Download or read book Assessing Performance of Botswana s Public Hospital System written by Onalenna Seitio-Kgokgwe and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Very few studies have assessed performance of Botswana public hospitals. We draw from a large research study assessing performance of the Botswana Ministry of Health (MoH) to evaluate the performance of public hospital system using the World Health Organization Health Systems Performance Assessment Framework (WHO HSPAF). We aimed to evaluate performance of Botswana public hospital system; relate findings of the assessment to the potential for improvements in hospital performance; and determine the usefulness of the WHO HSPAF in assessing performance of hospital systems in a developing country. Methods: This article is based on data collected from document analysis, 54 key informants comprising senior managers and staff of the MoH (N=40) and senior officers from stakeholder organizations (N=14), and surveys of 42 hospital managers and 389 health workers. Data from documents and transcripts were analyzed using content and thematic analysis while data analysis for surveys was descriptive determining proportions and percentages. Results: The organizational structure of the Botswana's public hospital system, authority and decision-making are highly centralized. Overall physical access to health services is high. However, challenges in the distribution of facilities and inpatient beds create inequities and inefficiencies. Capacity of the hospitals to deliver services is limited by inadequate resources. There are significant challenges with the quality of care. Conclusion: While Botswana invested considerably in building hospitals around the country resulting in high physical access to services, the organization and governance of the hospital system, and inadequate resources limit service delivery. The ongoing efforts to decentralize management of hospitals to district level entities should be expedited. The WHO HSPAF enabled us to conduct a comprehensive assessment of the public hospital system. Though relatively new, this approach proved useful in this study.
Download or read book Performance Measurement for Health System Improvement written by Peter C. Smith and published by Cambridge University Press. This book was released on 2010-01-07 with total page 751 pages. Available in PDF, EPUB and Kindle. Book excerpt: In a world where there is increasing demand for the performance of health providers to be measured, there is a need for a more strategic vision of the role that performance measurement can play in securing health system improvement. This volume meets this need by presenting the opportunities and challenges associated with performance measurement in a framework that is clear and easy to understand. It examines the various levels at which health system performance is undertaken, the technical instruments and tools available, and the implications using these may have for those charged with the governance of the health system. Technical material is presented in an accessible way and is illustrated with examples from all over the world. Performance Measurement for Health System Improvement is an authoritative and practical guide for policy makers, regulators, patient groups and researchers.
Download or read book Comparative Health Systems written by Johnson and published by Jones & Bartlett Learning. This book was released on 2017-03-02 with total page 612 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Second Edition of Comparative Health Systems: A Global Perspective offers new perspectives in health administration, public health, and public policy that address evidence-based approaches to health system improvement; systems thinking at the policy level; integrated information management; macro and micro innovation, and systems sustainability. Part I offers introduces foundational concepts including health and disease; and policy and economics. Two new chapters explore innovation and sustainability; and the role and contributions of non-governmental organizations. In Part II, the health systems of 19 countries are each examined in their own chapter, that carefully explores the country’s geography and culture, the history of its health system, followed by a detailed evaluation of cost, quality, access and innovation.
Download or read book Analysing the Stewardship Function in Botswana s Health System written by Onalenna Seitio-Kgokgwe and published by . This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background In many parts of the world, ongoing deficiencies in health systems compromise the delivery of health interventions. The World Health Organization (WHO) identified four functions that health systems need to perform to achieve their goals: Efforts to strengthen health systems focus on the way these functions are carried out. While a number of studies on health systems functions have been conducted, the stewardship function has received limited attention. In this article, we evaluate the extent to which the Botswana Ministry of Health (MoH) undertook its stewardship role. Methods We used the WHO Health Systems Performance Assessment Frame (HSPAF) to guide analysis of the stewardship function of the Botswana's MoH focusing on formulation of national health policies, exerting influence through health regulation, and coalition building. Data were abstracted from published and unpublished documents. We interviewed 54 key informants comprising staff of the MoH (N = 40) and stakeholder organizations (N = 14). Data from documents was analyzed through content analysis. Interviews were transcribed and analyzed through thematic analysis. Results A lack of capacity for health policy development was identified. Significant policy gaps existed in some areas. Challenges were reported in policy implementation. While the MoH made efforts in developing various statutes that regulated different aspects of the health system, some gaps existed in the regulatory framework. Poor enforcement of legislation was a challenge. Although the MoH had a high number of stakeholders, the mechanisms for stakeholder engagement in the planning processes were weak. Conclusion Problems in the exercise of the stewardship function posed challenges in ensuring accountability and limited the health system's ability to benefit from its stakeholders. Ongoing efforts to establish a District Health System under control of the MoH, attempts to improve service delivery at a national level and political will to strengthen public-private engagement mechanisms are some of the prospects that can improve the MoH's stewardship function.
