Preface |
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xi | |
Acknowledgments |
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xiii | |
About the Editors |
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xv | |
About the Contributors |
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xix | |
Contributors |
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lv | |
Introduction |
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1 | (14) |
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1 | (1) |
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Some of Our Views on What the Future Holds for Healthcare |
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2 | (5) |
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How Sustainable Are Health Systems? |
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3 | (1) |
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4 | (1) |
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Technologically Based Solutions, Aides, Improvements, or Substitutes for the Way We Currently Do Things |
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5 | (1) |
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Shifts in Population Demands, Health, and Services |
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6 | (1) |
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Alternate Modes of Care, Including Home- and Community-Based Care |
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6 | (1) |
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The Participant Countries and Regions in Context |
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7 | (5) |
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12 | (3) |
Part I The Americas |
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1 Argentina: Achieving Universal Coverage |
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15 | (8) |
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16 | (1) |
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16 | (1) |
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17 | (1) |
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18 | (1) |
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Twenty-First-Century Health Initiatives |
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19 | (1) |
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Proposed Health System Reforms |
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20 | (1) |
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Achieving Universal Coverage |
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21 | (1) |
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21 | (2) |
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2 Brazil: Patient Safety: Distance-Learning Contribution |
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23 | (8) |
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Margareth Crisostomo Portela |
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24 | (1) |
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24 | (1) |
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25 | (1) |
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26 | (1) |
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Implementation and Transferability |
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27 | (1) |
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28 | (1) |
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29 | (2) |
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3 Canada: The Future of Health Systems: Personalization |
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31 | (6) |
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32 | (1) |
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32 | (1) |
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Key Drivers of the Future Personalized Health System |
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32 | (1) |
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Personalized Health System |
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33 | (1) |
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Democratization of Health Information |
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33 | (1) |
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Accountability to Citizens |
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34 | (1) |
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Personalized Approaches to Care |
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34 | (1) |
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Value-Based Resource Allocation |
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35 | (1) |
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Visibility via Tracking and Traceability |
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35 | (1) |
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36 | (1) |
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4 Chile: The Struggle for an Integrated Health Insurance System |
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37 | (8) |
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38 | (1) |
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38 | (1) |
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39 | (3) |
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42 | (1) |
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43 | (2) |
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5 Guyana: Paradigm Shift: From Institutional Care to Community-Based Mental Health Services |
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45 | (10) |
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Jorge J. Rodriguez Sanchez |
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46 | (1) |
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46 | (1) |
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Mental Health: Burden versus Response |
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46 | (1) |
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The Mental Health System in Guyana |
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47 | (1) |
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Response of the Health System |
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48 | (1) |
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Justification for Changing to a Community-Based Mental Health Model |
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49 | (1) |
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50 | (1) |
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The Reorganized MH System |
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51 | (2) |
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53 | (2) |
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6 Mexico: Leveraging Conditional Cash Transfers and Universal Health Coverage to Tackle Non-Communicable Diseases |
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55 | (6) |
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56 | (1) |
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56 | (1) |
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Impact of Universal Health Coverage and Conditional Cash Transfers on Health Outcomes |
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57 | (1) |
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Implementation and Transferability |
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58 | (1) |
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59 | (1) |
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59 | (2) |
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7 Trinidad and Tobago: Nurse Training: A Competency-Based Approach |
