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The 2nd HPD report - Health Policy Monitor

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“Pilot” characterizes any innovation or model experiment implemented<br />

at a local or institutional level.<br />

“<strong>Policy</strong>” means any formal written statement or policy paper<br />

short of a draft bill. Included under this heading is also a growing<br />

degree of acceptance of an idea within a relevant professional<br />

community.<br />

“Legislation” covers all steps of the legislative process from the<br />

formal introduction of a bill/draft piece of legislation through<br />

parliamentary hearings, driving forces, the influence of professional<br />

lobbyists in the process, up to the effective enactment or<br />

rejection of the proposal.<br />

“Adoption”: This stage is about all measures taken towards<br />

legal and professional implementation. Adoption does not necessarily<br />

result from legislation; it may also follow the evidence of<br />

best practice tried out in model or pilot projects.<br />

“Evaluation” refers to all health policy issues scrutinized for<br />

their impact during the period observed. Any review mechanism,<br />

internal or external, mid-term or final, is <strong>report</strong>ed under this<br />

heading.<br />

“Change” may be a result of evaluation or abandonment of<br />

development.<br />

<strong>Policy</strong> ratings<br />

A second figure is used to give the reader an indication of the<br />

character of the policy. For this purpose, three criteria are shown:<br />

visibility, impact and transferability.<br />

“Visibility” refers to the public awareness and discussion of<br />

the reform, e.g., demonstrated by media coverage or public hearings.<br />

<strong>The</strong> ratings range from “very low” (on the left) to “very<br />

high” (on the right).<br />

“Impact”: Ranging from “marginal” to “fundamental,” this rating<br />

criterion illustrates the structural or systemic scope and relevance<br />

of a reform given the country’s current health care system.<br />

“Transferability”: This rating indicates whether a reform approach<br />

could be adapted to other health care systems. Our experts<br />

assess the degree to which a policy or reform is system neutral<br />

(transferable) or strongly context dependent.<br />

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