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Reforming the health sector: towards a healthy new public management
Author(s) -
Russell Steven,
Bennett Sara,
Mills Anne
Publication year - 1999
Publication title -
journal of international development
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.533
H-Index - 66
eISSN - 1099-1328
pISSN - 0954-1748
DOI - 10.1002/(sici)1099-1328(199907/08)11:5<767::aid-jid617>3.0.co;2-g
Subject(s) - public sector , health sector , new public management , government (linguistics) , politics , public administration , key (lock) , political science , public policy , public health , economic growth , economics , sociology , health services , medicine , ecology , population , linguistics , philosophy , demography , nursing , law , biology
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.