Journal article

The link between UHC reforms and health system governance: lessons from Asia

Krishna Hort, Rohan Jayasuriya, Prarthna Dayal

Journal of Health Organization and Management | EMERALD GROUP PUBLISHING LTD | Published : 2017


Purpose The purpose of this paper is to examine how and to what extent the design and implementation of universal health coverage (UHC) reforms have been influenced by the governance arrangements of health systems in low- and middle-income countries (LMIC); and how governments in these countries have or have not responded to the challenges of governance for UHC. Design/methodology/approach Comparative case study analysis of three Asian countries with substantial experience of UHC reforms (Thailand, Vietnam and China) was undertaken using data from published studies and grey literature. Studies included were those which described the modifications and adaptations that occurred during design a..

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Funding Acknowledgements

The authors would like to acknowledge Associate Professor Bui Thi Thu Ha of the Hanoi University of Public Health, who provided material for case study on Vietnamand contributed to earlier drafts; and Associate Professor Helen Dickinson and Professor Jon Pierre, whose paper on governance in high-income country contexts provided the initial ideas for this paper. Initial work on developing a conceptual framework and literature review was funded by a grant from the Melbourne School of Government at the University of Melbourne. The funders played no part in the conduct of the study or the preparation of this paper.