Scalability – not generalizability – of findings is what distinguishes truly valuable health systems research

A lesson for policymakers searching for a one-size fits all solution…

Strengthening Health Systems

It may be stating the obvious to say it, but health systems are context-specific. Every country’s system is a hotch-potch of features. Some created by deliberate decisions; some stop gap-turned-permanent solutions; and many organic arrangements that have grown to fill gaps, with interesting arrays of unintended effects.

These systems usually have similar goals – to deliver effective, impactful health care equitably and accessibly – but the ways those goals are achieved are necessarily idiosyncratic. More often than not, it is the approach to implementation that determines eventual outcomes, rather than the intervention itself.

For these reasons, research that focuses on finding the “right” way to organise a health system by comparing settings is intellectually interesting but not necessarily directly useful for policy or programme design. There are many lessons that can be learnt by looking at the experiences of countries with common features, but aiming for generalizable conclusions often means…

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About Michele Battle-Fisher

This is an archive of the Orgcomplexity Blog. Please follow me at the following sites: mbattlefisher.wix.com/orgcomplexity Michele Battle-Fisher (Facebook author page) www.linkedin.com/in/mbattlefisher mbattlefisher (Twitter) michele.battle.fisher (Skype) Author Website http://amazon.com/author/michelebattlefisher

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