Policy, Organisation and Incentives in Health Systems

Development of effective health system policy requires an understanding of organisational structures, funding streams, and incentive mechanisms that shape how healthcare interventions and innovations are adopted and utilised.

OHE conducts an extensive programme of research on health system policies, organisation, incentives and cross-sectoral dynamics. Our work aims to inform policy-making globally in healthcare, social care and public health, in pursuit of better health, equity, and efficiency.

This work typically looks at the wider healthcare ecosystem (or parts of the system) rather than focusing on specific health technologies, considering both health outcomes and broader socioeconomic impacts. 

Examples of research topics that this theme addresses include

  • Drivers of productivity and efficiency in health systems.
  • The funding of healthcare and public health and the roles of the public, private and charitable sectors.
  • The intrinsic and extrinsic factors that incentivise agents in health systems, and how these yield certain behaviours and outcomes.
  • The broader socioeconomic value of health interventions to the wider economy, with a particular focus on prevention (including vaccination).

Key objective for this research theme

To produce research that improves how healthcare is organised, funded and delivered to achieve better health, equity, and efficiency

OHE’s policy positions

Sustainable health systems should appropriately incentivise and deliver evidence-based, cost-effective interventions that are responsive to patient and societal needs, and promote the advancement of healthier populations.

Our latest content on this theme

Prevention in the NHS 10 Year Health Plan: Promise, limits, and the path forward

This is the first in a series of blogs about how the proposals in the newly published 10 Year Plan measure up against some of the most pressing health concerns in the UK.

From STEDI to STRIDES: Valuing broader health-system benefits of AMR diagnostics

Antimicrobial resistance (AMR) is an urgent global health crisis. AMR infections cause an estimated 1.3 million deaths globally every year, and this number is only projected to rise.

Reflections from the Region: Healthcare transformation in the Middle East

It’s not often that you witness a health system reinvent itself in real-time. And yet, this is precisely what is happening across the Middle East.

Prevention pays off – so why aren’t we doing more of it? 

We know that immunisation pays off: the wider societal benefits of childhood immunisation programmes in low and middle income countries outweigh their costs up to 51 times while…