Performance Based Contracting For Health Services In Developing Countries

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Performance-based Contracting for Health Services in Developing Countries

Benjamin Loevinsohn
Performance based Contracting for Health Services in Developing Countries Book PDF

Author : Benjamin Loevinsohn
Publisher : World Bank Publications
Page : 226 pages
File Size : 42,7 Mb
Release : 2008-01-01
Category : Medical
ISBN : 9780821375372

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Performance-based Contracting for Health Services in Developing Countries by Benjamin Loevinsohn Pdf

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.

The Design of Incentives for Health Care Providers in Developing Countries

Jeffrey S. Hammer,William Jack
The Design of Incentives for Health Care Providers in Developing Countries Book PDF

Author : Jeffrey S. Hammer,William Jack
Publisher : World Bank Publications
Page : 22 pages
File Size : 42,6 Mb
Release : 2001
Category : Medical care
ISBN : 8210379456XXX

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The Design of Incentives for Health Care Providers in Developing Countries by Jeffrey S. Hammer,William Jack Pdf

Whatever the theoretical attractiveness of certain policy options, the fact that public employees are people who make independent decisions about their careers and lifestyles can set bounds on how well government agencies can deliver promised services, such as universal health care, including in rural areas. Hammer and Jack examine the design and limitations of incentives for health care providers to serve in rural areas in developing countries. Governments face two problems: it is costly to compensate well-trained urban physicians enough to relocate to rural areas, and it is difficult to ensure quality care when monitoring performance is costly or impossible.

Manual de pago por desempeño

György Bèla Fritsche,Robert Soeters,Bruno Meessen
Manual de pago por desempe o Book PDF

Author : György Bèla Fritsche,Robert Soeters,Bruno Meessen
Publisher : World Bank Publications
Page : 361 pages
File Size : 47,5 Mb
Release : 2015-07-21
Category : Medical
ISBN : 9781464801297

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Manual de pago por desempeño by György Bèla Fritsche,Robert Soeters,Bruno Meessen Pdf

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).

Performance Incentives for Global Health

Rena Eichler,Ruth Levine
Performance Incentives for Global Health Book PDF

Author : Rena Eichler,Ruth Levine
Publisher : CGD Books
Page : 290 pages
File Size : 48,5 Mb
Release : 2009
Category : Business & Economics
ISBN : 9781933286297

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Performance Incentives for Global Health by Rena Eichler,Ruth Levine Pdf

Health systems in most low-income countries are under-resourced and underused, failing to meet the needs of those who need health care the most. But what if health service providers-or even patients-were rewarded partially on the basis of their performance? Based on a review of experiences to date, the authors of this volume argue that performance incentives have great potential to improve health care for the world's poor. They are one way to use funding dedicated to individual diseases or interventions to strengthen core health system functions. In Part I, Eichler and Levine provide clear guidance about how to design, implement, and evaluate such programs, whether they target health care providers, patients, or both. Part II comprises a set of case studies that examine the use of such incentives to address a range of health conditions and challenges in diverse countries. Performance Incentives for Global Health: Potential and Pitfalls will help policymakers and program managers in developing countries and in the donor community improve health care systems through the strategic use of performance incentives. Book jacket.

Global Health Economics: Shaping Health Policy In Low- And Middle-income Countries

Paul Revill,Marc Suhrcke,Rodrigo Moreno-serra,Mark Sculpher
Global Health Economics Shaping Health Policy In Low And Middle income Countries Book PDF

Author : Paul Revill,Marc Suhrcke,Rodrigo Moreno-serra,Mark Sculpher
Publisher : World Scientific
Page : 378 pages
File Size : 50,7 Mb
Release : 2020-05-21
Category : Business & Economics
ISBN : 9789813272385

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Global Health Economics: Shaping Health Policy In Low- And Middle-income Countries by Paul Revill,Marc Suhrcke,Rodrigo Moreno-serra,Mark Sculpher Pdf

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.

Innovations in Health Care Financing in Low and Middle Income Countries

Kara Hanson,Dov Chernichovsky
Innovations in Health Care Financing in Low and Middle Income Countries Book PDF

Author : Kara Hanson,Dov Chernichovsky
Publisher : Emerald Group Publishing
Page : 220 pages
File Size : 48,7 Mb
Release : 2009-06-26
Category : Health & Fitness
ISBN : 9781848556652

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Innovations in Health Care Financing in Low and Middle Income Countries by Kara Hanson,Dov Chernichovsky Pdf

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.

