Spending Wisely : Buying Health Services for the Poor
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Washington, DC: World Bank
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With a special focus on strategic
purchasing and contracting of services from nongovernmental
providers, this title reviews ways to make public spending
on health care more efficient and equitable in developing
countries. It is recommended that: 1) experiments and pilot
projects for improving public sector hospitals should focus
on mission clarity and organizational simplification; 2)
programs for improving the composition of utilization should
experiment with payments to consumers and with health labor
force composition and training; and 3) initiatives to
attract providers to rural areas should use explicit
deferred compensation contracts to improve monitoring.
Palabras clave
ANALYTICAL WORK, ANTENATAL CARE, BEDS, BENEFIT INCIDENCE, BUDGET ALLOCATIONS, CITIES, CLINICS, COST RECOVERY, COST -RECOVERY, CURATIVE HEALTH CARE, DATA COLLECTION, DEVELOPING COUNTRIES, DISCRIMINATION, EQUALITY, EXERCISES, EXPENDITURE DATA, EXTERNALITIES, FAMILIES, GENDER, GOVERNANCE STRUCTURE, HEALTH CARE, HEALTH CARE SERVICES, HEALTH CENTERS, HEALTH FACILITIES, HEALTH INSURANCE, HEALTH NEEDS, HEALTH OUTCOMES, HEALTH SECTOR, HEALTH SERVICE, HEALTH SERVICES, HEALTH STATUS, HEALTH SURVEY, HEALTH SYSTEM, HEALTH SYSTEMS, HOSPITAL CARE, HOSPITAL SERVICES, HOSPITALIZATION, HOSPITALS, HOUSEHOLD SURVEY, HUMAN DEVELOPMENT, IMMUNIZATION, INCIDENCE ANALYSIS, INCOME, INCOME NEUTRAL, INCOME QUINTILES, INPATIENT CARE, LONG TERM, MORBIDITY, MORTALITY, NUTRITION, OUTPATIENT CARE, OUTPATIENT SERVICES, POLICY IMPLICATIONS, POLICY MAKERS, POOR CHILDREN, POOR HOUSEHOLDS, POOR MEN, POPULATION GROUPS, POVERTY CATEGORY, POVERTY LINE, POVERTY LINES, PRIMARY CARE, PRIMARY HEALTH CARE, PRIVATE SECTOR, PRIVATE SECTORS, PRODUCTIVE ASSET, PUBLIC EXPENDITURE, PUBLIC HEALTH, PUBLIC HEALTH SERVICES, PUBLIC HOSPITALS, PUBLIC POLICIES, PUBLIC RESOURCES, PUBLIC SECTOR, PUBLIC SERVICES, RESIDENCES, RESOURCE ALLOCATION, RURAL AREAS, RURAL POPULATION, RURAL SETTINGS, SERVICE DELIVERY, URBAN AREAS, URBAN POPULATION, URBAN POPULATIONS