[Health care reform as a development of the health care system].

The German health care system is undergoing a serious crisis. Current health care policies have been failing badly. The parties involved in the provision of health care are willing and able to conduct health reform. All healthcare workers expect to be included in the decision-making processes. They anticipate that their expertise and skills will be appreciated and employed to make improvements. Wise and thoughtful health policy decisions would focus on measures to support innovative practices within the existing system and strengthen current change processes. It is proposed that the reform be based on sustainable procedures. Change Management within the health care system should be guided by the principles of the Learning Organisation and the varied experience with sophisticated industrial management practices. Successful health systems development opens up new opportunities for social and economic growth.