||Advancing tuberculosis control within reforming health
|| INT J TB & LUNG DIS 2000, 4, 597-605
In developing nations, diverse health reform programs
are affecting the design, financing and delivery of health care
services as well as public health practice. This paper summarizes
the characteristics of major reform strategies seeking to improve
efficiency, equity and quality. Opportunities and risks for TB control
are identified, as are responses in managing the reform transition.
Recommendations are provided to advance TB control in this dynamic
environment. These include participation in the planning process;
demonstration of synergy between reform objectives and TB control;
articulation of core functions to be protected; technical, managerial
and leadership capacity-building; documentation of effects and best
practices; and collaboration with those pursuing other public health
priorities and reform analysis.
|KEY WORDS: HEALTH REFORM, HEALTH SYSTEM; USA