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61 | (8) |
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Claudine Richardson-Sheppard |
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Trinidadian and Tobagonian Data |
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62 | (1) |
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62 | (1) |
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63 | (1) |
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Deficiencies in Current Nurse Training |
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63 | (1) |
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64 | (2) |
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Validation of Competencies |
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66 | (1) |
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66 | (1) |
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Implementation and Transferability |
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67 | (1) |
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67 | (1) |
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68 | (1) |
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8 The United States of America: The U.S. Healthcare System: A Vision for the Future |
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69 | (6) |
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70 | (1) |
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70 | (1) |
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Health Status Measurement Will Be Essential |
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70 | (1) |
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Consumers Will Know When and How to Use the System |
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71 | (1) |
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Quality of Care Will Have a Central Role |
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71 | (1) |
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There Will Be Benefits from Updated Information About Appropriateness of Care |
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71 | (1) |
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Geography Will Not Affect the Amount or Quality of Care a Patient Receives |
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72 | (1) |
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Care for Physical and Mental Health Conditions Will Be Integrated |
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72 | (1) |
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Health System Leaders Will Understand and Address Social Determinants of Health |
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72 | (1) |
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73 | (2) |
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9 Venezuela: Learning from Failure and Leveraging Technology: Innovations for Better Care |
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75 | (8) |
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76 | (1) |
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76 | (1) |
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77 | (2) |
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79 | (1) |
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Implementation and Transferability |
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80 | (1) |
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80 | (1) |
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80 | (3) |
Part II Africa |
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10 Namibia: Lessons from Patient Involvement in HIV Care: A Paradigm for Patient Activation and Involvement across Health Systems |
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83 | (10) |
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84 | (1) |
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84 | (1) |
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Patient and Community Involvement |
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85 | (3) |
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88 | (1) |
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88 | (1) |
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89 | (1) |
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District and Facility Levels |
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89 | (1) |
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90 | (1) |
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90 | (3) |
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11 Nigeria: Doing More with Less: Lean Thinking in the Health System |
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93 | (10) |
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94 | (1) |
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94 | (1) |
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Current Efforts to Enhance Care |
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94 | (1) |
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95 | (1) |
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96 | (1) |
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96 | (4) |
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100 | (1) |
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100 | (3) |
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12 South Africa: Regulated Standards: Implementation and Compliance |
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103 | (10) |
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104 | (1) |
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104 | (1) |
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104 | (1) |
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Problems Experienced in the Development of the NCS and Subsequent Regulated Standards |
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105 | (1) |
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106 | (1) |
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Regulated Standards Compliance |
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107 | (1) |
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Regulated Standard Certification |
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107 | (1) |
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Implementation of Regulated Standards |
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108 | (1) |
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Limitations of External Evaluation |
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108 | (1) |
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108 | (1) |
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Complaints Management Unit |
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109 | (1) |
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109 | (1) |
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109 | (1) |
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Ongoing Development of the OHSC TT System |
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110 | (1) |
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111 | (2) |
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13 Infectious Diseases Prevention and Control |
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113 | (6) |
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114 | (1) |
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114 | (1) |
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115 | (1) |
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116 | (1) |
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Implementation and Transferability |
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117 | (1) |
