Stewardship
A neglected function in most health systems, stewardship goes beyond the
conventional notion of regulation. It involves three key aspects: setting, implementing
and monitoring the rules of the game for the health system; assuring a level playing
field among all actors in the system (particularly purchasers, providers and patients);
and defining strategic directions for the health system as a whole. In order to deal with
these aspects, stewardship can be subdivided into six sub-functions: overall system
design, performance assessment, priority setting, intersectoral advocacy, regulation
and consumer protection (54)
StewardshipA neglected function in most health systems, stewardship goes beyond theconventional notion of regulation. It involves three key aspects: setting, implementingand monitoring the rules of the game for the health system; assuring a level playingfield among all actors in the system (particularly purchasers, providers and patients);and defining strategic directions for the health system as a whole. In order to deal withthese aspects, stewardship can be subdivided into six sub-functions: overall systemdesign, performance assessment, priority setting, intersectoral advocacy, regulationand consumer protection (54)
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