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 If the events of the past year have proved anything, it is that the world is becoming a much smaller place. Unfortunately, advances in health care do not always spread rapidly. Too often, innovations that improve care access and quality while holding down costs remain local phenomena. Yet payors, providers, and health systems around the world face similar problems and could benefit from one another's experiences.
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Explore previous
issues of Health International.
| A hospital-wide strategy for fixing ED overcrowding |  | Brandon Carrus, Stephen Corbett, and Deepak Khandelwal
A sustained reduction of ED wait times requires not only an end-to-end transformation of multiple hospital processes but also a change in hospital culture, stronger staff skills, better performance management, and visible leadership. |
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| When clinicians lead | | James Mountford and Caroline Webb
An interview with Hal Wolf This article describes how Kaiser Health care systems that are serious about transforming themselves must harness the energies of their clinicians as organizational leaders. |
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| Developing a regional health system strategy | | Penny Dash, Chris Llewellyn, Ben Richardson
This article outlines how regional approaches to strategy development can enable health systems around the world to make significant improvements in health care delivery. A number of options are considered including analysing geopolitical boundaries, optimal population base, and natural patient flows. Five questions to address: Why is change necessary? How will the needs of the population evolve? What pathways will meet patients' future needs? What delivery models are needed to support optimal care? Are proposed changes affordable and feasible? |
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| How Germany is reining in health care costs: An interview with Franz Knieps | | Matthias Wernicke
A senior executive in the German Ministry of Health describes approaches the country is using to control health care costs. |
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| Transforming the operating platform: An overlooked opportunity for health system improvement | | Eric David, Kurt Grote, Anna Sherwood, Nita Sommers, and Saumya Sutaria
An operating-platform transformation can enable a health system to improve care quality and accessibility and, often, lower costs—but two key elements are necessary to ensure success. |
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| Managing the clinical workforce | | Nina Bhatia, David Meredith, and Farhad Riahi
Most health systems lack a rigorous approach for matching clinician supply to the demand for various health services. As a result, patient care and clinician morale suffer—and costs cannot be controlled effectively.
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| Engaging consumers to manage health care demand | | Sundiatu Dixon-Fyle and Thomas Kowallik
Payors can help improve consumers’ health and reduce costs by providing information, choices, and incentives that encourage healthier lifestyles and value-conscious consumption of health care. |
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| What does it take to make integrated care work? | | Jenny Grant
Around the world, only a few health care providers deliver integrated care effectively. Their experiences offer useful lessons for organizations that want to pilot integrated-care programs. |
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| A practical approach to health system strengthening in sub-Saharan Africa | | Lowell Bryan, Michael Conway, Tineke Keesmaat, Sorcha McKenna, and Ben Richardson
System-wide barriers are impeding health care delivery in sub-Saharan Africa. A comprehensive approach that strengthens key elements of a country’s health system is required to save lives. |
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