NDLI: Stewardship of the Spanish national health system.

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Stewardship of the Spanish national health system.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Bankauskaite, Vaida Novinskey, Christina M.
Spatial Coverage	Spain
Description	Country affiliation: Spain Author Affiliation: Bankauskaite V ( Departamento de Inteligencia Artificial, Facultad de Informática, Universidad Politécnica de Madrid, Boadilla del Monte, Madrid, Spain. vbankauskaite@hotmail.com)
Abstract	Along with resource generation, financing, and health service delivery, stewardship is a key health system function. However, very little empirical analysis has been carried out on it. This paper aims to fill this gap in the literature by assessing the Ministry of Health's (MoHs) role as a steward of the Spanish National Health System (NHS) after the 2001 decentralization reform of health care management to the Autonomous Communities. We use the following stewardship framework with six sub-functions for the analysis, looking at the MoH's ability to: (1) formulate strategic policy framework; 2) ensure a fit between policy objectives and organizational structure and culture; (3) ensure tools for implementation; (4) build coalitions and partnerships; (5) generate intelligence, and (6) ensure accountability. We describe the stewardship function, identify existing challenges and issues in the Spanish case, and reflect upon methodological aspects of this exercise. We use reports, documents, articles, and official statistics to complete the analysis. Overall, we find the MoH to give an average performance in its role as the steward of the health system. The MoH has progressed particularly well in generating intelligence as well as formulating a strategic policy framework over recent years. However, it lacks the appropriate authority to efficiently coordinate the health system and to ensure that the Autonomous Communities implement policies that are in-line with overall NHS objectives.
File Format	HTM / HTML
ISSN	07496753
Issue Number	4
Volume Number	25
e-ISSN	10991751
Journal	The International Journal of Health Planning and Management
Language	English
Publisher	Wiley
Publisher Date	2010-10-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Health Services Research National Health Programs Organization & Administration Cooperative Behavior Health Care Reform Health Policy Health Services Accessibility Humans Organizational Culture Organizational Objectives Politics Quality Of Health Care Spain Journal Article
Content Type	Text
Resource Type	Article
Subject	Health Policy

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