Performance Based Contracting For Health Services In Developing Countries

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Performance Based Contracting For Health Services In Developing Countries
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Author : Benjamin Loevinsohn
language : en
Publisher: World Bank Publications
Release Date : 2008-01-01
Performance Based Contracting For Health Services In Developing Countries written by Benjamin Loevinsohn and has been published by World Bank Publications this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008-01-01 with Medical categories.
Despite the existence of effective interventions, there are many developing countries which are not on track to achieve the Millennium Development Goals (MDGs) for health. In many countries the delivery of health services is inadequate and one way of improving the situation is to contract with non-state providers. Contracting is a mechanism for a financing entity to procure a defined set of services from a non-state provider. Performance-based contracting is a type of contracting with: (a) a clear set of objectives and indicators; (b) systematic efforts to collect data to judge contractor performance; and (c) some consequences for the contractor, either rewards or sanctions, based on performance. Effective contracting for health services can be facilitated by using a systematic approach, described in this toolkit, that addresses key issues, including how to: 1. have a constructive dialogue with all stakeholders; 2. define the health services in terms of what services are to be delivered, where, the quantity of beneficiaries to be served, equity, and quality of care; 3. design the monitoring and evaluation to judge the performance of contractors; 4. select the contractors in a fair and transparent way; 5. arrange for effective contract management; 6. draft the contract and bidding documents; and 7. carry out the bidding process and successfully manage the contracts. The toolkit also includes a review of 14 evaluated examples of contracting in developing countries which concludes that the current weight of evidence indicates that contracting improves the coverage and quality of services rapidly. The six cases with controlled, before and after evaluations demonstrated large impact with themedian double difference (follow-up minus baseline in the experimental group minus follow-up minus baseline in the control) ranging from 9 to 26 percentage points.
Manual De Pago Por Desempe O
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Author : György Bèla Fritsche
language : en
Publisher: World Bank Publications
Release Date : 2015-07-21
Manual De Pago Por Desempe O written by György Bèla Fritsche and has been published by World Bank Publications this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-07-21 with Medical categories.
Los enfoques de Pago por Desempeño (PPD) se han expandido con rapidez en los países de ingresos bajos y medios en todo el mundo. El número de países ha crecido de 3 en 2006 a 32 en 2013. Los esquemas de PPD están floreciendo y crean una demanda considerable de asistencia técnica a fin de ejecutar estas reformas sanitarias en una forma racional y responsable. Tres pioneros internacionales del PPD se han unido para dar una respuesta a esta demanda internacional. Ellos son: György Fritsche, MD, MSc (Banco Mundial, Washington); Robert Soeters, MD, PhD (SINA Health, La Haya); y Bruno Meessen, MA, PhD (Instituto de Medicina Tropical, Amberes). Su trabajo vuelca sus 40 años de experiencia total en el diseño e implementación de esquemas de PPD en un manual de PPD de vanguardia, dirigido a implementadores y hacedores de políticas. Se unió al equipo Godelieve van Heteren (MD; Erasmus University Rotterdam Global Health Initiative (RGHI)), quien realizó la co-edición a fin de darle al manual consistencia, contenido y formato. Cedric Ndizeye, MD, MPH (MSH, Ruanda), redactó las partes principales del capítulo sobre desarrollo de competencias, y Caryn Bredenkamp, PhD (Banco Mundial, Washington) contribuyó con el capítulo 5 sobre equidad. Actualmente, existe poco conocimiento entre muchos de los que ejecutan reformas sanitarias sobre cómo implementar proyectos piloto de pago por desempeño y cómo ampliarlos a nivel nacional en forma inteligente. En un contexto de gran demanda de un diseño sólido y experiencia en la implementación, y dada la rápida expansión de los programas de Financiación Basada en Resultados, existe una necesidad urgente de desarrollar competencias para el diseño e implementación de programas de FBR. Hasta el momento, ha habido poco interés en combinar las enseñanzas de esas experiencias en un solo volumen y, más aún, en un formato que sirva como guía a los implementadores. Este manual es una respuesta a las preguntas más urgentes sobre programas de FBR del lado de la oferta, del cual el PPD es parte. Este manual estará disponible en una versión on-line, que será actualizada en forma regular, y una versión impresa en 3 idiomas (inglés, francés y español).
Global Health Economics Shaping Health Policy In Low And Middle Income Countries
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Author : Paul Revill
language : en
Publisher: World Scientific
Release Date : 2020-05-21
Global Health Economics Shaping Health Policy In Low And Middle Income Countries written by Paul Revill and has been published by World Scientific this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-05-21 with Business & Economics categories.
This book contains a collection of works showcasing the latest research into global health economics conducted by leading experts in the field from the Centre for Health Economics (CHE) at the University of York and other partner research institutions. Each chapter focuses upon an important topic in global health economics and a number of separate research projects. The discussion delves into health care policy evaluation; economic evaluation; econometric and other analytic methods; health equity and universal health coverage; consideration of cost-effectiveness thresholds and opportunity costs in the health sector; health system challenges and possible solutions; and others. Case study examples from a variety of low- and middle-income countries (LMIC) settings are also showcased in the final part of this volume.The research presented seeks to contribute toward increasing understanding on how health policy can be enhanced to improve the welfare of LMIC populations. It is strongly recommended for public health policymakers and analysts in low- and middle-income country settings and those affiliated to international health organizations and donor organizations.
Disease Control Priorities In Developing Countries
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Author : Dean T. Jamison
language : en
Publisher: World Bank Publications
Release Date : 2006-04-02
Disease Control Priorities In Developing Countries written by Dean T. Jamison and has been published by World Bank Publications this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006-04-02 with Medical categories.
