Topic

Organisation and governance

The structure and steering of health systems, described through frameworks such as Health System Building Blocks and arrangements such as the Alliance Model. It includes settings of care, from Ambulatory Care to Urgent Care, and the rules that govern provider conduct, such as the Anti-Kickback Statute and a Compliance Programme.

Concepts in this topic

• Academic DetailingAcademic detailing is educational outreach in which trained clinicians visit prescribers to give independent, evidence-based advice about medicines.
• Administrative FeasibilityAdministrative feasibility is whether the agencies that would run a health policy have the staff, systems and mandate to deliver it as designed.
• Advance Care PlanningAdvance care planning (ACP) is a process in which people discuss and record their goals and preferences for future medical care with family and clinicians.
• Alert FatigueAlert fatigue is clinicians' falling response when too many low-value computerised alerts consume time and attention, so important ones are overridden too.
• Alliance ModelAn alliance model is a health care arrangement in which independent providers and commissioners share goals, decisions, risk and reward without merging.
• Alma-Ata DeclarationThe Alma-Ata Declaration is the 1978 WHO and UNICEF conference statement that defined primary health care and made it the key to Health for All by 2000.
• Ambulatory CareAmbulatory care is health care without an overnight hospital stay, such as GP, outpatient and day-case care, counted apart from inpatient care spending.
• AnonymizationAnonymization is processing personal health data so no one is identifiable by means reasonably likely to be used, taking it outside data protection law.
• Anti-Kickback StatuteThe Anti-Kickback Statute (AKS) is a US criminal law banning paying or receiving anything of value for referrals of care paid by federal health programmes.
• AssentAssent is a child's affirmative agreement to join research, such as a paediatric trial supplying HTA evidence, given alongside parental permission.
• Clinical AlertA computerised notification within a health information system warning a clinician of a potential safety concern at the point of care.
• Compliance ProgrammeAn organisation-wide system of oversight, controls, reporting and corrective action intended to meet applicable healthcare duties and detect and address breaches.
• Economic PolicyA set of governmental choices affecting resource allocation, incentives, financing and economic activity.
• Health PolicyGovernment or organisational decisions, plans, and actions intended to achieve specific health-related objectives, covering financing, regulation, and programming.
• Health System Building BlocksThe WHO framework that organizes health-system functions into six interacting domains: leadership and governance, financing, workforce, medical products and technologies, information systems, and service delivery.
• Health System OrganizationThe arrangement of authority, financing and purchasing institutions, care providers, and patient pathways within a health system, including how those actors coordinate and are held accountable.
• Informed Consent for ResearchA voluntary, informed and ongoing agreement to participate in specified research after an understandable explanation and opportunity to decide freely.
• International ComparisonAn analysis examining how health outcomes, costs, or policies differ across multiple countries, identifying best practices and system design effects.
• Urgent CareUrgent care is same-day treatment for illness or injury that needs prompt attention but is not an emergency, often given outside an emergency department.