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| Author | : |
| Publisher | : |
| Total Pages | : 82 |
| Release | : 2004 |
| Genre | : Medical care |
| ISBN | : |
| Author | : Jeff Barnes |
| Publisher | : World Bank Publications |
| Total Pages | : 190 |
| Release | : 2010-06-07 |
| Genre | : Medical |
| ISBN | : 0821383639 |
This paper broadly examines the health sector in Kenya, by synthesizing an assessment of the health sector with an analysis of the market. After considering the legal and regulatory framework, the policy enforcement, the human resource capacity, and the financing of health systems, the paper makes recommendations for policy makers.
| Author | : Lani Rice Marquez |
| Publisher | : Springer Nature |
| Total Pages | : 254 |
| Release | : 2020-05-26 |
| Genre | : Medical |
| ISBN | : 3030431126 |
This open access book is a collection of 12 case studies capturing decades of experience improving health care and outcomes in low- and middle-income countries. Each case study is written by healthcare managers and providers who have implemented health improvement projects using quality improvement methodology, with analysis from global health experts on the practical application of improvement methods. The book shows how frontline providers in health and social services can identify gaps in care, propose changes to address those gaps, and test the effectiveness of their changes in order to improve health processes and outcomes. The chapters feature cases that provide real-life examples of the challenges, solutions, and benefits of improving healthcare quality and clearly demonstrate for readers what quality improvement looks like in practice:Addressing Behavior Change in Maternal, Neonatal, and Child Health with Quality Improvement and Collaborative Learning Methods in GuatemalaHaiti’s National HIV Quality Management Program and the Implementation of an Electronic Medical Record to Drive Improvement in Patient CareScaling Up a Quality Improvement Initiative: Lessons from Chamba District, IndiaPromoting Rational Use of Antibiotics in the Kyrgyz RepublicStrengthening Services for Most Vulnerable Children through Quality Improvement Approaches in a Community Setting: The Case of Bagamoyo District, TanzaniaImproving HIV Counselling and Testing in Tuberculosis Service Delivery in Ukraine: Profile of a Pilot Quality Improvement Team and Its Scale‐Up JourneyImproving Health Care in Low- and Middle-Income Countries: A Case Book will find an engaged audience among healthcare providers and administrators implementing and managing improvement projects at Ministries of Health in low- to middle-income countries. The book also aims to be a useful reference for government donor agencies, their implementing partners, and other high-level decision makers, and can be used as a course text in schools of public health, public policy, medicine, and development. ACKNOWLEDGMENT:This work was conducted under the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project, USAID Award No. AID-OAA-A-12-00101, which is made possible by the generous support of the American people through the U.S. Agency for International Development (USAID). DISCLAIMER:The contents of this book are the sole responsibility of the Editor(s) and do not necessarily reflect the views of USAID or the United States Government. div=""^
| Author | : Sarasi Amarasinghe |
| Publisher | : |
| Total Pages | : 61 |
| Release | : 2013 |
| Genre | : |
| ISBN | : 9789551707118 |
In 2006, Sri Lanka engaged in a bold experiment to change the regulation of private sector services, by moving responsibilities to an independent Private Health Services Regulatory Council (PHSRC). The system is unique in a regional context as it moves regulation out of the health ministry, and directly involves the private sector providers in the regulatory agency. Assessment of the PHSRC shows that it is completely ineffective, failing to discharge most of its envisaged functions. The one function it does attempt is the annual licensing of private medical providers, but analysis shows that it does this badly, with most private hospitals failing to obtain their annual license, and an even greater proportion of other providers also not doing so. PHSRC licensing performance is actually deteriorating over time, with some evidence pointing to conflicts of interest between those of the private sector representatives and the PHSRC's regulatory objectives playing a part. It is recommended that the PHSRC be abolished, and private sector regulation be transferred back to MoH, as in other similar countries, such as Malaysia and Singapore. This profile was prompted by concerns that there was inadequate information on the activities of private healthcare providers in Sri Lanka. Although only limited primary data collection was done, it was possible to build up a fairly detailed profile of private healthcare activities in the country, and recent trends. It is possible to profile private sector activity in Sri Lanka in greater detail than in most other regional countries, by making use of data collected outside MoH. This is despite the inability of the PHSRC to provide reliable statistics on private sector activities. The findings indicate that MoH can improve its monitoring of the private sector health contribution by strengthening partnerships with other agencies in the country, although restructuring the private sector regulatory mechanisms would also make a big difference.
| Author | : National Academies of Sciences, Engineering, and Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 399 |
| Release | : 2019-01-27 |
| Genre | : Medical |
| ISBN | : 0309477891 |
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.
