Health reform refers to the changes in health administration, health planning and, health research that places significant emphasis on local health challenges aimed at improving health administration, health planning and healthcare. They will combine to produce an efficient model of healthcare delivery capable of increasing patient physical, medical and psychological safety.
Health reform should be driven by empirical data, best practice and evidence based practice. A variety of health statistics; such as mortality, manpower needs, technology functioning and patient satisfaction; should be analyzed and employed in strengthening health systems. In Trinidad and Tobago the current system of healthcare is highly centralized. The Ministry of Health maintains operational oversight of five regional health authorities. These are the North West Regional, North Central Regional, Eastern Regional, South West Regional and Tobago Regional. South West,
North West and North Central are the largest regions; each catering for the healthcare needs of more than three hundred thousand people.
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