Health systems have long been considered key determinants of well-being within modern societies, a valuable resource which have faced a series of reform initiatives throughout the past decades. These reforms have been used to manage the cost of development, measure the tenability of health systems in globalizing economies and promote the increasing importance of health problems related to lifestyle and living conditions, yet they have failed to provide a true resolution to the persistent economical and logistical problems facing modern-day health systems.
This rich, interdisciplinary work explores the hypothesis that many of these problems cannot be adequately addressed without structural changes to our health systems, and examines the embedded features of our health systems that underlie contemporary challenges as well as how, and under what conditions, our health systems can be made more sustainable. Combining and building upon theoretical approaches from transition and innovation studies for analysing health system deficits, Toward Sustainable Transitions in Healthcare Systems raises fundamental questions about how new research, new needs and exogenous trends are transforming current health innovation systems.
Providing an original and substantial analysis of the complex structural features of the health innovation system, this book will be of interest to students and practitioners of the politics of health, social epidemiology, medical sociology and those with an interest in transition theory.
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About the Author
Jacqueline E. W. Broerse is Professor of Innovation and Communication in the Health and Life Sciences, and Director of the Athena Institute at Vrije Universiteit Amsterdam.
John Grin is Professor of Policy Science, with a focus on System Innovation, at the Department of Political Science at the University of Amsterdam.
Table of Contents
Chapter 1. Introduction
John Grin and Jacqueline E.W. Broerse
Part I Historical Studies on Health System Changes
Chapter 2. Historical Studies on Health System Changes
Chapter 3 .Key Features of Modern Health Systems; Nature and Historical Evolution
Roel van Raak and Fjalar J. de Haan
Part II Innovative Practices at the Niche Level
Chapter 4. Unraveling Persistent Problems through Analyzing Innovative Practices in Healthcare Tjerk Jan Schuitmaker and Erica ter Haar
Chapter 5. System Innovation: Workplace Health Development
Lenneke Vaandrager, Ingrid Bakker, Maria Koelen, Paul Baart and Tamara Raaijmakers
Chapter 6. Towards a Sustainable Welfare and Health System in Spain. Experiences with the Case Management Program
Jordi Garcés and Francisco Ródenas
Chapter 7. The Making of a Transition Program in the Dutch Care Sector
Suzanne van den Bosch and Jord Neuteboom
Chapter 8. Trying to Transform Structure, Culture and Practice: Comparing Two Innovation Projects of the Transition Program in Long-Term Care
Erica ter Haar-van Twillert and Suzanne van den Bosch
Chapter 9. Contextualizing Evidence in Canadian Healthcare The EXTRA Program
David Clements and Dirk Essink
Chapter 10. Towards a Needs-Oriented Health Research System Involving Patients in Health Research
Janneke E. Elberse, Willem I. de Boer and Jacqueline E.W. Broerse
Part III Reflections
Chapter 11. The future of health systems: beyond the persistence of contemporary challenges
Jacqueline Broerse and John Grin