| Author | : Aaron Mulaki |
| Publisher | : |
| Total Pages | : |
| Release | : 2019-06 |
| Genre | : |
| ISBN | : 9781595602084 |
| Author | : Sarah Thomson |
| Publisher | : Cambridge University Press |
| Total Pages | : 593 |
| Release | : 2020-10-01 |
| Genre | : Business & Economics |
| ISBN | : 1108901166 |
Can private health insurance fill gaps in publicly financed coverage? Does it enhance access to health care or improve efficiency in health service delivery? Will it provide fiscal relief for governments struggling to raise public revenue for health? This book examines the successes, failures and challenges of private health insurance globally through country case studies written by leading national experts. Each case study considers the role of history and politics in shaping private health insurance and determining its impact on health system performance. Despite great diversity in the size and functioning of markets for private health insurance, the book identifies clear patterns across countries, drawing out valuable lessons for policymakers while showing how history and politics have proved a persistent barrier to effective public policy. This title is also available as Open Access on Cambridge Core.
| Author | : Sarah Thomson |
| Publisher | : Cambridge University Press |
| Total Pages | : 593 |
| Release | : 2020-10 |
| Genre | : Business & Economics |
| ISBN | : 0521125820 |
A collection of comparative case studies analysing the history, politics and performance of private health insurance globally and its implications for universal health coverage. This is essential reading for graduate students, scholars and policy makers working on health systems financing worldwide.
| Author | : National Academies of Sciences, Engineering, and Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 127 |
| Release | : 2016-06-01 |
| Genre | : Medical |
| ISBN | : 0309381428 |
Over the past several decades, the public and private sectors made significant investments in global health, leading to meaningful changes for many of the world's poor. These investments and the resulting progress are often concentrated in vertical health programs, such as child and maternal health, malaria, and HIV, where donors may have a strategic interest. Frequently, partnerships between donors and other stakeholders can coalesce on a specific topical area of expertise and interest. However, to sustain these successes and continue progress, there is a growing recognition of the need to strengthen health systems more broadly and build functional administrative and technical infrastructure that can support health services for all, improve the health of populations, increase the purchasing and earning power of consumers and workers, and advance global security. In June 2015, the National Academies of Sciences, Engineering, and Medicine held a workshop on the role of public-private partnerships (PPPs) in health systems strengthening. Participants examined a range of incentives, innovations, and opportunities for relevant sectors and stakeholders in strengthening health systems through partnerships; to explore lessons learned from pervious and ongoing efforts with the goal of illuminating how to improve performance and outcomes going forward; and to discuss measuring the value and outcomes of investments and documenting success in partnerships focused on health systems strengthening. This report summarizes the presentations and discussions from the workshop.
| Author | : Huihui Wang |
| Publisher | : World Bank Publications |
| Total Pages | : 101 |
| Release | : 2017-08-14 |
| Genre | : Business & Economics |
| ISBN | : 1464811180 |
Ghana National Health Insurance Scheme (NHIS) was established in 2003 as a major vehicle to achieve the country’s commitment of Universal Health Coverage. The government has earmarked value-added tax to finance NHIS in addition to deduction from Social Security Trust (SSNIT) and premium payment. However, the scheme has been running under deficit since 2009 due to expansion of coverage, increase in service use, and surge in expenditure. Consequently, Ghana National Health Insurance Authority (NHIA) had to reduce investment fund, borrow loans and delay claims reimbursement to providers in order to fill the gap. This study aimed to provide policy recommendations on how to improve efficiency and financial sustainability of NHIS based on health sector expenditure and NHIS claims expenditure review. The analysis started with an overall health sector expenditure review, zoomed into NHIS claims expenditure in Volta region as a miniature for the scheme, and followed by identifictation of factors affecting level and efficiency of expenditure. This study is the first attempt to undertake systematic in-depth analysis of NHIS claims expenditure. Based on the study findings, it is recommended that NHIS establish a stronger expenditure control system in place for long-term sustainability. The majority of NHIS claims expenditure is for outpatient consultations, district hospitals and above, certain member groups (e.g., informal group, members with more than five visits in a year). These distribution patterns are closely related to NHIS design features that encourages expenditure surge. For example, year-round open registration boosted adverse selection during enrollment, essentially fee-for-service provider mechanisms incentivized oversupply but not better quality and cost-effectiveness, and zero patient cost-sharing by patients reduced prudence in seeking care and caused overuse. Moreover, NHIA is not equipped to control expenditure or monitor effect of cost-containment policies. The claims processing system is mostly manual and does not collect information on service delivery and results. No mechanisms exist to monitor and correct providers’ abonormal behaviors, as well as engage NHIS members for and engaging members for information verification, case management and prevention.