The Design of Incentives for Health Care Providers in Developing Countries: Contracts, Competition, and Cost Control

Jeffrey Hammer
The Design of Incentives for Health Care Providers in Developing Countries Contracts Competition and Cost Control Book PDF

Author : Jeffrey Hammer
Publisher : Unknown
Page : 128 pages
File Size : 54,8 Mb
Release : 1999
Category : Electronic
ISBN : OCLC:913716229

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The Design of Incentives for Health Care Providers in Developing Countries: Contracts, Competition, and Cost Control by Jeffrey Hammer Pdf

February 2001 Whatever the theoretical attractiveness of certain policy options, the fact that public employees are people who make independent decisions about their careers and lifestyles can set bounds on how well government agencies can deliver promised services, such as universal health care, including in rural areas. Hammer and Jack examine the design and limitations of incentives for health care providers to serve in rural areas in developing countries. Governments face two problems: it is costly to compensate well-trained urban physicians enough to relocate to rural areas, and it is difficult to ensure quality care when monitoring performance is costly or impossible. The goal of providing universal primary health care has been hard to meet, in part because of the difficulty of staffing rural medical posts with conscientious caregivers. The problem is providing physicians with incentives at a reasonable cost. Governments are often unable to purchase medical services of adequate quality even from civil servants. Using simple microeconomic models of contracts and competition, Hammer and Jack examine questions about: * The design of rural service requirements and options for newly trained physicians. * The impact of local competition on the desirable level of training for new doctors. * The incentive power that can be reasonably expected from explicit contracts. One problem a government faces is choosing how much training to give physicians it wants to send to rural areas. Training is costly, and a physician relocated to the countryside is outside the government's direct control. Should rural doctors face a ceiling on the prices they charge patients? Can it be enforced? Hammer and Jack discuss factors to consider in determining how to pay rural medical workers but conclude that we might have to set realistic bounds on our expectations about delivering certain kinds of services. If we can identify reasons why the best that can be expected is not particularly good, it might lead us to explore entirely different policy systems. Maybe it is too hard to run certain decentralized systems. Maybe we should focus on less ambitious but more readily achievable goals, such as providing basic infrastructure. This paper--a product of Public Economics, Development Research Group--is part of a larger effort in the group to analyze service delivery in the social sectors. The authors may be contacted at [email protected] or [email protected].

Improving Health Sector Performance

Hossein Jalilian,Vicheth Sen
Improving Health Sector Performance Book PDF

Author : Hossein Jalilian,Vicheth Sen
Publisher : Institute of Southeast Asian
Page : 451 pages
File Size : 41,8 Mb
Release : 2011
Category : Medical
ISBN : 9789814345521

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Improving Health Sector Performance by Hossein Jalilian,Vicheth Sen Pdf

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 ""better health"" 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. The papers in this volume are selected from an international conference organised 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.

Zambia

Christopher Adam,Paul Collier,Michael Gondwe
Zambia Book PDF

Author : Christopher Adam,Paul Collier,Michael Gondwe
Publisher : Africa: Policies for Prosperit
Page : 480 pages
File Size : 42,7 Mb
Release : 2014
Category : Business & Economics
ISBN : 9780199660605

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Zambia by Christopher Adam,Paul Collier,Michael Gondwe Pdf

Using and urbanization in Zambia: Unleashing a formal market process

Partnership for Democratic Governance Handbook on Contracting Out Government Functions and Services in Post-Conflict and Fragile Situations

OECD
Partnership for Democratic Governance Handbook on Contracting Out Government Functions and Services in Post Conflict and Fragile Situations Book PDF

Author : OECD
Publisher : OECD Publishing
Page : 165 pages
File Size : 51,8 Mb
Release : 2010-11-29
Category : Electronic
ISBN : 9789264091993

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Partnership for Democratic Governance Handbook on Contracting Out Government Functions and Services in Post-Conflict and Fragile Situations by OECD Pdf

This handbook is a tool to help government officials assess whether contracting out might be a possible way forward – either temporarily or over a longer period of time – for delivering a core service or a government function.

The Millennium Development Goals for Health

Adam Wagstaff
The Millennium Development Goals for Health Book PDF

Author : Adam Wagstaff
Publisher : World Bank Publications
Page : 210 pages
File Size : 43,6 Mb
Release : 2004-01-01
Category : Business & Economics
ISBN : 0821357670

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The Millennium Development Goals for Health by Adam Wagstaff Pdf

Annotation Provides information on progress and trends, including poornonpoor disparities; health systems reform as a means of laying building blocks for the efficient and equitable delivery of effective interventions; the financing of health spending through domestic resources and aid; and improving the effectiveness of development assistance in health. Linking the health Millennium Development Goals? agenda with the broader poverty-reduction agenda, this book is a valuable resource for policymakers in developing countries and development practitioners working in the health, nutrition, and population sector as well as students and scholars of public health.

