Reorienting Health Services

1. Front Matter

   Pages i-xi

   PDF

2. Special addresses

   1. Opening Address of the NATO ARI-HSS Conference

      • M. H. M. F. Gardeniers-Berendsen

      Pages 1-4

   2. Address from the Systems Science Panel

      • P. B. Checkland

      Pages 5-5

   3. Health Services Systems in the Western World

      • Albert van der Werff

      Pages 7-14

3. Re-orienting Health Services-Application of a Systems Approach

   1. A Systems View of Health Services and their Reorientation: Summary of the Conference Proceedings and Background Papers

      • G. B. Hirsch

      Pages 15-46

   2. Analysis of Health Services Systems — A General Approach

      • Milton I. Roemer

      Pages 47-59

   3. “A Systems Approach” and “Health Service Systems”: Time to Re-Think?

      • Peter B. Checkland

      Pages 61-66

4. Tools for doing it

   1. Front Matter

      Pages 67-68

      PDF

   2. Some Aspects of Alternative Approaches to Planning

      • A. W. M. Meijer

      Pages 69-89

   3. Manpower Planning and Health Services Systems

      • Gunnar Wennström

      Pages 91-98

   4. Financing and Health Services Systems

      • L. Delesie

      Pages 99-114

   5. Cost-Effectiveness and Health Services Systems — A Systems Approach to the Assessment of Health Care

      • Charles O. Pannenborg

      Pages 115-135

   6. Health Services Systems and Information Services

      • A. S. Härö

      Pages 137-151

   7. Research and Development and the Health Systems Approach

      • Detlef Affeld

      Pages 153-163

5. National Experiences

   1. Front Matter

      Pages 165-165

      PDF

   2. The French Health Services System

      • J. F. Lacronique

      Pages 167-177

   3. The Dutch Health Services System: Problems and Measures of Interdependencies and Control

      • A. C. J. de Leeuw, I. M. Mur-Veeman

      Pages 179-201

   4. The Italian Health Services System

      • A. Bariletti

      Pages 203-218

   5. Health Services in the United States: Groping Toward a “System”?

      • Anne R. Somers

      Pages 219-247

   6. The Health Services Systems in Belgium

      • Jan E. Blanpain

      Pages 249-254

The Advanced Research Institute on "Health Services Systems" was held under the auspices of the NATO Special Programme Panel on Systems Science as a part of the NATO Science Committee's continuous effort to promote the advancement of science through international cooperation. A special word is said in this respect supra by Pro­ fessor Checkland, Chairman of the Systems Science Panel. The Advanced Research Institute (ARI) was organized for the purpose of bringing together senior scientists to seek a consensus on the assessment of the present state of knowledge on the specific topic of "health services systems" and to present views and recom­ mendations for future health services research directions, which should be of value to both the scientific community and the people in charge of reorienting health services. The conference was structured so as to permit the assembly of a variety of complementary viewpoints through intensive group discussions to be the basis of this final report. Invitees were selected from allover Europe and North America, including observers from the major international organizations involved in health ser­ vices research, to provide the experience and expertise necessary to make the issue of "health services systems" val id and significant.

• development
• information
• paper
• structure
• system

• Department of Public Health and Environmental Hygiene, Leidschendam, The Netherlands

  Charles O. Pannenborg, Albert Werff

• Health Management Consultants, Wayland, USA

  Gary B. Hirsch

• Nuffield Centre for Health Services Studies, The University of Leeds, Leeds, UK

  Keith Barnard

Policies and ethics