Download or read book Hospitals in a Changing Europe written by Martin McKee and published by . This book was released on 2002 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: * What roles do hospitals play in the health care system and how are these roles changing? * If hospitals are to optimize health gains and respond to public expectations, how should they be configured, managed, and sustained? * What lessons emerge from experiences of changing hospital systems across Europe? Hospitals of the future will confront difficult challenges: new patterns of disease, rapidly evolving medical technologies, ageing populations, and continuing budget constraints. This book explores the competing pressures facing policymakers across Europe as they struggle to respond to these complex challenges. It argues that hospitals, as part of a larger health system, should focus on enhancing health outcomes while also responding to public expectations. Adopting a cross-national, cross-disciplinary perspective, the study assesses recent evidence on the factors driving hospital reform and the strategies used to improve organizational performance. It reviews the evidence from eastern as well as western Europe and combines academic research with real-world policy experience. It looks at the role of hospitals in enhancing health rather than simply processing patients. The book concludes that hospitals cannot be managed in isolation from society and the wider health system, and that policymakers have a responsibility to define the broader health care goals that hospitals should strive to meet. Hospitals in a Changing Europe synthesizes current evidence in a readable and accessible form for all practitioners, policy-makers, academics and graduate level students concerned with health reform.
Download or read book Getting Health Reform Right written by Marc Roberts and published by Oxford University Press. This book was released on 2008-04-23 with total page 345 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a multi-disciplinary framework for developing and analyzing health sector reforms, based on the authors' extensive international experience. It offers practical guidance - useful to policymakers, consultants, academics, and students alike - and stresses the need to take account of each country's economic, administrative, and political circumstances. The authors explain how to design effective government interventions in five areas - financing, payment, organization, regulation, and behavior - to improve the performance and equity of health systems around the world.
Download or read book Historical Perspectives on the State of Health and Health Systems in Africa Volume II written by Mario J. Azevedo and published by Springer. This book was released on 2017-01-24 with total page 305 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book focuses on Africa’s challenges, achievements, and failures over the past several centuries using an interdisciplinary approach that combines theory and fact and evidence-based practices and interventions in public health, and argues that most of the health problems in Africa are not a result of scarce or lack of resources, but of the misconceived and misplaced priorities that have left the continent behind every other on the globe in terms of health, education, and equitable distribution of opportunities and access to (quality) health as agreed by the United Nations member states at Alma-Ata in 1978.
Download or read book Health Care Benchmarking and Performance Evaluation written by Yasar A. Ozcan and published by Springer Science & Business Media. This book was released on 2007-12-08 with total page 227 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hugely relevant in today’s world of healthcare performance management, this comprehensive work applies the analytical framework of Data Envelopment Analysis methodology to provide health care administrators with specific tools for performance evaluation. Most important, the book provides health care practitioners and administrators with information of what is lacking in specific aspects of performance and then outlines the ways how these performance inadequacies can be improved.
Download or read book Guidelines for Essential Trauma Care written by World Health Organization and published by World Health Organization. This book was released on 2004 with total page 110 pages. Available in PDF, EPUB and Kindle. Book excerpt: Injury is an increasingly significant health problem throughout the world, accounting for 16 per cent of the global burden of disease. The public health burden of death and disability from injury is particularly notable in low and middle income countries. These guidelines seek to establish practical and affordable standards applicable to injury or trauma care worldwide, whether in rural health posts, small hospitals, hospitals staffed by specialists or tertiary care centres. It sets out a list of key trauma treatment services designed to be achievable in all settings, and defines the various human and physical resources required. It also includes a number of recommendations for methods to promote such standards including training, performance improvement, trauma team organisation and hospital inspection.
Download or read book Innovations in Health Service Delivery written by Alexander S. Preker and published by World Bank Publications. This book was released on 2003 with total page 646 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the largest expenditure category of the health systems in both industrialised and developing countries, hospital care provision has been the focus of reforms over recent decades. This publication reviews recent trends in hospital policy reforms and options around the world; and includes case studies which offer insights into lessons learned. Issues considered include: differences in income levels, cultural settings and market environments; organisational changes such as increased management autonomy and privatisation; the need for parallel reforms and effective evaluation mechanisms.
Download or read book Health System Performance Assessment in the WHO European Region written by Centers of Disease Control and published by World Health Organization. This book was released on 2018-04-24 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health systems performance assessment (HSPA) varies across the WHO European Region. This review summarizes HSPA domains and indicators used by Member States in their HSPA or health system-related reports. Thirty Member States published in the English language and from their latest documents, 1485 distinct indicators were extracted. The number of indicators reported per Member State ranged from 9 to 146, with a mean of 50. Among the 14 domains of the WHO 2007 framework, service delivery and improved health were covered by virtually all Member States analysed (30 and 29, respectively), but coverage varied for the other 12 domains, with health workforce and financing having good coverage (25 and 26, respectively) but others, such as safety, efficiency, coverage or responsiveness, covered in only 20-30% of documents. Further refinement of frameworks, both in clarity on scope and function and in the conceptual robustness of domains, is warranted and further standardization of generic sets of indicators should be sought.
Download or read book Making Health Policy written by Buse, Kent and published by McGraw-Hill Education (UK). This book was released on 2012-05-01 with total page 234 pages. Available in PDF, EPUB and Kindle. Book excerpt: Used across the public health field, this is the leading text in the area, focusing on the context, participants and processes of making health policy.
Download or read book Rehabilitation Robots for Neurorehabilitation in High Low and Middle Income Countries written by Michelle Jillian Johnson and published by Academic Press. This book was released on 2023-10-27 with total page 569 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rehabilitation Robots for Neurorehabilitation in High, Low, and Middle Income Countries: Current Practice, Barriers, and Future Directions describes the state-of-art research of stroke rehabilitation using robot systems in selected High Income Countries (HICs) and Low and Middle Income Countries (LMICs), along with potential solutions that enable these technologies to be available to clinicians worldwide, regardless of country and economic status. The book brings together engineers and clinicians, offers insights into healthcare disparities, and highlights potential solutions to facilitate the availability and accessibility of more robot systems to stroke survivors and their clinicians worldwide, regardless of country and economic status.In addition, the book provides examples on how robotic technology is used to bridge rehabilitation gaps in LMICs and describes potential strategies for increasing the expansion of robot-assisted stroke rehabilitation across more LMICs. Provides a global picture of robot-assisted neurorehabilitation Describes stroke healthcare in selected LMICs and selected HICs, along with disparity issues Discusses potential barriers to the penetration of rehabilitation robots into LMICs Presents concrete examples on how clinicians and engineers have begun to address healthcare gaps with rehabilitation robotics and how to deal with accessibility barriers
Download or read book Informatics and Technology in Clinical Care and Public Health written by J. Mantas and published by IOS Press. This book was released on 2022-02-25 with total page 540 pages. Available in PDF, EPUB and Kindle. Book excerpt: Data, informatics, and technology are now among the most important aspects inspiring health professionals and informaticians to improve healthcare for the benefit of patients. This book presents the proceedings of the 19th annual International Conference on Informatics, Management, and Technology in Healthcare (ICIMTH 2021), held as a virtual event due to COVID-19 pandemic restrictions on 16 and 17 October 2021 in Athens, Greece. The ICIMTH conferences are a series of scientific events which bring together scientists working in the field of biomedical and health informatics from around the world. The 2021 conference examined the field of biomedical and health informatics in a very broad framework, presenting the research and application outcomes of informatics from cell to populations, and including a number of technologies such as imaging, sensors and biomedical equipment, as well as management and organizational aspects, including legal and social issues and the setting of research priorities in health informatics. A significant number of the papers included here relate to the COVID-19 pandemic. Providing an insight into the latest developments in biomedical and health informatics, the book will be of interest to all those working in the field.
Download or read book Paying for Performance in Healthcare Implications for Health System Performance and Accountability written by Cheryl Cashin and published by McGraw-Hill Education (UK). This book was released on 2014-09-16 with total page 338 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health spending continues to grow faster than the economy in most OECD countries. In 2010, the OECD published a study of strategies to increase value for money in health care, in which pay for performance (P4P) was identified as an innovative tool to improve health system efficiency in several OECD countries. However, evidence that P4P increases value for money, boosts quality of processes in health care, or improves health outcomes is limited.This book explores the many questions surrounding P4P such as whether the potential power of P4P has been over-sold, or whether the disappointing results to date are more likely rooted in problems of design and implementation or inadequate monitoring and evaluation. The book also examines the supporting systems and process, in addition to incentives, that are necessary for P4P to improve provider performance and to drive and sustain improvement. The book utilises a substantial set of case studies from 12 OECD countries to shed light on P4P programs in practice.Featuring both high and middle income countries, cases from primary and acute care settings, and a range of both national and pilot programmes, each case study features: Analysis of the design and implementationdecisions, including the role of stakeholders Critical assessment of objectives versus results Examination of the of 'net' impacts, includingpositive spillover effects and unintended consequences The detailed analysis of these 12 case studies together with the rest of this critical text highlight the realities of P4P programs and their potential impact on the performance of health systems in a diversity of settings. As a result, this book provides critical insights into the experience to date with P4P and how this tool may be better leveraged to improve health system performance and accountability. This title is in the European Observatory on Health Systems and Policies Series.
Download or read book Decentralization In Health Care Strategies And Outcomes written by Saltman, Richard and published by McGraw-Hill Education (UK). This book was released on 2006-12-01 with total page 327 pages. Available in PDF, EPUB and Kindle. Book excerpt: Exploring the capacity and impact of decentralization within European health care systems, this book examines both the theoretical underpinnings as well as practical experience with decentralization.
Download or read book Health System Efficiency written by Jonathan Cylus and published by Health Policy. This book was released on 2016-12-15 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
