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Key messages
- Governance is a broad and complex topic with many overlapping definitions, frameworks and recommendations, but governance concepts and ideas found in the literature can broadly be grouped into five key domains: Transparency, Accountability, Participation, Integrity and Capacity (TAPIC).
- Governance is crucial to successful policy-making and implementation. It affects the likelihood that workable policies are adopted, that they are implemented, and that they produce intended results. At the same time, governance may be the cause of policy problems. But it is only one potential cause of problems, alongside other causes of failure such as inadequate finance.
- Each of the five domains of the TAPIC framework contains many different techniques for policy and procedural change. Rigorous and context-sensitive analysis is required to work out which domains contain governance problems and what those problems might be.
Contents
About the Series
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This policy brief is one of a new series to meet the needs of policy-makers and health system managers. The aim is to develop key messages to support evidence-informed policy-making and the editors will continue to strengthen the series by working with authors to improve the consideration given to policy options and implementation.
- NLM CatalogRelated NLM Catalog Entries
- Review Making Health for All Policies: Harnessing the co-benefits of health[ 2023]Review Making Health for All Policies: Harnessing the co-benefits of healthGreer SL, Falkenbach M, Siciliani L, McKee M, Wismar M, Vissapragada P, Montás MC, Perroud J, Rockwell O, Figueras J. 2023
- The role of governance in shaping health system reform: a case study of the design and implementation of new health regions in Ireland, 2018-2023.[BMC Health Serv Res. 2024]The role of governance in shaping health system reform: a case study of the design and implementation of new health regions in Ireland, 2018-2023.Schulmann K, Bruen C, Parker S, Siersbaek R, Conghail LM, Burke S. BMC Health Serv Res. 2024 May 3; 24(1):578. Epub 2024 May 3.
- Child survival in England: Strengthening governance for health.[Health Policy. 2017]Child survival in England: Strengthening governance for health.Wolfe I, Mandeville K, Harrison K, Lingam R. Health Policy. 2017 Nov; 121(11):1131-1138. Epub 2017 Sep 18.
- Trade policy governance: What health policymakers and advocates need to know.[Health Policy. 2017]Trade policy governance: What health policymakers and advocates need to know.Jarman H. Health Policy. 2017 Nov; 121(11):1105-1112. Epub 2017 Sep 18.
- Review Governing energy while neglecting health - The case of Poland.[Health Policy. 2017]Review Governing energy while neglecting health - The case of Poland.Vasev N. Health Policy. 2017 Nov; 121(11):1147-1153. Epub 2017 Sep 21.
- It’s the governance, stupid!It’s the governance, stupid!
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