In focus fixing health systems 2nd edition in focus idrcs in focus collection tackles current and pressing issues in international development each publication distills idrcs research experience with an eye to drawing out important lessons observations and recommendations. In 1993 the world development report suggested that directing health care budgets more proportionally toward the local burden of disease could significantly lower rates of death and disease as the original edition of fixing health systems revealed the tehip program provided powerful evidence in support of that hypothesis in tehips two tanzanian test districts for example modest . These approaches shift the health systems focus from reacting to the acute care needs of individuals to proactively engaging a population of patients and focusing on their health goals needs and abilities to achieve desired health outcomes. Forces are at work today to create a future health care system that will foster standardized treatment protocols to reduce cost and improve outcomes for the most common diseases. To improve our broken health care system rich lesser and barry rosenberg write we must focus on improving not just costs and access but the quality of hospital care provided
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