RESUMO
"Fundamental and strategic changes made in the organisation and operation of health system in order to improve health sector performance; is referred to as health sector reforms. There are 5 ""control knobs"" for improving health sector performance (Roberts M. et al. 1998). These are (a) financing (methods of raising money to support health sector activities); (b) payment (methods by which money is transferred to individuals and organisations within the sector); (c) organisations (set of organisations; their roles; their governance; their sources of financial support; and what happens inside them); (d) regulation (mechanisms to constrain the behaviour of individuals and organisations); and (e) the role of citizens in seeking justice and accoutnability."