Gerald Bloom
Datos Biográficos
| ID | 1304709 |
|---|---|
| NOMBRE | Gerald Bloom |
| NOMBRES | Gerald |
| APELLIDO | Bloom |
| FIRMA | BLOOM G |
| AFILIACIONES | University of Sussex |
| ORCID | 0000-0002-7047-2412 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 43 |
| TOTAL DE CITAS | 211 |
| TOTAL COMO AUTOR | 43 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1986 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 9 |
Commercial determinants of health
The One Health approach recognizes the interconnectedness of human, animal, and environmental health, yet its implementation has largely focused on biomedical issues such as zoonoses and antimicrobial resistance (AMR). This biomedical focus often overlooks the social and economic drivers that shape these challenges. In this article, we argue that applying a commercial determinants of health (CDoH) lens can enhance the analytical and policy releva…
Operationalizing multisector partnerships
Zoonotic influenzas are major, ongoing public health policy challenge, not the least because of the importance of functional multisector partnerships (MSPs) for their prevention and control. However, despite years of investment in developing them, many countries have found multisectoral approaches, such as One Health, difficult to operationalize at national and subnational levels. One explanation for the lack of uptake is the limited nature of gu…
The governance behaviours
Health systems are ‘the ensemble of all public and private organisations, institutions and resources mandated to improve, maintain or restore health.’ The private sector forms a major part of healthcare practice in many health systems providing a wide range of health goods and services, with significant growth across low-income and middle-income countries. WHO sees building stronger and more effective health systems through the participation and …
Employing the policy capacity framework for health system strengthening
The policy capacity framework offers relevant analytical ideas that can be mobilized for health system strengthening. However, the employment of this framework in the health field constitutes a relevant interdisciplinary gap in knowledge. This themed issue explores the relationships between the policy capacity framework and health system strengthening, in a multidimensional and interdisciplinary way, in high-income and low–middle-income countries…
Governança e coordenação no SUS
Sistemas de saúde plurais enfrentam de forma recorrente o desafio de coordenar múltiplos setores e níveis de governo na busca do interesse público. Investigamos como esse desafio foi enfrentado pelo sus durante a pandemia de Covid-19. Identificamos o protagonismo dos atores subnacionais, a cooperação entre setores e a saúde digital como inovações que potencializaram essa coordenação. Discutimos sua emergência, as possibilidades que oferecem para …
Deliberation-based learning
This paper presents a case example from China, where detailed deliberations were instrumental in bringing together national and subnational managers to tailor implementation protocols for neonatal care strategies at provincial and county levels. The China National Health Development Research Center (CNHDRC) organised deliberations to support the formulation of strategies for improving early essential neonatal care for rural areas. The aim was to …
Building policy capacity for managing rapid, complex change in China’s health system
The concept of policy capacity is often used to explain the success or failure of governments or countries in conceiving of, developing, and implementing policies, but is often poorly systematised. Wu et al provide a framework for understanding types of policy capacity, arguing that three kinds of capacity, distributed across policy systems, are needed for effective implementation. This paper applies that framework to a discussion of China, a cou…
The Covid-19 pandemic
It is very exceptional that a new disease becomes a true pandemic. Since its emergence in Wuhan, China, in late 2019, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus that causes COVID-19, has spread to nearly all countries of the world in only a few months. However, in different countries, the COVID-19 epidemic takes variable shapes and forms in how it affects communities. Until now, the insights gained on COVID-19 have be…
Understanding China’s growing involvement in global health and managing processes of change
Thank You to Reviewers 2019
Introduction
Inequality is a key political issue of our times. It has political consequences, fuelling conflict and raising legitimacy challenges for regimes around the world, in democratic and non‐demo‐ cratic settings alike. At the centre of these challenges is the question of accountability: who can be held accountable, on what basis, how and by whom for tackling or failing to tackle which inequalities. In the field of global health, inequality has long be…
Evaluation and learning in complex, rapidly changing health systems
Healthcare systems are increasingly recognised as complex, in which a range of non-linear and emergent behaviours occur. China's healthcare system is no exception. The hugeness of China, and the variation in conditions in different jurisdictions present very substantial challenges to reformers, and militate against adopting one-size-fits-all policy solutions. As a consequence, approaches to change management in China have frequently emphasised th…
Health system innovations
This paper introduces the Thematic Issue on Innovation in Health Systems in Low- and Middle-Income Countries
Introduction
