Exact(13)
The health manager, either at the macro(health) level, or managing a clinic, needs to focus on real possibilities of achievements with current and appropriate methods.
These inducements appear with remarkable consistency at the "micro" level of organizations in our three nations, notwithstanding the marked differences in their "macro" health systemic contexts.
These micro level battles seemed to be influenced by overall macro health system structures and rigid policies.
Decisions made in response to large-scale, or macro, health phenomena, such as pandemics, have the potential to avoid significant harm.
Comparative studies that do exist have typically focused on macro health indicators, not allowing for a broader investigation of the possible range of implications for patient/population health, providers, and health systems.
While these tensions were evident across the micro, meso and macro levels, these findings suggest that the structural and policy-related barriers within the macro health system are major obstacles in the care pathway (see Figure 3).
Similar(47)
It demonstrates that there are close similarities between the two countries in several key macro economic health indicators, e.g. health expenditure as a percentage of GDP and per capita, the number of practising medical staff (nurses and doctors), and the number discharged from hospital.
Macro level health spending has significant beneficial effects on health outcomes [1 3].
Explicit and implicit rationing are well discussed in relation to macro level health service decisions, for example in the UK, New Zealand, Sweden and Oregon (Table 2) and in the medical literature [ 14, 37].
Perhaps they have come to realize that foreign exchange movements are less important for their overall macro-economic health than they thought they would be.
By developing a macro-level health system dynamics model, we provide empirical knowledge to examining the case from both operational and financial perspectives.
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