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118 | (1) |
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118 | (1) |
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14 Africa: Equity for All: A Global Health Perspective for the Continent |
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119 | (12) |
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120 | (1) |
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120 | (1) |
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Demographic and Epidemiological Commonalities |
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120 | (1) |
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Supply-Side Constraints and Innovations |
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121 | (2) |
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Equity and Healthcare Financing |
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123 | (2) |
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Health System Strengthening and Resilience |
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125 | (6) |
Part III Europe |
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15 Austria: Primary Healthcare Centers: A Silver Bullet? |
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131 | (8) |
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132 | (1) |
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132 | (2) |
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134 | (1) |
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134 | (2) |
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Implementation and Transferability |
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136 | (1) |
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137 | (1) |
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137 | (2) |
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16 Denmark: Patient-Reported Outcomes: Putting the Patient First |
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139 | (8) |
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140 | (1) |
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140 | (1) |
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A Greater Focus on Patient-Centered Healthcare |
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140 | (1) |
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What Is a Patient-Reported Outcome? |
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141 | (2) |
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PROs in Danish Healthcare: How Far Are We? |
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143 | (1) |
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Perspective on PROs: Changing Healthcare in Denmark |
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144 | (1) |
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145 | (2) |
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17 England: Getting Personal? Personal Health Budgets |
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147 | (6) |
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148 | (1) |
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148 | (1) |
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149 | (1) |
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150 | (1) |
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Implementation and Transferability |
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151 | (1) |
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151 | (1) |
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152 | (1) |
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18 Estonia: e-Consultation Services: Cooperation between Family Doctors and Hospital Specialists |
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153 | (6) |
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154 | (1) |
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154 | (1) |
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155 | (2) |
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157 | (1) |
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Implementation and Transferability |
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157 | (1) |
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158 | (1) |
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158 | (1) |
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19 Finland: A Real-Life Experiment in Precision Medicine |
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159 | (8) |
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160 | (1) |
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160 | (1) |
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Precision Medicine in Finland |
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160 | (2) |
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Building the Precision Medicine Ecosystem |
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162 | (1) |
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Services in the Future Healthcare System |
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162 | (2) |
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Transferability and Prospects |
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164 | (1) |
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165 | (2) |
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20 France: Horizon 2030: Adopting a Global-Local Approach to Patient Safety |
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167 | (8) |
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Laetitia May-Michelangeli |
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Anne-Marie Armanteras-de-Saxce |
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168 | (1) |
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Challenge of the Global-Local |
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168 | (1) |
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169 | (1) |
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170 | (1) |
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Three Priorities for Improving Quality and Safety |
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171 | (1) |
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Engaging All Local Professionals in Mutual Cooperative Work |
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171 | (1) |
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Managing Quality and Safety Solutions in Context |
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171 | (1) |
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Indicators, Public Information, and Accessibility Are Key Processes for Guaranteeing Medical Quality in the Territories |
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172 | (1) |
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An Attitudinal Transformation |
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173 | (1) |
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Conclusion: A Long Way to Go |
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173 | (2) |
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21 Germany: Health Services Research and Future Planning in Pediatric Care |
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175 | (8) |
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176 | (1) |
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The Pediatric Care System in Germany |
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176 | (1) |
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Challenges in Pediatric Healthcare Delivery in Rural Regions |
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177 | (1) |
