This article intends to give a historical overview on health planning in Portugal, based on a literature review. It describes the emergen ce and evolution of health planning, planning agents, main issues, integration in strategic multisectorial planning and the most important theoretical guidelines. This review identifies the health planning process evolution, which evolved to a strategic planning health gains ...
The Spanish National Health System (SNHS) was legally defined in 1986. There are many well documented studies on how its basic traits (universality, accessibility, decentralization, integrated public health networks, public and private provision, financed by taxes, social premiums and copayments, etc.) have evolved since then. This paper explains how the SNHS facilities and functions are deeply decentralized an...
Health planning in Germany is largely determined by the corporatist and decentralised structure of the healthcare system. From the very beginning, the State has outsourced central decision-making and management functions to public, non-profit bodies representing purchasers and providers, i. e. compulsory social health insurance schemes and hospitals, outpatient care physicians and medical colleges. These organi...
This brief communication of the studies analyzed is done in three parts. First, a presentation of the Canadian context. Next, an analysis of strategic health planning at the federal level and then at the provincial level, highlighting the advantages and disadvantages of decentralization in the Province of Quebec. Based on these experiences, we conclude with the presentation of a conceptual framework to evaluate...
This paper addresses the existing procedures and instruments of healthcare planning in the context of the Brazilian Unified Health System – SUS. We discussed the competences of each State, the current legislation and regulations and the existing planning instruments and procedures: Healthcare Plan, Yearly Health Program, Management Report, Four Month Period Detailed Report, Integrated Regional Planning. Further...
The health status in the African Region has increased in the past 15 years, though still faced with many challenges and threats. To move forward, improvements in the health planning process are needed as part of the effort to strengthen health governance. The history of health planning is rich in effort, and shows evolution with the prevailing paradigm of health management at each point in time. As a result, wi...
Although it is recognized that strategic planning (SP), when evaluated according to predefined goals and objectives, has a low execution rate, it has value as a complex, participatory and mobilizing procedure in all quarters of society. Strategic health planning (SHP) has begun to emerge since the 1990s, strongly driven by the Global Strategy for Health for All by the Year 2000 (WHO, 1981) and more r...
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