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Health Systems in Low- and Middle-Income Countries: An economic and policy perspective

Richard D. Smith and Kara Hanson


This book outlines the key aspects and issues concerning health systems of low- and middle-income countries, recognizing the current global context within which these systems operate and the dynamics of this context. Chapters tackle the issues that face population health and health care in the 21st century. The focus is predominantly low- and middle-income countries, with a distinct meeting of economic and policy perspectives, and grounding analysis of key issues within the broader international context. The book therefore provides a unique and comprehensive analysis of health systems, with a ... More

Keywords: health systems, low-income countries, middle-income countries, population health, health care, economic perspective, political perspective

Bibliographic Information

Print publication date: 2011 Print ISBN-13: 9780199566761
Published to Oxford Scholarship Online: January 2012 DOI:10.1093/acprof:oso/9780199566761.001.0001


Affiliations are at time of print publication.

Richard D. Smith, editor
Professor of Health System Economics; Head, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, UK

Kara Hanson, editor
Reader in Health System Economics; Head, Department of Global Health and Development Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, UK

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Section 1 The ‘health system’

Chapter 1 What is a ‘health system’?

Richard D. Smith and Kara Hanson

Section 2 The ‘health sector’: financing, purchasing, provision, and performance

Chapter 3 Measuring and evaluating performance

Ellen Nolte and Martin McKee

Chapter 7 Pharmaceuticals and the health sector

Prashant Yadav, Richard D. Smith, and Kara Hanson

Section 3 Health and systems in the wider context

Chapter 9 The health system and external financing

Anna Vassall and Melisa Martínez-Álvarez

Section 4 The future of health systems

End Matter