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Innovative Healthcare Concepts in Pediatric Care |
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178 | (1) |
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The Mecklenburg-Western Pomerania Innovative Care Projects |
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178 | (1) |
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Integration of Hospitals in Acute Outpatient Pediatric Care |
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178 | (1) |
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The Efficacy of Telemedical Triage |
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179 | (1) |
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Division of Tasks and Cooperation between GPs, Pediatricians, and other Specialties |
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180 | (1) |
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Delegation of Medical Tasks to Non-Physician Professionals |
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180 | (1) |
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181 | (2) |
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22 Greenland: Everyday Life with Chronic Illness: Developing a Democratic and Culture-Sensitive Healthcare Practice |
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183 | (8) |
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184 | (1) |
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184 | (1) |
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Chronic Illness in Everyday Life |
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185 | (1) |
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186 | (1) |
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Developing a Framework for Professional Practice Reflection |
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187 | (1) |
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188 | (1) |
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189 | (2) |
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23 Italy: The Introduction of New Medical Devices in an Era of Economic Constraints |
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191 | (8) |
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192 | (1) |
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192 | (1) |
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193 | (1) |
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194 | (2) |
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Implementation and Transferability |
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196 | (1) |
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196 | (1) |
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197 | (2) |
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24 Malta: The National Cancer Plan: Strengthening the System |
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199 | (6) |
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200 | (1) |
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Strengthening Malta's Health System Response to Deal with Cancer |
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200 | (1) |
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200 | (2) |
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202 | (1) |
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203 | (1) |
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203 | (1) |
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204 | (1) |
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25 The Netherlands: Reform of Long-Term Care |
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205 | (8) |
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206 | (1) |
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206 | (1) |
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207 | (1) |
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Current Systems Improvement Initiatives |
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208 | (1) |
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Toward Population Health Management |
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209 | (1) |
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210 | (1) |
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211 | (2) |
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26 Northern Ireland: Developing a Framework to Support Building Improvement Capacity across a System |
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213 | (8) |
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214 | (1) |
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214 | (2) |
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216 | (2) |
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218 | (1) |
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Implementation and Transferability |
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219 | (1) |
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219 | (1) |
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220 | (1) |
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27 Norway: Bridging the Gap: Opportunities for Hospital Clinical Ethics Committees in National Priority Setting |
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221 | (6) |
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222 | (1) |
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222 | (1) |
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223 | (1) |
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224 | (1) |
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Implementation and Transferability |
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225 | (1) |
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225 | (1) |
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226 | (1) |
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28 Portugal: Prevention of Antimicrobial Resistance through Antimicrobial Stewardship: A Nationwide Approach |
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227 | (8) |
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228 | (1) |
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228 | (1) |
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Prevention of Antimicrobial Resistance |
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229 | (1) |
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229 | (1) |
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National Publicity Campaign |
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230 | (1) |
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National Antimicrobial Stewardship Program |
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231 | (1) |
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231 | (2) |
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233 | (2) |
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29 Russia: The Future of Physicians' Specialization |
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235 | (6) |
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236 | (1) |
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236 | (1) |
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237 | (2) |
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239 | (1) |
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239 | (1) |
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240 | (1) |
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30 Scotland: Deliberative Engagement: Giving Citizen Involvement Meaning and Impact |
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241 | (8) |
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242 | (1) |
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242 | (1) |
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243 | (2) |
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245 | (1) |
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Implementation and Transferability |
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246 | (1) |
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246 | (1) |
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247 | (2) |
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31 Spain: How Can Patient Involvement and a Person-Centered Approach Improve Quality in Healthcare? The Patients' University and Other Lessons from Spain |
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249 | (6) |
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Laura Fernandez-Maldonado |
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Lilisbeth Perestelo-Perez |
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250 | (1) |
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250 | (1) |
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The Patients' University Project |
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251 | (1) |
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The Spanish Patients' Views |
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252 | (1) |
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Addressing the Health Literacy Needs of Patients |
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252 | (1) |
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Chronic Disease, Patient Education, and Self-Management |
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253 | (1) |
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The Patients' University as a Trend |
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253 | (1) |
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254 | (1) |
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32 Sweden: The Learning Health System |
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255 | (6) |
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256 | (1) |
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256 | (1) |
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The Learning Health System Concept |
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257 | (1) |
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257 | (1) |
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257 | (1) |
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Service Delivery Managers |
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257 | (1) |
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Strategic Planning and Population Health Management |
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257 | (1) |
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258 | (1) |
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258 | (1) |
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259 | (2) |
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33 Switzerland: Teamwork and Simulation |
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261 | (8) |
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262 | (1) |
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Quality Improvement in Swiss Health and Healthcare |
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262 | (1) |
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Team Training and Simulation |
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263 | (1) |
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264 | (1) |
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Spreading Team Training and Simulation in Switzerland |
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265 | (1) |
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266 | (1) |
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266 | (3) |
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34 Turkey: Moving Quality in Healthcare Beyond Hospitals: The Turkish Accreditation Model |
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269 | (6) |
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270 | (1) |
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270 | (1) |
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271 | (1) |
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272 | (1) |
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Implementation and Transferability |
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273 | (1) |
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273 | (1) |
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273 | (2) |
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35 Wales: Realizing a Data-Driven Healthcare Improvement Agenda: A Manifesto for World-Class Patient Safety |
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275 | (6) |
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276 | (1) |
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276 | (1) |
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Safe High-Quality Primary Care in an Era of Universal Coverage |
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276 | (1) |
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Fundamental Importance of a Culture of Learning |
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277 | (2) |
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279 | (1) |
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280 | (1) |
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36 Central and Eastern Europe: Strengthening Community-Based Family Care and Improving Health Equities |
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281 | (6) |
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Central and Eastern European Data |
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282 | (1) |
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282 | (1) |
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283 | (1) |
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Natural Health Policy Laboratory |
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283 | (1) |
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284 | (1) |
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Implementation and Transferability |
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285 | (1) |
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285 | (1) |
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286 | (1) |
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37 Central Asia: From Russia with Love: Health Reform in the Stans of Central Asia |
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287 | (10) |
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288 | (1) |
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288 | (1) |
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Post-Soviet Health System Reforms |
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289 | (1) |
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Challenges and Achievements |
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290 | (1) |
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291 | (1) |
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292 | (5) |
Part IV Eastern Mediterranean |
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38 Iran: Hospital Accreditation: Future Directions |
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297 | (8) |
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298 | (1) |
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298 | (1) |
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Hospital Accreditation in Iran |
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298 | (2) |
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300 | (3) |
