Download or read book The Design of Incentives for Health Care Providers in Developing Countries written by Jeffrey S. Hammer and published by World Bank Publications. This book was released on 2001 with total page 22 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book The Design of Incentives for Health Care Providers in Developing Countries written by Jeffrey S. Hammer and published by . This book was released on 2016 with total page 17 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book The Design of Incentives for Health Care Providers in Developing Countries Contracts Competition and Cost Control written by Jeffrey Hammer and published by . This book was released on 1999 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: 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].
Download or read book The Design of Incentives for Health Care Providers in Developing Countries written by Hammer and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Performance based Contracting for Health Services in Developing Countries written by Benjamin Loevinsohn and published by World Bank Publications. This book was released on 2008-01-01 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Are Incentives Everything written by Varun Gauri and published by World Bank Publications. This book was released on 2001 with total page 21 pages. Available in PDF, EPUB and Kindle. Book excerpt: This paper assesses the extent to which provider payment mechanisms can help developing countries address their leading health care problems. It first identifies four key problems in the health care systems in developing countries: 1) public facilities, which provide the bulk of secondary and tertiary health care services in most countries, offer services of poor quality; 2) providers cannot be enticed to rural and urban marginal areas, leaving large segments of the population without adequate access to health care; 3) the composition of health services offered and consumed is sub-optimal; and 4) coordination in the delivery of care, including referrals, second opinions, and teamwork, is inadequate. The paper examines each problem in turn and assesses the extent to which changes in provider payments might address it.
Download or read book Public Ends Private Means written by Alexander S. Preker and published by World Bank Publications. This book was released on 2007-01-01 with total page 440 pages. Available in PDF, EPUB and Kindle. Book excerpt: Great progress has been made in recent years in securing better access and financial protection against the cost of illness through collective financing of health care. Managing scarce resources effectively and efficiently is an important part of this story. Experience has shown that, without strategic policies and focused spending, the poor are likely to get left out. The use of purchasing to enhance public sector performance is well-documented in other sectors. Extension to the health sector of lessons from this experience is now successfully implemented in many developing countries. Public.
Download or read book Improving Healthcare Quality in Europe Characteristics Effectiveness and Implementation of Different Strategies written by OECD and published by OECD Publishing. This book was released on 2019-10-17 with total page 447 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.
Download or read book Getting Health Reform Right written by Marc J. Roberts and published by Oxford University Press, USA. This book was released on 2008 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 The World Bank Research Program 2001 written by World Bank and published by World Bank Publications. This book was released on 2001-01-01 with total page 186 pages. Available in PDF, EPUB and Kindle. Book excerpt: This publication is a compilation of reports on research projects initiated, under way, or completed in fiscal year 2001 (July 1, 2000 through June 30, 2001). The abstracts cover 150 research projects from the World Bank and grouped under 11 major headings including poverty and social development, health and population, education, labor and employment, environment, infrastructure and urban development, and agriculture and rural development. The abstracts detail the questions addressed, the analytical methods used, the findings to date and their policy implications. Each abstract identifies the expected completion date of each project, the research team, and reports or publications produced.
Download or read book Inventories in Developing Countries written by J. Luis Guasch and published by World Bank Publications. This book was released on 2001 with total page 30 pages. Available in PDF, EPUB and Kindle. Book excerpt: High inventory levels in developing countries increase the cost of doing business and limit productivity and competitiveness. Improvements in infrastructure (roads, ports, and telecommunications) and in market development can help to significantly reduce inventory levels (and thus the cost of doing business), especially when accompanied by effective regulation and the development and deregulation of associated markets.
Download or read book Measuring Equity in Health Care Financing written by Adam Wagstaff and published by World Bank Publications. This book was released on 2001 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt: The World Health Organization's latest World health report proposes an index of fairness in health care financing. The index's chief weakness is that it cannot discriminate among progressive, regressive, and horizontally inequitable health financing systems. An alternative approach proposed in the early 1990s is shown to do a better job.
Download or read book Decentralizing the Provision of Health Services written by William Jack and published by World Bank Publications. This book was released on 2000 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt: How should central and local governments allocate authority for the planning, financing, and delivery of health services?
Download or read book Financing Health Services in Developing Countries written by John S. Akin and published by World Bank Publications. This book was released on 1987-01-01 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report discusses several different approaches that support reforming health care services in developing countries. For some time now, health care services have been supported by government funds. As demands for improving health care services continue to increase additional demands will be placed on governments to respond. This, however, will not be easy. Slow economic growth and record budget deficits in the 1980's have forced reductions in public spending. Alternative approaches to finance health care services are needed. Such possible changes could involve: decentralization of federal government involvement; the promotion of nongovernment involvement; the imposition of user fees; and, establishing health insurance. Finally, the role of the Bank in pursuing new financing strategies is discussed.
Download or read book A Race to the Top written by Śarah Ḳisner and published by World Bank Publications. This book was released on 2004 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt: A fast-paced novel of contemporary culture, which paints a vivid picture of the secular media's efforts to slander the Torah community. Those on the top set the agenda...and the race is on! A fascinating read you won't be able to put down.
Download or read book Policy Tools for Allocative Efficiency of Health Services written by Xingzhu Liu and published by World Health Organization. This book was released on 2003 with total page 174 pages. Available in PDF, EPUB and Kindle. Book excerpt: This study is a result of trying to answer for the WHO the question, "Are there any policy tools that have been shown to improve the allocative efficiency of health care provision?" It does not simply tell policy-makers which tools to take up, but rather how to determine which ones are more likely to be feasible and effective, given particular circumstances of political and administrative capacity, knowledge on the part of both providers and consumers, and other factors which affect whether a policy tool can be used, and with what outcome.
Download or read book Price setting and regulation in health services written by World Health Organization and published by World Health Organization. This book was released on 2020-03-20 with total page 23 pages. Available in PDF, EPUB and Kindle. Book excerpt:
