Quality And Cost In Health Care Choice In Developing Countries

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Quality and Cost in Health Care Choice in Developing Countries

Author : Victor Lavy,Jean-Marc Germain
Publisher : Washington, D.C. : World Bank
Page : 52 pages
File Size : 47,8 Mb
Release : 1994
Category : Consumer behavior
ISBN : UIUC:30112085912654

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Quality and Cost in Health Care Choice in Developing Countries by Victor Lavy,Jean-Marc Germain Pdf

Disease Control Priorities in Developing Countries

Author : Dean T. Jamison,Joel G. Breman,Anthony R. Measham,George Alleyne,Mariam Claeson,David B. Evans,Prabhat Jha,Anne Mills,Philip Musgrove
Publisher : World Bank Publications
Page : 1449 pages
File Size : 46,9 Mb
Release : 2006-04-02
Category : Medical
ISBN : 9780821361801

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Disease Control Priorities in Developing Countries by Dean T. Jamison,Joel G. Breman,Anthony R. Measham,George Alleyne,Mariam Claeson,David B. Evans,Prabhat Jha,Anne Mills,Philip Musgrove Pdf

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.

Crossing the Global Quality Chasm

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Board on Global Health,Committee on Improving the Quality of Health Care Globally
Publisher : National Academies Press
Page : 399 pages
File Size : 53,9 Mb
Release : 2019-01-27
Category : Medical
ISBN : 9780309477895

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Crossing the Global Quality Chasm by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Board on Global Health,Committee on Improving the Quality of Health Care Globally Pdf

In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.

Health System Efficiency

Author : Jonathan Cylus,Irene Papanicolas,Peter C. Smith
Publisher : Health Policy
Page : 264 pages
File Size : 53,9 Mb
Release : 2016-12-15
Category : Medical
ISBN : 9289050411

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Health System Efficiency by Jonathan Cylus,Irene Papanicolas,Peter C. Smith Pdf

In this book the authors explore the state of the art on efficiency measurement in health systems and international experts offer insights into the pitfalls and potential associated with various measurement techniques. The authors show that: - The core idea of efficiency is easy to understand in principle - maximizing valued outputs relative to inputs, but is often difficult to make operational in real-life situations - There have been numerous advances in data collection and availability, as well as innovative methodological approaches that give valuable insights into how efficiently health care is delivered - Our simple analytical framework can facilitate the development and interpretation of efficiency indicators.

The Design of Incentives for Health Care Providers in Developing Countries

Author : Jeffrey S. Hammer,William Jack
Publisher : World Bank Publications
Page : 22 pages
File Size : 41,5 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.

Managing the Quality of Health Care in Developing Countries

Author : Willy De Geyndt
Publisher : World Bank Publications
Page : 96 pages
File Size : 48,8 Mb
Release : 1995
Category : Social Science
ISBN : 0821330926

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Managing the Quality of Health Care in Developing Countries by Willy De Geyndt Pdf

World Bank Technical Paper No. 258. Quality of health care is a complex concept interwoven with value judgments about what constitutes good quality. This lack of linearity partly explains the large number of definitions of the concept of quality an

Health Policy

Author : David Reisman
Publisher : Edward Elgar Publishing
Page : 384 pages
File Size : 45,8 Mb
Release : 2016-01-29
Category : Medical
ISBN : 9781785365218

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Health Policy by David Reisman Pdf

This lucid and comprehensive book explores the ways in which the State, the market and the citizen can collaborate to satisfy people’s health care needs. It argues that health care is not a commodity like any other. It asks if its unique properties mean that there is a role for social regulation and political management. Apples and oranges can be left to the buyers and the sellers. Health care may require an input from the consensus, the experts, the insurers, the politicians and the bureaucrats as well. David Reisman makes a fresh contribution to the debate. He argues that the three policy issues that are of primary importance are choice, equality and cost. He explores the balance between the patient, the practitioner and public opinion; the disparities in outcome indicators and access to medical care; and the escalation in prices and quantities at the expense of other areas of social life. Reisman concludes that, despite its significance for the individual and the nation, there is no single definition of health or health care. The maximand is a mix. Yet decisions have to be made. This thought-provoking and insightful book will be of use to students and scholars of public policy, social policy and health economics. It will also be of interest to medical practitioners who want to situate hard choices about health and illness in a broad multidisciplinary context.

Health Sector Reform in Developing Countries

Author : Peter A. Berman
Publisher : Harvard Center for Population and Development Studies
Page : 436 pages
File Size : 40,6 Mb
Release : 1995
Category : Business & Economics
ISBN : STANFORD:36105017522322

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Health Sector Reform in Developing Countries by Peter A. Berman Pdf

In Mexico City or Nairobi or Manila, a young girl in one part of the city is near death with measles, while, not far away, an elderly man awaits transplantation of a new kidney. How is one denied a cheap, simple, and effective remedy while another can command the most advanced technology medicine can offer? Can countries like Mexico, Kenya, or the Philippines, with limited funds and medical resources, find an affordable, effective, and fair way to balance competing health needs and demands? Such dilemmas are the focus of this insightful book in which leading international researchers bring together the latest thinking on how developing countries can reform health care. The choices these poorer countries make today will determine the pace of health improvement for vast numbers of people now and in the future. Exploring new ideas and concepts, as well as the practical experiences of nations in all parts of the world, this volume provides valuable insights and information to both generalists and specialists interested in how health care will look in the world of the twenty-first century.

Health-Care Utilization as a Proxy in Disability Determination

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Health Care Utilization and Adults with Disabilities
Publisher : National Academies Press
Page : 161 pages
File Size : 52,8 Mb
Release : 2018-04-02
Category : Medical
ISBN : 9780309469210

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Health-Care Utilization as a Proxy in Disability Determination by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Health Care Utilization and Adults with Disabilities Pdf

The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

Price Setting and Price Regulation in Health Care

Author : OECD,World Health Organization,Barber Sarah L,Lorenzoni Luca,Ong Paul
Publisher : OECD Publishing
Page : 298 pages
File Size : 45,5 Mb
Release : 2019-06-26
Category : Electronic
ISBN : 9789264508866

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Price Setting and Price Regulation in Health Care by OECD,World Health Organization,Barber Sarah L,Lorenzoni Luca,Ong Paul Pdf

The objectives of this study are to describe experiences in price setting and how pricing has been used to attain better coverage, quality, financial protection, and health outcomes. It builds on newly commissioned case studies and lessons learned in calculating prices, negotiating with providers, and monitoring changes. Recognising that no single model is applicable to all settings, the study aimed to generate best practices and identify areas for future research, particularly in low- and middle-income settings. The report and the case studies were jointly developed by the OECD and the WHO Centre for Health Development in Kobe (Japan).

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

Author : Jeffrey Hammer
Publisher : Unknown
Page : 128 pages
File Size : 54,7 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].

Evidence-Based Medicine and the Changing Nature of Health Care

Author : Institute of Medicine,LeighAnne M. Olsen,Elizabeth G. Nabel,J. Michael McGinnis,Mark B. McClellan
Publisher : National Academies Press
Page : 202 pages
File Size : 46,9 Mb
Release : 2008-09-06
Category : Medical
ISBN : 9780309113694

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Evidence-Based Medicine and the Changing Nature of Health Care by Institute of Medicine,LeighAnne M. Olsen,Elizabeth G. Nabel,J. Michael McGinnis,Mark B. McClellan Pdf

Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.

Improving Quality of Care in Low- and Middle-Income Countries

Author : National Academies of Sciences, Engineering, and Medicine,Institute of Medicine,Board on Global Health
Publisher : National Academies Press
Page : 126 pages
File Size : 54,9 Mb
Release : 2015-11-19
Category : Medical
ISBN : 9780309373456

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Improving Quality of Care in Low- and Middle-Income Countries by National Academies of Sciences, Engineering, and Medicine,Institute of Medicine,Board on Global Health Pdf

Quality of care is a priority for U.S. Agency for International Development (USAID). The agency's missions abroad and their host country partners work in quality improvement, but a lack of evidence about the best ways to facilitate such improvements has constrained their informed selection of interventions. Six different methods - accreditation, COPE, improvement collaborative, standards-based management and recognitions (SBM-R), supervision, and clinical in-service training - currently make up the majority of this investment for USAID missions. As their already substantial investment in quality grows, there is demand for more scientific evidence on how to reliably improve quality of care in poor countries. USAID missions, and many other organizations spending on quality improvement, would welcome more information about how different strategies work to improve quality, when and where certain tools are most effective, and the best ways to measure success and shortcomings. To gain a better understanding of the evidence supporting different quality improvement tools and clarity on how they would help advance the global quality improvement agenda, the Institute of Medicine convened a 2-day workshop in January 2015. The workshop's goal was to illuminate these different methods, discussing their pros and cons. This workshop summary is a description of the presentations and discussions.

Health Financing Revisited

Author : Pablo Enrique Gottret,George Schieber
Publisher : World Bank Publications
Page : 340 pages
File Size : 45,7 Mb
Release : 2006-01-01
Category : Medical
ISBN : 9780821365861

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Health Financing Revisited by Pablo Enrique Gottret,George Schieber Pdf

This overview of health financing tools, policies and trends--with a particular focus on challenges facing developing countries--provides the basis for effective policy-making. Analyzing the current global environment, the book discusses health financing goals in the context of both the underlying health, demographic, social, economic, political and demographic analytics as well as the institutional realities faced by developing countries, and assesses policy options in the context of global evidence, the international aid architecture, cross-sectoral interactions, and countries' macroeconomic frameworks and overall development plans.

Social Health Insurance for Developing Nations

Author : R. Paul Shaw
Publisher : World Bank Publications
Page : 188 pages
File Size : 51,5 Mb
Release : 2007-01-01
Category : Business & Economics
ISBN : 9780821369500

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Social Health Insurance for Developing Nations by R. Paul Shaw Pdf

Specialist groups have often advised health ministers and other decision makers in developing countries on the use of social health insurance (SHI) as a way of mobilizing revenue for health, reforming health sector performance, and providing universal coverage. This book reviews the specific design and implementation challenges facing SHI in low- and middle-income countries and presents case studies on Ghana, Kenya, Philippines, Colombia, and Thailand.