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303 | (2) |
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39 Jordan: Improving Quality of Care by Developing a National Human Resources for Health Strategy |
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305 | (6) |
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306 | (1) |
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306 | (3) |
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Sustaining Healthcare Quality with a National HRH Strategy |
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309 | (1) |
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310 | (1) |
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310 | (1) |
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310 | (1) |
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40 Lebanon: m-Health for Healthcare Delivery Reform: Prospects for Lebanese and Refugee Communities |
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311 | (8) |
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312 | (1) |
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312 | (1) |
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313 | (1) |
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m-Health: Accessibility, Delivery, and Management of Healthcare Services |
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314 | (1) |
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Success Factors for m-Health Implementation |
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315 | (1) |
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316 | (1) |
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317 | (2) |
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41 Oman: Paradigm Change: Healthy Villages to Meet Tomorrow's Health Needs |
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319 | (8) |
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320 | (1) |
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320 | (1) |
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Precursor of Healthy Villages |
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320 | (2) |
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322 | (2) |
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324 | (1) |
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325 | (2) |
|
42 Pakistan: The Way Forward |
|
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327 | (6) |
|
|
|
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328 | (1) |
|
Health System Infinitives and Constraints |
|
|
328 | (1) |
|
Education and Training in Healthcare |
|
|
328 | (2) |
|
Research and Technology in Healthcare |
|
|
330 | (1) |
|
|
331 | (2) |
|
43 Qatar: Hospice Palliative Care |
|
|
333 | (8) |
|
|
|
|
|
334 | (1) |
|
|
334 | (1) |
|
Hospice Care as a Model of Patient Care |
|
|
335 | (1) |
|
Deficiencies in Existing Services |
|
|
335 | (1) |
|
|
335 | (1) |
|
|
336 | (1) |
|
|
336 | (1) |
|
Family and Informal Caregivers |
|
|
337 | (1) |
|
|
337 | (1) |
|
|
337 | (1) |
|
|
338 | (1) |
|
|
338 | (1) |
|
Economic Benefits versus Risks |
|
|
338 | (1) |
|
|
339 | (1) |
|
|
339 | (2) |
|
44 The United Arab Emirates: Improving Healthcare through a National Unified Medical Record |
|
|
341 | (8) |
|
|
|
342 | (1) |
|
|
342 | (1) |
|
The National Unified Medical Record |
|
|
343 | (2) |
|
|
345 | (1) |
|
Implementation and Transferability |
|
|
345 | (1) |
|
|
346 | (1) |
|
|
347 | (2) |
|
45 Yemen: Integrating Public Health and Primary Care: A Strategy for the Health System of the Future |
|
|
349 | (6) |
|
|
|
350 | (1) |
|
|
350 | (1) |
|
Integrated Healthcare Services: Rationale and Justification |
|
|
351 | (1) |
|
Public Health and Primary Care: Concepts, Interlinks, and Joint Functions |
|
|
351 | (2) |
|
Implementation Considerations |
|
|
353 | (1) |
|
|
354 | (1) |
|
|
354 | (1) |
|
46 Middle East and North Africa (MENA): Health Systems in Transition |
|
|
355 | (12) |
|
|
|
|
|
Middle East and North Africa (MENA) Data |
|
|
356 | (1) |
|
|
356 | (1) |
|
|
357 | (1) |
|
|
358 | (2) |
|
Organizational and Reform Success |
|
|
360 | (1) |
|
|
360 | (1) |
|
|
361 | (6) |
Part V South-East Asia and the Western Pacific |
|
|
|
|
47 Australia: The Silver Tsunami: The Impact of the Aging Population on Healthcare |
|
|
367 | (6) |
|
|
|
|
|
|
368 | (1) |
|
|
368 | (1) |
|
|
369 | (1) |
|
|
370 | (1) |
|
Implementation and Transferability |
|
|
371 | (1) |
|
|
371 | (1) |
|
|
372 | (1) |
|
48 China: Integrated Stratified Healthcare System |
|
|
373 | (8) |
|
|
|
374 | (1) |
|
|
374 | (1) |
|
|
375 | (2) |
|
Vertically Integrated Regional Medical Alliances |
|
|
377 | (1) |
|
The Shanghai-Minhang Model |
|
|
377 | (1) |
|
Health Insurance Leveraging |
|
|
377 | (1) |
|
|
378 | (1) |
|
|
378 | (1) |
|
|
379 | (2) |
|
49 Hong Kong: Integrated Health Services: A Person-Centered Approach |
|
|
381 | (8) |
|
|
|
|
|
|
382 | (1) |
|
|
382 | (1) |
|
People-Centered Care in Hong Kong |
|
|
383 | (1) |
|
|
384 | (2) |
|
Future Directions of Integrated People-Centered Care |
|
|
386 | (1) |
|
|
387 | (2) |
|
50 India: How to Build a First-World Health System on a Third-World Budget |
|
|
389 | (8) |
|
|
|
390 | (1) |
|
|
390 | (1) |
|
|
391 | (2) |
|
|
393 | (1) |
|
Implementation and Transferability |
|
|
394 | (1) |
|
|
394 | (1) |
|
|
395 | (2) |
|
51 Japan: Toward a Community-Friendly Dementia Strategy |
|
|
397 | (8) |
|
|
|
398 | (1) |
|
|
398 | (1) |
|
|
399 | (3) |
|
Developing Infrastructure |
|
|
402 | (1) |
|
|
402 | (1) |
|
|
403 | (1) |
|
|
404 | (1) |
|
52 Malaysia: The Future Malaysian Antenatal Care System: Building upon the Old |
|
|
405 | (8) |
|
|
|
|
406 | (1) |
|
|
406 | (1) |
|
|
407 | (1) |
|
|
408 | (2) |
|
Projected Strengths of the New System |
|
|
410 | (1) |
|
|
410 | (1) |
|
|
410 | (1) |
|
Availability of Skilled Care |
|
|
410 | (1) |
|
|
410 | (1) |
|
|
411 | (1) |
|
Setting an Agenda That Suits Our Needs |
|
|
411 | (1) |
|
|
411 | (1) |
|
|
411 | (2) |
|
53 Mongolia: Health System Financing |
|
|
413 | (8) |
|
|
|
|
414 | (1) |
|
|
414 | (2) |
|
|
416 | (4) |
|
|
420 | (1) |
|
54 New Zealand: Strengthening Primary Healthcare |
|
|
421 | (6) |
|
|
|
422 | (1) |
|
|
422 | (1) |
|
Strengthening Primary Healthcare |
|
|
423 | (1) |
|
Features Supporting the Likelihood of Success |
|
|
424 | (1) |
|
Healthcare System Stability |
|
|
424 | (1) |
|
|
424 | (1) |
|
|
424 | (1) |
|
|
425 | (1) |
|
|
426 | (1) |
|
55 Papua New Guinea: Strengthening the Collection, Analysis, and Use of Health Data through eHealth Solutions |
|
|
427 | (6) |
|
Paulinus Lingani Ncube Sikosana |
|
|
|
428 | (1) |
|
|
428 | (1) |
|
|
429 | (1) |
|
|
430 | (1) |
|
Implementation and Transferability |
|
|
431 | (1) |
|
|
432 | (1) |
|
|
432 | (1) |
|
56 Taiwan: "My Data, My Decision": Taiwan's Health Improvement Journey from Big Data to Open Data |
|
|
433 | (10) |
|
|
|
|
|
|
434 | (1) |
|
|
434 | (1) |
|
|
434 | (1) |
|
Taiwan NHI Information Now Accessible: Open Data |
|
|
435 | (1) |
|
|
436 | (6) |
|
|
442 | (1) |
|
57 South-East Asia: Taming Communicable Diseases |
|
|
443 | (16) |
|
|
|
|
|
|
444 | (1) |
|
|
444 | (1) |
|
|
445 | (1) |
|
|
446 | (1) |
|
|
447 | (1) |
|
Implementation and Transferability |
|
|
448 | (1) |
|
|
449 | (1) |
|
|
449 | (2) |
Discussion and Conclusion |
|
451 | (16) |
|
|
|
|
|
|
|
|
|
|
Background of Initiatives and Enhancement Projects In-Country |
|
|
459 | (1) |
|
Building on Previous Successes and Their Challenges |
|
|
460 | (2) |
|
Impact of Enhancement Projects |
|
|
462 | (1) |
|
Transferability or Implementation of Enhancement Projects |
|
|
463 | (1) |
|
Next Steps for Prospective Strategies |
|
|
464 | (1) |
|
|
465 | (2) |
References |
|
467 | (50) |
Index |
|
517 | |