01959    a2200253   4500001001100000005001700011008003900028020001800067037003600085040000700121041000800128072001500136072001300151072002100164072002100185072002000206100002300226245005800249250000600307260003200313300001000345520133500355999001501690141281500220250317100417.0250312042012GB                   eng    a9781412815000  bTaylor & FranciscGBP 41.99fBB  a01  aeng7 aJHB2thema7 aJHB2bic7 aMED0020002bisac7 aSOC0260002bisac7 a362.10682bisac1 aEric de Roodenbeke10aStrategic Contracting for Health Systems and Services  a1  aOxfordbRoutledgec20120115  a560 p  bUntil the start of the new century, efforts to strengthen health systems focused solely on the public sector and health programs overseen by public bodies. The private sector was sidelined in certain countries and even banned in others. At the same time, some private-sector stakeholders readily adapted themselves to this special situation so as to avoid becoming part of a structured health system. This volume notes profound changes in health care around the world in two areas. The stakeholders involved in the health sector are increasing in number and diversifying as a result of the development of the private sector. They are also responding to a process of democratization and decentralization. These developments have been paralleled by greater functional differentiation. Various stakeholders are increasingly specializing in particular areas of the health system: service delivery, procurement, management, financing, and regulation. The interdependence of health stakeholders becomes more evident along with the increased complexity of delivery systems as these respond to changing demand. There is a compelling need to forge relationships. Such relationships are in fact emerging in developed countries and, more recently, in developing countries. They may be informal, but are increasingly organized and structured.  c3016d3016