In July 2017, IDS hosted a workshop on ‘Unpicking Power and Politics for Transformative Change: Towards Accountability for Health Equity’, with the aim of generating dialogue and mutual learning among activists, researchers, policymakers, and funders working towards more equitable health systems and a commitment to Universal Health Coverage (UHC). This issue of the IDS Bulletin is based around three principal themes that emerged from the workshop…
ICTs and the challenge of health system transition in low and middle-income countries
The aim of this paper is to contribute to debates about how governments and other stakeholders can influence the application of ICTs to increase access to safe, effective and affordable treatment of common illnesses, especially by the poor. First, it argues that the health sector is best conceptualized as a 'knowledge economy'. This supports a broadened view of health service provision that includes formal and informal arrangements for the provis…
Addressing antimicrobial resistance in China
The effectiveness of antibiotics in treating bacterial infections is decreasing in China because of the widespread development of resistant organisms. Although China has enacted a number of regulations to address this problem, but the impact is very limited. This paper investigates the implementation of these regulations through the lens of complex adaptive systems (CAS). It presents the findings from reviews of relevant policy documents and publ…
Health Systems Research in a Complex and Rapidly Changing Context
This paper discusses health policy and systems research in complex and rapidly changing contexts. It focuses on ethical issues at stake for researchers working with government policy makers to provide evidence to inform major health systems change at scale, particularly when the dynamic nature of the context and ongoing challenges to the health system can result in unpredictable outcomes. We focus on situations where ‘country ownership’ of HSR is…
Understanding Health Information Seeking from an Actor-Centric Perspective
This paper presents a conceptual approach for discussing health information seeking among poor households in Africa and Asia. This approach is part of a larger research endeavor aimed at understanding how health systems are adapting; with possibilities and constraints emerging. These health systems can be found in a context of the changing relationships between states, markets and civil society in low and middle income countries. The paper starts…
The future of health markets
This editorial introduces a new open collection in Globalization and Health on the topic of the future of health markets. In 2012, we undertook work for the Rockefeller Foundation that sought to inform their future investments in health markets. Whereas health markets are sometimes viewed solely through the lens of private health care providers, our approach was broader, viewing such providers as one of many inter-connected actors who work within…
Innovation in regulation of rapidly changing health markets
The rapid evolution and spread of health markets across low and middle-income countries (LMICs) has contributed to a significant increase in the availability of health-related goods and services around the world. The support institutions needed to regulate these markets have lagged behind, with regulatory systems that are weak and under-resourced. This paper explores the key issues associated with regulation of health markets in LMICs, and the di…
Informal rural healthcare providers in North and South India
Rural households in India rely extensively on informal biomedical providers, who lack valid medical qualifications. Their numbers far exceed those of formal providers. Our study reports on the education, knowledge, practices and relationships of informal providers (IPs) in two very different districts: Tehri Garhwal in Uttarakhand (north) and Guntur in Andhra Pradesh (south). We mapped and interviewed IPs in all nine blocks of Tehri and in nine o…
Introduction
In parallel to its domestic economic boom, China has also been growing as an international actor and as a ‘Rising Power’ in global development. This introduction outlines the need for further understanding of China's own development experience, its increasing involvement in development activities in low? and middle?income countries, and its growing engagement in global governance structures. The articles highlighted contribute valuable expertise …
History, complexity and health systems research
Institutional Solutions to the Asymmetric Information Problem in Health and Development Services for the Poor
The world’s poorest pay for professional services and thus are in a “market,” whether the services are provided in the public or private sectors. The associated problems of unequal information are particularly acute in undergoverned countries, where state regulation is weak. We systematically review the evidence on solutions to these problems in a variety of professions. Payments by clients are more likely to have a positive effect on quality if …
Building institutions for health and health systems in contexts of rapid change
Markets, information asymmetry and health care
Health sector reform
Building institutions for an effective health system
Financing health care in rural China
Cooperative medical schemes in contemporary rural China
Future health systems
Impact of user charges on vulnerable groups
Institutional Solutions to the Asymmetric Information Problem in Health and Development Services for the Poor
The world’s poorest pay for professional services and thus are in a “market,” whether the services are provided in the public or private sectors. The associated problems of unequal information are particularly acute in undergoverned countries, where state regulation is weak. We systematically review the evidence on solutions to these problems in a variety of professions. Payments by clients are more likely to have a positive effect on quality if …
Making health markets work better for poor people
There has been a dramatic spread of market relationships in many low- and middle-income countries. This spread has been much faster than the development of the institutional arrangements to influence the performance of health service providers. In many countries poor people obtain a large proportion of their outpatient medical care and drugs from informal providers working outside a regulatory framework, with deleterious consequences in terms of …
Towards equity in health in an unequal society
Informal rural healthcare providers in North and South India
Rural households in India rely extensively on informal biomedical providers, who lack valid medical qualifications. Their numbers far exceed those of formal providers. Our study reports on the education, knowledge, practices and relationships of informal providers (IPs) in two very different districts: Tehri Garhwal in Uttarakhand (north) and Guntur in Andhra Pradesh (south). We mapped and interviewed IPs in all nine blocks of Tehri and in nine o…
Rural health prepayment schemes in China
Employing the policy capacity framework for health system strengthening
The policy capacity framework offers relevant analytical ideas that can be mobilized for health system strengthening. However, the employment of this framework in the health field constitutes a relevant interdisciplinary gap in knowledge. This themed issue explores the relationships between the policy capacity framework and health system strengthening, in a multidimensional and interdisciplinary way, in high-income and low–middle-income countries…
Building policy capacity for managing rapid, complex change in China’s health system
The concept of policy capacity is often used to explain the success or failure of governments or countries in conceiving of, developing, and implementing policies, but is often poorly systematised. Wu et al provide a framework for understanding types of policy capacity, arguing that three kinds of capacity, distributed across policy systems, are needed for effective implementation. This paper applies that framework to a discussion of China, a cou…
History, complexity and health systems research
Building institutions for health and health systems in contexts of rapid change
China's Rural Health System and Environment-Related Health Risks
This paper presents a chronology of the development of the Chinese rural health system and its responses to environment-related health problems. During the early years of the People's Republic, the health system was very successful in reducing the transmission of infectious diseases through environmental improvements. Since the transition to a market economy, environment-related preventive programmes have been given less priority and a variety of…
Introduction
Inequality is a key political issue of our times. It has political consequences, fuelling conflict and raising legitimacy challenges for regimes around the world, in democratic and non‐demo‐ cratic settings alike. At the centre of these challenges is the question of accountability: who can be held accountable, on what basis, how and by whom for tackling or failing to tackle which inequalities. In the field of global health, inequality has long be…
Introduction
In parallel to its domestic economic boom, China has also been growing as an international actor and as a ‘Rising Power’ in global development. This introduction outlines the need for further understanding of China's own development experience, its increasing involvement in development activities in low? and middle?income countries, and its growing engagement in global governance structures. The articles highlighted contribute valuable expertise …
Balancing Efficiency and Legitimacy
The aim of this article is to contribute to the understanding of the institutional arrangements within which China's rural health facilities are embedded and of the contribution of policy to the creation of these arrangements. Information collected through field observations and in‐depth interviews with the managers, staff and patients of a township health centre indicates that with the gradual evolution of markets, encouraged by state policies, …
Health in a Changing World
Planning health sector expenditure in support of PHC
This paper describes an approach to financial control which has been common to the public sector health services in a number of countries and it identifies some problems it presents to the effective implementation of PHC development policies. Among the functions of existing systems are the control of expenditure, monitoring for theft and annual budgeting. As the health sector is transformed from a relatively simple, urban-based service to one und…
Dactors, private paractice and primary health care development
Gerald Bloom, Richard Laing; Dactors, private paractice and primary health care development, Health Policy and Planning, Volume 1, Issue 3, 1 September 198
Planning health sector expenditure in support of PHC
This paper describes an approach to financial control which has been common to the public sector health services in a number of countries and it identifies some problems it presents to the effective implementation of PHC development policies. Among the functions of existing systems are the control of expenditure, monitoring for theft and annual budgeting. As the health sector is transformed from a relatively simple, urban-based service to one und…
Financing health care in rural China
Cooperative medical schemes in contemporary rural China
Impact of user charges on vulnerable groups
Health sector reform