The Design of Incentives for Health Care Providers in Developing Countries

Jeffrey S. Hammer
The Design of Incentives for Health Care Providers in Developing Countries Book PDF

Author : Jeffrey S. Hammer
Publisher : Unknown
Page : 17 pages
File Size : 48,7 Mb
Release : 2016
Category : Electronic
ISBN : OCLC:1290704735

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The Design of Incentives for Health Care Providers in Developing Countries by Jeffrey S. Hammer Pdf

Whatever the theoretical attractiveness of certain policy options, the fact that public employees are people who make independent decisions about their careers and lifestyles can set bounds on how well government agencies can deliver promised services, such as universal health care, including in rural areas. Hammer and Jack examine the design and limitations of incentives for health care providers to serve in rural areas in developing countries. Governments face two problems: It is costly to compensate well-trained urban physicians enough to relocate to rural areas, and it is difficult to ensure quality care when monitoring performance is costly or impossible.The goal of providing universal primary health care has been hard to meet, in part because of the difficulty of staffing rural medical posts with conscientious caregivers. The problem is providing physicians with incentives at a reasonable cost. Governments are often unable to purchase medical services of adequate quality even from civil servants. Using simple microeconomic models of contracts and competition, Hammer and Jack examine questions about:The design of rural service requirements and options for newly trained physicians.The impact of local competition on the desirable level of training for new doctors.The incentive power that can be reasonably expected from explicit contracts.One problem a government faces is choosing how much training to give physicians it wants to send to rural areas. Training is costly, and a physician relocated to the countryside is outside the government's direct control. Should rural doctors face a ceiling on the prices they charge patients? Can it be enforced?Hammer and Jack discuss factors to consider in determining how to pay rural medical workers but conclude that we might have to set realistic bounds on our expectations about delivering certain kinds of services. If we can identify reasons why the best that can be expected is not particularly good, it might lead us to explore entirely different policy systems. Maybe it is too hard to run certain decentralized systems. Maybe we should focus on less ambitious but more readily achievable goals, such as providing basic infrastructure.This paper - a product of Public Economics, Development Research Group - is part of a larger effort in the group to analyze service delivery in the social sectors.

Global Health 101

Richard Skolnik
Global Health 101 Book PDF

Author : Richard Skolnik
Publisher : Jones & Bartlett Publishers
Page : 618 pages
File Size : 43,7 Mb
Release : 2015-08-07
Category : Medical
ISBN : 9781284045390

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Global Health 101 by Richard Skolnik Pdf

Rated by an independent panel as the best introductory Global Health text for undergraduates, Global Health 101, Third Edition is a clear, concise, and user-friendly introduction to the most critical issues in global health. It illustrates key themes with an extensive set of case studies, examples, and the latest evidence. Particular attention is given to the health-development link, to developing countries, and to the health needs of poor and disadvantaged people. The Third Edition is a thorough revision that offers an extensive amount of new and updated information, while maintaining clarity, simplicity, and ease of use for faculty and students. Offering the latest data on the burden of disease, the book presents unique content on key topics that are often insufficiently covered in introductory materials, such as immunization and adolescent health.

Government-Sponsored Health Insurance in India

Gerard La Forgia,Somil Nagpal
Government Sponsored Health Insurance in India Book PDF

Author : Gerard La Forgia,Somil Nagpal
Publisher : World Bank Publications
Page : 446 pages
File Size : 47,8 Mb
Release : 2012-09-14
Category : Business & Economics
ISBN : 9780821396193

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Government-Sponsored Health Insurance in India by Gerard La Forgia,Somil Nagpal Pdf

This book presents the first comprehensive review of all major government-supported health insurance schemes in India and their potential for contributing to the achievement of universal coverage in India are discussed.

Strategic Contracting for Health Systems and Services

Eric de Roodenbeke
Strategic Contracting for Health Systems and Services Book PDF

Author : Eric de Roodenbeke
Publisher : Routledge
Page : 631 pages
File Size : 44,7 Mb
Release : 2017-07-05
Category : Medical
ISBN : 9781351487986

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Strategic Contracting for Health Systems and Services by Eric de Roodenbeke Pdf

Until the start of the new century, efforts to strengthen health systems focused solely on the public sector and health programs overseen by public bodies. The private sector was sidelined in certain countries and even banned in others. At the same time, some private-sector stakeholders readily adapted themselves to this special situation so as to avoid becoming part of a structured health system.This volume notes profound changes in health care around the world in two areas. The stakeholders involved in the health sector are increasing in number and diversifying as a result of the development of the private sector. They are also responding to a process of democratization and decentralization. These developments have been paralleled by greater functional differentiation. Various stakeholders are increasingly specializing in particular areas of the health system: service delivery, procurement, management, financing, and regulation.The interdependence of health stakeholders becomes more evident along with the increased complexity of delivery systems as these respond to changing demand. There is a compelling need to forge relationships. Such relationships are in fact emerging in developed countries and, more recently, in developing countries. They may be informal, but are increasingly organized and structured.