Purchasing Inpatient and Outpatient Care through Hospitals

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dc.creatorde Roodenbeke, Eric
dc.date2013-05-30T20:49:38Z
dc.date2013-05-30T20:49:38Z
dc.date2004-09
dc.date.accessioned2026-07-01T01:31:03Z
dc.descriptionAfter considering the fulfillment of some basic criteria making purchasing a tool for effectiveness, a framework allows to review how to best buy hospital services. Who should benefit most from hospital care financing ? The answer to this question will rely on an investigation of hospital services utilization, and on a better understanding of patients profiles. This type of investigation is a baseline for further decisions on what to buy. A purchaser should wonder: to what public health priorities hospital responds best and how efficient and equitable is hospital care? But hospitals have also a unique role in helping people facing major hazards, in providing some essential public health services and in enabling training: these services should be considered when purchasing. Hospitals represent a large diversity of organizations. Having that in mind makes it easier to figure out from whom to buy. The potential provision of care depends on the level of the provider but is also related to hospitals status taking into consideration productivity. It is also worthwhile to investigate insurance's role in the provision of care. Payment mechanisms have a strong influence on performance, for that reason the major alternative schemes have to be considered, each of them having advantages and limits. But hospital cash flow is also a specific issue that should not be ignored. The price paid has to be determined before making an agreement. This should lead to cautious estimates of cost of services as the information systems are often weak. Moreover it might be worthwhile to play with margin to favor internal cross subsidies. The co-payments as well as the opportunity cost have to be included to understand how to get best from pricing. Dealing with subsidies is a cornerstone when seeking better performance while purchasing hospital services. How subsidies are going to be channeled and for what kind of services will determine if purchasing is really effective.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://documents.worldbank.org/curated/en/2004/09/5643367/purchasing-inpatient-outpatient-care-through-hospitals
dc.identifierhttps://hdl.handle.net/10986/13728
dc.identifierhttps://doi.org/10.1596/13728
dc.identifier.urihttp://hdl.handle.net/123456789/418823
dc.languageEnglish
dc.languageen_US
dc.publisherWorld Bank, Washington, DC
dc.relationHealth, Nutrition and Population (HNP) discussion paper;
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo/
dc.rightsWorld Bank
dc.subjectACCESS TO HEALTH SERVICES
dc.subjectACCOUNTABILITY
dc.subjectACCOUNTING
dc.subjectBASIC HEALTH
dc.subjectBEDS
dc.subjectCAPITATION
dc.subjectCASH FLOW
dc.subjectCHILD HEALTH
dc.subjectCHRONIC DISEASES
dc.subjectCLINICS
dc.subjectCOMMUNICABLE DISEASES
dc.subjectCOUNTRYSIDE
dc.subjectCRITICAL CARE
dc.subjectDAY CARE
dc.subjectDEATHS
dc.subjectDEVELOPMENT GOALS
dc.subjectDRUGS
dc.subjectECONOMIC STATUS
dc.subjectEPIDEMIOLOGICAL TRANSITION
dc.subjectEQUITY IN HEALTH
dc.subjectEXPENDITURES
dc.subjectFEE FOR SERVICE
dc.subjectFEES FOR SERVICE
dc.subjectFIXED COSTS
dc.subjectGENDER
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE DELIVERY
dc.subjectHEALTH CARE EXPENDITURES
dc.subjectHEALTH CARE FACILITIES
dc.subjectHEALTH CARE FINANCING
dc.subjectHEALTH CARE PROFESSIONALS
dc.subjectHEALTH FINANCING
dc.subjectHEALTH HAZARDS
dc.subjectHEALTH INFORMATION
dc.subjectHEALTH MAINTENANCE ORGANIZATIONS
dc.subjectHEALTH NEEDS
dc.subjectHEALTH POLICY
dc.subjectHEALTH SECTOR
dc.subjectHEALTH STATUS
dc.subjectHEALTH SURVEYS
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH SYSTEMS
dc.subjectHOSPITAL ADMISSIONS
dc.subjectHOSPITAL CARE
dc.subjectHOSPITAL COSTS
dc.subjectHOSPITAL MANAGEMENT
dc.subjectHOSPITAL OUTPATIENT SERVICES
dc.subjectHOSPITAL SERVICES
dc.subjectHOSPITAL UTILIZATION
dc.subjectHOSPITALS
dc.subjectHUMAN DEVELOPMENT
dc.subjectHUMAN RESOURCES
dc.subjectIMMUNIZATIONS
dc.subjectIMMUNODEFICIENCY
dc.subjectINCOME
dc.subjectINFANT MORTALITY
dc.subjectINFORMATION SYSTEMS
dc.subjectINPATIENT CARE
dc.subjectLESSONS LEARNED
dc.subjectMAJOR HAZARDS
dc.subjectMALARIA
dc.subjectMEDICAL EQUIPMENT
dc.subjectMEDICAL RECORDS
dc.subjectNUTRITION
dc.subjectOBSTETRICAL CARE
dc.subjectOCCUPANCY
dc.subjectOCCUPANCY RATES
dc.subjectOPERATING COSTS
dc.subjectOUTPATIENT CARE
dc.subjectOUTPATIENT SERVICES
dc.subjectPATIENT SATISFACTION
dc.subjectPATIENTS
dc.subjectPHYSICIANS
dc.subjectPOPULATION GROUPS
dc.subjectPOSTNATAL CARE
dc.subjectPREGNANT WOMEN
dc.subjectPRESCRIPTIONS
dc.subjectPRIMARY CARE
dc.subjectPRIMARY HEALTH CARE
dc.subjectPRIVATE SECTOR
dc.subjectPROMOTING HEALTH
dc.subjectPUBLIC
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HEALTH AUTHORITIES
dc.subjectPUBLIC HEALTH NEEDS
dc.subjectPUBLIC HEALTH SERVICES
dc.subjectPUBLIC HOSPITALS
dc.subjectPUBLIC SECTOR
dc.subjectPURCHASING
dc.subjectQUALITY OF CARE
dc.subjectRURAL AREAS
dc.subjectSERVICE DELIVERY
dc.subjectSURGERY
dc.subjectTEACHING HOSPITALS
dc.subjectTOWNS
dc.subjectTRADITIONAL MEDICINE
dc.subjectTRAFFIC
dc.subjectURBAN AREAS
dc.subjectURBAN POPULATION
dc.subjectWORKERS
dc.subjectWORLD HEALTH ORGANIZATION
dc.titlePurchasing Inpatient and Outpatient Care through Hospitals

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