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Public Ends, Private Means : Strategic Purchasing of Health Services :  Strategic Purchasing of Health Services - Alexander S. Preker

Public Ends, Private Means : Strategic Purchasing of Health Services

Strategic Purchasing of Health Services

By: Alexander S. Preker (Editor), Xingzhu Liu (Editor), Edit V. Velenyi (Editor)

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Published: May 2007
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Promoting health and confronting disease challenges requires effective action across a range of activities in the health system. Managing scarce resources and health care effectively and efficiently is an important part of this story. This volume presents six regional reviews of country level experience in improving resource allocation and strategic purchasing in low-and middle income countries.

Forewordp. xiii
Acknowledgmentsp. xv
Abbreviations and Acronymsp. xvii
Introductionp. 1
Conceptual Framework for Implementing Strategic Purchasing of Quality Health Servicep. 3
A Roadmapp. 5
Referencesp. 10
Policy Frameworkp. 11
Political Economy of Strategic Purchasingp. 13
A Historical Snapshotp. 14
The Nature of Government Failurep. 18
Theoretical Underpinningsp. 23
Trends in Public Sector Reformsp. 30
Application to Health Sectorp. 31
"Make or Buy" Decision Gridp. 34
Policy Levers Available to Governmentsp. 36
Getting from Here to Therep. 45
Notesp. 46
Referencesp. 48
Policy Design in Strategic Purchasingp. 53
Introductionp. 54
Key Policy Design Issuesp. 55
Options for Reforming the Policy Designp. 56
Conclusionsp. 64
Referencesp. 65
The Organizational Structure of Purchasersp. 67
Introductionp. 67
Organizations Matterp. 68
Application to Health Care Purchasingp. 72
Organizational Formsp. 75
Structural Configuration of Purchasersp. 81
Incentive Regimep. 92
Conclusionsp. 97
Notesp. 98
Referencesp. 98
Institutional Environmentp. 103
Introductionp. 103
Rationale for Institutionsp. 104
Purchasing Issues Requiring Institutional Reformp. 106
Scope of Institutionsp. 111
Forms of Institutionsp. 114
Levels of Institutionsp. 117
Conclusionsp. 122
Notep. 123
Referencesp. 123
Stewardship, Governance, and Managementp. 125
Introductionp. 125
Management at Different Levelsp. 127
Quality Performancep. 141
Conclusionsp. 142
Annex: Managerial Challengesp. 144
Notep. 146
Referencesp. 146
Economic Underpinningsp. 149
Agency Theory and Its Applications in Health Carep. 151
Basic Conceptsp. 151
Standard Agency Theoryp. 153
Agency Problems and Their Originsp. 155
Alternative Payment Systemsp. 159
Agency in Health Carep. 167
Notep. 176
Referencesp. 176
Doctors' and Patients' Utility Functionsp. 179
Introductionp. 179
A Framework of Interactions between Patients and Doctorsp. 180
The Patient's Utility Functionp. 181
The Doctor's Utility Functionp. 186
The Interaction between the Doctor's and Patient's Utility Functions and Its Implication for the Remuneration Systemp. 190
Notep. 193
Referencesp. 193
Economic Models of Doctors' Behaviorp. 195
Introductionp. 195
The Doctor's Objective Functionsp. 196
The Doctor's Supply Behaviorp. 197
Doctors' Pricing Modelsp. 198
Analysis of Doctors' Behavior in Chinap. 201
Notep. 207
Referencesp. 207
Economic Models of Hospital Behaviorp. 209
Introductionp. 209
Hospital Typesp. 210
Hospital Objectivesp. 213
Economic Models of Hospital Behaviorp. 216
The Application of Hospital Behavior Modelsp. 228
Notep. 234
Referencesp. 234
Motivation and Performance-Related Payp. 237
Introductionp. 237
Motivation Theoriesp. 238
Concepts and Methods of Performance-Related Payp. 242
Performance-Related Pay in the Health Care Sectorp. 248
Notesp. 255
Referencesp. 256
Payment Mechanisms and Provider Behaviorp. 259
Introductionp. 259
Taxonomy of Payment Systemsp. 260
The Current Payment Systemsp. 261
Toward a Better Payment Systemp. 273
Notep. 276
Referencesp. 276
Supplier-Induced Demand and Unnecessary Carep. 279
Introductionp. 279
The Conceptual Framework of SID and UNCp. 280
Supplier-Induced Demandp. 284
Unnecessary Carep. 295
Toward Better Efficiency of Carep. 304
Notep. 306
Referencesp. 306
The Organization of Publicly Financed Health Care Servicesp. 311
Introductionp. 311
Purchasing Medical Care and Coordinating Servicesp. 312
Allocating Control and Cash-Flow Rightsp. 313
Allocating Authority over Coordination and Medical Functionsp. 315
Contracting with Nongovernmental Organizationsp. 317
Some Examples of Contractingp. 318
Conclusionsp. 319
Notesp. 320
Referencesp. 321
Contracting for Medical Care: Providing Incentives and Controlling Costsp. 323
Introductionp. 323
Types of Health Care Funding Mechanismsp. 324
Contracting and Asymmetric Informationp. 325
Applying Contract Theory to the Purchase of Health Servicesp. 336
Competition and Regulationp. 343
Some Conclusionsp. 346
Notesp. 347
Referencesp. 348
Framework for Evaluationp. 351
Measuring Efficiency in Purchasingp. 353
Introductionp. 353
Concepts of Efficiencyp. 354
Measurement of Organizational Efficiencyp. 359
Measurement of Social Efficiencyp. 376
Notep. 381
Referencesp. 381
About the Coeditors and Contributorsp. 385
Indexp. 393
Table of Contents provided by Ingram. All Rights Reserved.

ISBN: 9780821365472
ISBN-10: 0821365479
Audience: Professional
Format: PDF
Language: English
Published: May 2007
Publisher: World Bank Publications
Dimensions (cm): 25.4 x 17.8  x 2.7
Weight (kg): 0.894