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With increasing demand to cope with development calls, it was necessary for
all stakeholders and players in societies as governments, NGOs, corporates
and others to follow the new emerging concept of Governance.
Defining governance is ambiguous and there is much debate about exact
definition. Although the term is an old one, the meaning is a reviving concept
to the new model of public administration. In general, governance can be
defined as multiple ways to solve problems organizational, social or national.
Also, it can be defined as traditions and institutions by which authority in a
country
is
excersiced,
entailing
processes
of
government
selection
The most important limitation to these indicators, they are not "actionable".
They cannot be used by stakeholders in the country, they only work with
external comparison. The other limitation is related to transparency of
indicators caused by limited access to source information used by this
indicators.
There is an evident relationship between democratic accountability and clean
government. Why not and free media with free expression methods which
aligned with democracy promote anticorruption measures and governments
become cleaner and more transparent. And this clarify the role of good
governance in combating corruption.
About governance in Egypt, there is a strong action for implementing
governance principals in healthcare industry. Egyptian healthcare system is
highly fragmented and suffers from chronic problems which clearly obvious
with high out of pocket spending and corruption. The main problems is facing
Egyptian healthcare system concluded in four items 1) Burden of growth in
total healthcare expenditure, 2) demand for infrastructure and quality 3)
needs for investments within the sector, and 4)Growing pressure for social
responsibility towards the population. In addition, Egypt is lagging behind
regarding good governance and transparency in this industry. In healthcare
ficnane there is no clear distinction between different healthcare providers
and buyers. Also, lack of accountability in perspective of regulations and
service provision. There is a bad need for rigourus analysis of healthcare
system regarding governing structure, institiutios and bodies to build
asystem that able to balance the power between different players, distribute
responsibilities, and foster accountability.
In brief, for better governance, in addition to build a solid information system
helping decision makers to make better policies, Egyptian healthcare system
should undergo radical changes within governing structure in aligned with
following principals. 1) spiliting ownership from management and defining
of
healthcare
institute
regarding
treatment,
human
resource
(2003).
Instittutuion
of
Conceptualizing
Socila
the
Coordination.
New
Governance:
Institutional
New
Analysis
and
No. 39 OECD