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Increasing or decreasing one results in changes to one or both of the other two. For example, a policy that increases access to health services would lower quality of health care and/or increase cost. The desired state of the triangle, high access and quality with low cost represents value in a health care system. [3]
Unwarranted variations in medical practice refer to the differences in care that cannot be explained by the illness/medical need or by patient preferences. The term “unwarranted variations” was first coined by Dr. John Wennberg when he observed small area (geographic) and practice style variations, which were not based on clinical rationale. [5]
Interventions in population health "shift the distribution of health risk by addressing the underlying social, economic and environmental conditions" [7] and are implemented through "programs or policies designed and developed in the health sector, but they are more likely to be in sectors elsewhere, such as education, housing or employment". [7]
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PLoS Medicine commissioned three articles on the state-of-the-art in HPSR authored by a diverse group of global health academics. These articles critically examined the status of HPSR, current challenges and mapped the need to build capacity in HPSR and support local policy development and health systems strengthening, especially in LMICs. [5]
Health policy can be defined as the "decisions, plans, and actions that are undertaken to achieve specific healthcare goals within a society". [1] According to the World Health Organization, an explicit health policy can achieve several things: it defines a vision for the future; it outlines priorities and the expected roles of different groups; and it builds consensus and informs people.
Risk appetite is the level of risk that an organization is prepared to accept in pursuit of its objectives, [1] before action is deemed necessary to reduce the risk. It represents a balance between the potential benefits of innovation and the threats that change inevitably brings.
They are the health promoting factors found in one's living and working conditions (such as the distribution of income, wealth, influence, and power), rather than individual risk factors (such as behavioral risk factors or genetics) that influence the risk or vulnerability for a disease or injury. The distribution of social determinants is ...