Abstract

BJORKMAN, James Warner. Health sector reforms in comparative perspective: an unending quest ... or chasing a chimera. Ciênc. saúde coletiva [online]. 2009, vol.14, n.3, pp. 763-770. ISSN 1413-8123.  http://dx.doi.org/10.1590/S1413-81232009000300012.

Given the problematic nature of attempts to reform national delivery systems for health care, the paper reviews the context and logic of reforms in the health sector. After a background on approaches to building capacity within three generations of public sector reforms, it examines the reforms applied to financing, organizing and delivering health services and suggests strategies for reform that take capacity into account.

Keywords : Reform; Health care; Public sector; National systems; Strategies.