Towards equity in health in an unequal society
Rural health prepayment schemes in China
Health in a Changing World
Exploring health systems research and its influence on policy processes in low income countries
The interface between research and policymaking in low-income countries is highly complex. The ability of health systems research to influence policy processes in such settings face numerous challenges. Successful analysis of the research-policy interface in these settings requires understanding of contextual factors as well as key influences on the interface. Future Health Systems (FHS): Innovations for Equity is a consortium conducting research…
Future health systems
Markets, information asymmetry and health care
China's Rural Health System and Environment-Related Health Risks
This paper presents a chronology of the development of the Chinese rural health system and its responses to environment-related health problems. During the early years of the People's Republic, the health system was very successful in reducing the transmission of infectious diseases through environmental improvements. Since the transition to a market economy, environment-related preventive programmes have been given less priority and a variety of…
Exploring new health markets
BACKGROUND: Although a number of intermediate transport initiatives have been used in some developing countries, available evidence reveals a dearth of local knowledge on the effect of these rural informal transport mechanisms on access to maternal health care services, the cost of implementing such schemes and their scalability. This paper, attempts to provide insights into the functioning of the informal transport markets in facilitating access…
Making health markets work better for poor people
There has been a dramatic spread of market relationships in many low- and middle-income countries. This spread has been much faster than the development of the institutional arrangements to influence the performance of health service providers. In many countries poor people obtain a large proportion of their outpatient medical care and drugs from informal providers working outside a regulatory framework, with deleterious consequences in terms of …
Balancing Efficiency and Legitimacy
The aim of this article is to contribute to the understanding of the institutional arrangements within which China's rural health facilities are embedded and of the contribution of policy to the creation of these arrangements. Information collected through field observations and in‐depth interviews with the managers, staff and patients of a township health centre indicates that with the gradual evolution of markets, encouraged by state policies, …
Building institutions for an effective health system
Institutional Solutions to the Asymmetric Information Problem in Health and Development Services for the Poor
The world’s poorest pay for professional services and thus are in a “market,” whether the services are provided in the public or private sectors. The associated problems of unequal information are particularly acute in undergoverned countries, where state regulation is weak. We systematically review the evidence on solutions to these problems in a variety of professions. Payments by clients are more likely to have a positive effect on quality if …
Building institutions for health and health systems in contexts of rapid change
Special issue on health system reform in Asia
The future of health markets
This editorial introduces a new open collection in Globalization and Health on the topic of the future of health markets. In 2012, we undertook work for the Rockefeller Foundation that sought to inform their future investments in health markets. Whereas health markets are sometimes viewed solely through the lens of private health care providers, our approach was broader, viewing such providers as one of many inter-connected actors who work within…
Innovation in regulation of rapidly changing health markets
The rapid evolution and spread of health markets across low and middle-income countries (LMICs) has contributed to a significant increase in the availability of health-related goods and services around the world. The support institutions needed to regulate these markets have lagged behind, with regulatory systems that are weak and under-resourced. This paper explores the key issues associated with regulation of health markets in LMICs, and the di…
Informal rural healthcare providers in North and South India
Rural households in India rely extensively on informal biomedical providers, who lack valid medical qualifications. Their numbers far exceed those of formal providers. Our study reports on the education, knowledge, practices and relationships of informal providers (IPs) in two very different districts: Tehri Garhwal in Uttarakhand (north) and Guntur in Andhra Pradesh (south). We mapped and interviewed IPs in all nine blocks of Tehri and in nine o…
Introduction
In parallel to its domestic economic boom, China has also been growing as an international actor and as a ‘Rising Power’ in global development. This introduction outlines the need for further understanding of China's own development experience, its increasing involvement in development activities in low? and middle?income countries, and its growing engagement in global governance structures. The articles highlighted contribute valuable expertise …
History, complexity and health systems research
Political science (32 obras) · Economic growth (30 obras) · Economics (28 obras) · Health care (25 obras) · Medicine (24 obras) · Business (23 obras) · Healthcare Systems and Reforms (23 obras) · Global Maternal and Child Health (20 obras) · Health Policy (17 obras) · Nursing (14 obras)