The 2nd HPD report - Health Policy Monitor

9. Long-term care:
Long-term care and care for the elderly (aiming particularly at this group even if it
also fits into one of the dimensions above).
10. Role of private sector:
This cluster deals with developments which specifically aim at changing (regulating,
deregulating) the role of the private sector in funding and/or delivery of health
care. Depending on your country, it may be useful to make a distinction between
private for-profit and private non-profit health facilities. You may also want to
report a development that occurred within the private sector (mergers, concentrations
of payers and/or providers, i.e., HMOs/PPOs, health insurances, hospital
chains, group practices). However, the invention of a break-through technology
should be categorized in the next cluster and not here.
11. New technology:
While we are not interested in all new technologies, this cluster has been included
to report and assess technological innovations expected to have a major impact on
the effectiveness, quality, costs or the organization of the system (genetic testing,
chip card, electronic patient records; teleconsulations, etc.).
12. Others:
If you feel that the health policy development you wish to describe does not fit in
any of the clusters, you may create an additional one.
Matrix—Second dimension: Time line/How ideas travel/Process stages
1. Ideas for reform voiced, discussed in different forums (e.g., think tanks, professional/providers’
groups, advisory councils, consumer organizations, supranational
agencies)—even at an early stage, possibly far from a larger expert
audience and/or the political arena
2. Innovations or putting into practice of ideas voiced previously (e.g. at the local
level, within institutions, as pilot projects)
3. Acceptance of ideas within relevant professional community and/or (governmental)
policy paper at central or regional level
4. Legislative process: This is perhaps the most complex and interesting stage of
all, critical for the success or failure of a reform proposal. Please tick here for
any legislative proceedings—from the moment a bill is proposed through
hearings and lobbying until the effective enactment or rejection of the proposal.
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