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Sanderson et al's realist review of strategic purchasing identifies insights from two strands of theory: the economics of organisation and inter-organisational relationships. Our findings from a programme of research conducted by the RESYST (Resilient and Responsive Health Systems) consortium in seven countries echo these results, and add to them the crucial area of organisational capacity to implement complex reforms. We identify key areas for policy development. These are the need for: (1) a policy design with clearly delineated responsibilities; (2) a task network of organisations to engage in the broad set of functions needed; (3) more effective means of engaging with populations; (4) a range of technical and management capacities; and (5) an awareness of the multiple agency relationships that are created by the broader financing environment and the provider incentives generated by multiple financing flows.

Original publication

DOI

10.15171/ijhpm.2019.34

Type

Journal

International journal of health policy and management

Publication Date

08/2019

Volume

8

Pages

501 - 504

Addresses

Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.

Keywords

Humans, Health Policy, Income, Delivery of Health Care, Healthcare Financing, Universal Health Insurance