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Organization and Governance: Stewardship and Governance in Health Systems

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Health Services Evaluation

Part of the book series: Health Services Research ((HEALTHSR))

Abstract

Governance, how decisions are made and implemented, is an important part of health care and health policy. It is also the subject of a large and often confusing literature. This chapter presents the results of a review of the governance literature for health. First, it notes that not all problems are of governance. Second, it introduces five domains of governance in which governance problems, challenges, and policies are located: Transparency, Accountability, Participation, Integrity and Capacity. Together they make the TAPIC framework and can be used to identify governance dimensions of policy problems. Third, better governance through the TAPIC model can also reduce the likelihood of other problems.

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Author information

Authors and Affiliations

  1. Department of Health Management and Policy, University of Michigan, Ann Arbor, MI, USA

    Scott L. Greer

Authors
  1. Scott L. Greer
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Corresponding author

Correspondence to Scott L. Greer .

Editor information

Editors and Affiliations

  1. Community Health and Epidemiology, Dalhousie University, Halifax, NS, Canada

    Adrian Levy

  2. ICON plc, Vancouver, BC, Canada

    Sarah Goring

  3. Department of Biostatistics, Brown University, Providence, RI, USA

    Constantine Gatsonis

  4. University of British Columbia, Vancouver, BC, Canada

    Boris Sobolev

  5. European Observatory on Health Systems and Policies, Department of Health Care Management, Berlin University of Technology, Berlin, Germany

    Ewout van Ginneken

  6. Department Health Care Management Faculty of Economics and Management, Technische Universität Berlin, Berlin, Germany

    Reinhard Busse

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Greer, S.L. (2019). Organization and Governance: Stewardship and Governance in Health Systems. In: Levy, A., Goring, S., Gatsonis, C., Sobolev, B., van Ginneken, E., Busse, R. (eds) Health Services Evaluation. Health Services Research. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-8715-3_22

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  • DOI: https://doi.org/10.1007/978-1-4939-8715-3_22

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-8714-6

  • Online ISBN: 978-1-4939-8715-3

  • eBook Packages: MedicineReference Module Medicine

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