Chapter 2 The Health Reform Cycle 1. Introduction In Chapter 1 we introduced the idea that health sector reform can be viewed as a cycle. Now we want to analyze that process in more detail. In idealized form, the process of policy change moves through a cycle of six stages—problems are defined, a causal diagnosis is made, plans are developed, a political decision is made on reform initiatives, those reforms are then implemented, and their consequences are evaluated. The cycle then begins again…
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