Public Ends, Private Means : Strategic Purchasing of Health Services
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Washington, DC: World Bank
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Public Ends, Private Means: Strategic
purchasing of value for money in health services is part of
a series of World Bank publications on ways to make public
spending on health care more efficient and equitable in
developing countries. It reviews the underlying economics in
terms of agency theory, behavioral science, contract theory,
transaction costs, and public choice theory. It provides a
synthesis of the institutional environment needed for
countries to shift to strategic purchasing, organizational
incentives that need to be in place, and management capacity
that needs to be strengthened. The volume is supplemented
with a CD that presents six regional reviews of current
resource allocation and purchasing (RAP) arrangements.
Palabras clave
ACCESS TO HEALTH CARE, ACCOUNTABILITY MECHANISMS, ADEQUATE CARE, ADVERSE SELECTION, ALLOCATIVE EFFICIENCY, APPLICABLE LAW, CAPACITY BUILDING, CARE PURCHASERS, CLINICAL MANAGEMENT, COLLECTION OF REVENUES, COMMUNITY HEALTH, COMMUNITY RATING, CONCERN OF POLICY MAKERS, CONTRACTUAL ARRANGEMENTS, CONTRACTUAL RELATIONSHIPS, COST SHARING, DECISION MAKING, DEMAND FOR HEALTH, DEMAND FOR HEALTH CARE, DEMAND FOR SERVICES, DEVELOPING COUNTRIES, DIAGNOSIS, DISABILITY, DISSEMINATION, DOCTORS, DRUGS, EMPLOYMENT, EQUILIBRIUM, EQUITY GOALS, EXCESSIVE CONSUMPTION, EXPOSURE, FEE FOR SERVICE, FEE SCHEDULES, FERTILITY, FERTILITY RATES, FINANCIAL INCENTIVES, FINANCIAL PROTECTION, FINANCIAL RISK, FINANCING HEALTH CARE, FINANCING OF HEALTH CARE, FLAT RATE, GOVERNMENT PROGRAMS, HEALTH CARE, HEALTH CARE DECISIONS, HEALTH CARE FINANCING, HEALTH CARE PROVIDERS, HEALTH CARE SECTOR, HEALTH CARE SERVICES, HEALTH CARE SYSTEM, HEALTH CARE SYSTEMS, HEALTH ECONOMICS, HEALTH FINANCING, HEALTH INSURANCE SCHEME, HEALTH MAINTENANCE, HEALTH MAINTENANCE ORGANIZATION, HEALTH POLICY, HEALTH PROVIDERS, HEALTH SECTOR, HEALTH SERVICES, HEALTH SYSTEM, HEALTH SYSTEMS, HEALTH WORKERS, HMO, HOSPITAL, HOSPITAL CARE, HOSPITAL SECTOR, HOSPITALS, ILLNESS, INCENTIVE STRUCTURES, INDIVIDUAL HEALTH, INDUCED DEMAND, INFORMATION ASYMMETRY, INFORMATION SYSTEM, INFORMED CHOICES, INSTITUTIONAL CAPACITY, INSURANCE FUNDS, LABOR MARKET, LABOR SUPPLY, LAWS, LEGAL FRAMEWORK, LEGAL STATUS, LIFE EXPECTANCY, LIFE YEARS, LOW INCOME, LOW-INCOME COUNTRIES, LOW-INCOME POPULATIONS, MARGINAL COST, MARGINAL COSTS, MARKET FAILURES, MEDICAL CARE, MEDICAL ECONOMICS, MEDICAL EQUIPMENT, MEDICAL POLICY, MINISTRY OF HEALTH, MORAL HAZARD, NATIONAL HEALTH, NATIONAL HEALTH SERVICE, NATIONAL HEALTH SERVICES, NATURE OF HEALTH, NONGOVERNMENTAL ORGANIZATIONS, NONGOVERNMENTAL SECTORS, NUTRITION, PACIFIC REGION, PARADIGM SHIFT, PATIENT, PATIENT SPENDING, PATIENTS, PHYSICIANS, POCKET PAYMENTS, POCKET PAYMENTS BY HOUSEHOLDS, POLICY FRAMEWORK, POLICY MAKERS, POOR PEOPLE, PRIMARY HEALTH CARE, PRIVATE HEALTH INSURANCE, PRIVATE SECTOR, PRIVATE SECTORS, PROGRESS, PUBLIC HEALTH, PUBLIC HEALTH CARE, PUBLIC HOSPITALS, PUBLIC POLICY, PUBLIC SECTOR, PUBLIC SERVICE, PUBLIC SPENDING, QUALITY ASSURANCE, REFORM OF HEALTH CARE, RESOURCE ALLOCATION, RESOURCE CONSTRAINTS, RESOURCE FLOWS, RESOURCE MOBILIZATION, RISK EQUALIZATION, RISK SHARING, RURAL AREAS, SCARCE RESOURCES, SERVICE DELIVERY, SERVICE PROVIDERS, SOCIAL EXCLUSION, SOCIAL HEALTH INSURANCE, SOCIAL SECURITY, SOCIOECONOMIC FACTORS, UNIVERSAL ACCESS, WASTE, WORKERS, WORLD HEALTH ORGANIZATION