These factors impact on the outcomes of reform, measured by the ability of the reform program to achieve its objectives.
The literature review also generated the following hypotheses on the factors that influenced the outcomes of reform.
The framework for examining health reform established in this paper outlines the process through which health reforms are developed and implemented in post-conflict settings and establishes the factors that are most important in shaping the outcomes of reform - the ability of reform to meet its objectives.
Second, we selected these four cases because we had a strong expectation of the differences in outcomes of reform processes and the strengthened governance processes between them; thus allowing us to provide alternative explanations for the factors leading to these governance outcomes.
It is recognized, for example, that certain organizational features of some health care systems which can be the outcome of reforms, such as managed competition and increased reliance on urgent care/walk-in clinics, in fact undermine the establishment of such continuity [ 1, 2, 21].
However, the implementation of these reforms was more problematic than their creation, and the outcome of reform has not met its promise.
5 An overview of the impact of commissioning reforms in England identified different ways of measuring the outcomes of commissioning reforms.
More research is needed to monitor changes still taking place as well as the outcomes of the reforms.
Moreover, such studies have brought up the importance of contextual factors in shaping the processes and outcomes of the reforms [ 6, 11, 12, 16, 17].
The review team will report to ministers in a series of stages and will consider what the outcomes of land reform should be and what reforms are required.
