate to: limitations to the role of health ministries; and to governance, operational and change implementation issues. The framework proposed seems flexible enough to help assess the health system stewardship function; however it should be further tested in practice
U2 - https://doi.org/10.1016/j.healthpol.2011.09.002
DO - https://doi.org/10.1016/j.healthpol.2011.09.002
M3 - Article
C2 - 21963188
SN - 0168-8510
VL - 103
SP - 191
EP - 199
JO - Health policy (Amsterdam, Netherlands)
JF - Health policy (Amsterdam, Netherlands)
IS - 2-3
ER -