Public Health Service configurations. A brief literature review (2019 update)

Developed countries, with different histories, cultures and political experiences, have evolved different institutional arrangements for funding and delivering health services – despite the broadly common objectives of universal access, effective care, improved health outcomes, efficient use of resources, high-quality services, and responsiveness. Different system configurations may influence governance characteristics, economies of scale and scope, inter-organisational partnerships, resourcing and staffing, innovation, and many other factors. This review explores how both public health capacities and configurations can shape positive shifts in population health outcomes.