School of Public Health, Hebrew University-Hadassah, Jerusalem, Israel.
Int J Health Policy Manag. 2016 Sep 1;5(9):553-555. doi: 10.15171/ijhpm.2016.69.
Richard Saltman and Antonio Duran take up the challenging issue of governance in their article "Governance, Government and the Search for New Provider Models," and use two case studies of health policy changes in Sweden and Spain to shed light on the subject. In this commentary, I seek to link their conceptualization of governance, especially its interrelated roles at the macro, meso, and micro levels of health systems, with the case studies on which they report. While the case studies focus on the shifts in governance between the macro and meso levels and their impacts on achievement of desired policy outcomes, they also highlight the need to better integrate the dynamics of day to day operations within micro organizations into the overall governance picture.
理查德·索尔特曼和安东尼奥·杜兰在他们的文章《治理、政府与新供应商模式的探索》中探讨了治理这一具有挑战性的问题，并通过对瑞典和西班牙卫生政策变革的两个案例研究来阐明这一主题。在这篇评论中，我试图将他们对治理的概念化，特别是其在卫生系统的宏观、中观和微观层面的相互关联的作用，与他们所报告的案例研究联系起来。虽然这些案例研究侧重于宏观和中观层面之间治理的转变及其对实现预期政策结果的影响，但它们也强调需要更好地将微观组织内部日常运作的动态纳入整体治理图景中。
