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Reforming the health sector: towards a healthy new public management

Author

Listed:
  • Steven Russell

    (Department of Economics, University of Colombo, Sri Lanka)

  • Sara Bennett

    (Heath Economics and Financing Programme, London School of Hygiene and Tropical Medicine, UK)

  • Anne Mills

    (Heath Economics and Financing Programme, London School of Hygiene and Tropical Medicine, UK)

Abstract

New public management (NPM) ideas have been reflected in the international health sector reform agenda. This paper summarizes the extent and depth of reform in the five countries studied, as reflected in four key policy arrangements, and reviews the various dimensions of capacity which have hindered policy development and implementation. The paper concludes that NPM reforms place demands on government which are not only technically complex but require political leadership, major institutional reform and shifts in organizational culture: it was thus not surprising that none of the case-study countries had undertaken far-reaching NPM reforms in the health sector. Key lessons for capacity strengthening are drawn from the country experiences. Copyright © 1999 John Wiley & Sons, Ltd.

Suggested Citation

  • Steven Russell & Sara Bennett & Anne Mills, 1999. "Reforming the health sector: towards a healthy new public management," Journal of International Development, John Wiley & Sons, Ltd., vol. 11(5), pages 767-775.
    • Handle: RePEc:wly:jintdv:v:11:y:1999:i:5:p:767-775
    DOI: 10.1002/(SICI)1099-1328(199907/08)11:5<767::AID-JID617>3.0.CO;2-G
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    References listed on IDEAS

    as
    1. Andrew Cassels, 1995. "Health sector reform: Key issues in less developed countries," Journal of International Development, John Wiley & Sons, Ltd., vol. 7(3), pages 329-347, May.
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    Cited by:

    1. Healy, Judith & McKee, Martin, 2002. "Implementing hospital reform in central and eastern Europe," Health Policy, Elsevier, vol. 61(1), pages 1-19, July.
    2. Khaleghian, Peyvand & Gupta, Monica Das, 2005. "Public management and the essential public health functions," World Development, Elsevier, vol. 33(7), pages 1083-1099, July.
    3. Mauro, Sara Giovanna & Cinquini, Lino & Pianezzi, Daniela, 2021. "New Public Management between reality and illusion: Analysing the validity of performance-based budgeting," The British Accounting Review, Elsevier, vol. 53(6).
    4. John Rodwell, 2017. "New development: Bullying in a reforming context—a holistic, layered model of the interpersonal interaction," Public Money & Management, Taylor & Francis Journals, vol. 37(5), pages 357-362, July.

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