Based on careful analysis of burden of disease and the costs ofinterventions, this second edition of 'Disease Control Priorities in Developing Countries, 2nd edition' highlights achievable priorities; measures progresstoward providing efficient, equitable care; promotes cost-effectiveinterventions to targeted populations; and encourages integrated effortsto optimize health. Nearly 500 experts - scientists, epidemiologists, health economists,academicians, and public health practitioners - from around the worldcontributed to the data sources and methodologies, and identifiedchallenges and priorities, resulting in this integrated, comprehensivereference volume on the state of health in developing countries.
Innovations In Health Care Financing In Low And Middle Income Countries
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Author : Kara Hanson
language : en
Publisher: Emerald Group Publishing
Release Date : 2009-06-26
Innovations In Health Care Financing In Low And Middle Income Countries written by Kara Hanson and has been published by Emerald Group Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009-06-26 with Health & Fitness categories.
Low- and middle-income countries face major challenges to their health systems. These include a high burden of communicable disease and an emerging non-communicable disease burden. This work deals with the elements of health care financing, focusing on middle- and low-income settings.
Quality Of Care In Fragile Conflict Affected And Vulnerable Settings
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Author :
language : en
Publisher: World Health Organization
Release Date : 2020-12-23
Quality Of Care In Fragile Conflict Affected And Vulnerable Settings written by and has been published by World Health Organization this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-12-23 with Medical categories.
In fragile, conflict-affected and vulnerable settings there is an urgent need for action on quality of health care, given the significant health needs of the populations in these environments and the increasing numbers of people for whom such settings are home. The Quality of care in fragile, conflict-affected and vulnerable settings: tools and resources compendium represents a curated, pragmatic and non-prescriptive collection of tools and resources to support the implementation of interventions to improve quality of care in such contexts. Relevant tools and resources are listed under five areas: Ensuring access and basic infrastructure for quality; shaping the system environment; reducing harm; improving clinical care; and engaging and empowering patients, families and communities. Cross-cutting products are also signposted. This compendium is a companion to the World Health Organization (WHO) resource Quality of care in fragile, conflict-affected and vulnerable settings - taking action.
Health And Development
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Author : International Monetary Fund
language : en
Publisher: International Monetary Fund
Release Date : 2004-11-23
Health And Development written by International Monetary Fund and has been published by International Monetary Fund this book supported file pdf, txt, epub, kindle and other format this book has been release on 2004-11-23 with Business & Economics categories.
The past century has been marked by rapid advances in human welfare. People in most parts of the world are healthier and are living longer. While this trend is likely to continue, hopes are fading in some regions where progress slowed or stopped in the1990s, primarily as a result of the AIDS epidemic. This compilation of articles published over the past five years in the pages of F&D looks at the important links between health and economic progress. Articles range over a variety of topics, from the Millennium Development Goals and their health-related targets for 2015 to the economics of tobacco control. Several articles examine the impact of AIDS and the global reaction, while others look at debt and the intellectual property aspects of health care.
The Palgrave International Handbook Of Healthcare Policy And Governance
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Author : E. Kuhlmann
language : en
Publisher: Springer
Release Date : 2016-01-18
The Palgrave International Handbook Of Healthcare Policy And Governance written by E. Kuhlmann and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-01-18 with Political Science categories.
Starting with more general issues of healthcare policy and governance in a global perspective and using the lens of national case studies of healthcare reform, this handbook addresses key themes in the debates over changing healthcare policy.
Improving Health Sector Performance
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Author : Hossein Jalilian
language : en
Publisher: Flipside Digital Content Company Inc.
Release Date : 2003-08-01
Improving Health Sector Performance written by Hossein Jalilian and has been published by Flipside Digital Content Company Inc. this book supported file pdf, txt, epub, kindle and other format this book has been release on 2003-08-01 with Social Science categories.
There is growing international evidence that the effectiveness of health services stems primarily from the extent to which the incentives facing providers and consumers are aligned with "e;better health"e; objectives. Efficiency in health service provision requires that providers and consumers have incentives to use healthcare resources in ways that generate the maximum health gains. Equity in at least one sense requires that consumers requiring the same care are treated equally, irrespective of their ability to pay. Efficiency in the use of health services requires that consumers are knowledgeable about the services on offer and which are most appropriate to their needs. Although these principles are enshrined in the design of every health system in the world, they have proven extremely difficult to apply in practice. Healthcare providers have financial obligations to their families as well as professional obligations to their patients. Health service consumers generally lack information about both their health and health services so that they under-consume or over-consume healthcare. The papers in this volume are selected from an international conference organized by the CDRI, Cambodia, that tried to deal with some of these issues. With participation of international and local experts, it aimed at collecting major experiences and innovative solutions from inside and outside the country to improve health sector performance, with particular focus on institutions, motivations and incentives.
Finance Development March 2004
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Author : International Monetary Fund. External Relations Dept.
language : en
Publisher: International Monetary Fund
Release Date : 2004-03-10
Finance Development March 2004 written by International Monetary Fund. External Relations Dept. and has been published by International Monetary Fund this book supported file pdf, txt, epub, kindle and other format this book has been release on 2004-03-10 with Business & Economics categories.
This paper presents a snapshot of changes in the world’s health and demographic conditions. The paper highlights that in most parts of the world, individuals are healthier and living longer, thanks to improved health services and living conditions and the more widespread use of immunization, antibiotics, and better contraceptives. Although this trend is likely to continue, hopes are fading in some regions where progress slowed or stopped in the 1990s, primarily as a result of the AIDS epidemic. Moreover, most regions of the developing world will not reach the Millennium Development Goals for health by 2015.