Innovations in Health Service Delivery : The Corporatization of Public Hospitals
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Washington, DC: World Bank
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The question of how best to run our
hospitals has been a subject of intense interest for decades
with a strong focus over the past 15 years. Hospital care is
the largest expenditure category in the health systems of
both industrialized and developing countries. Although
hospitals play a critical role in ensuring delivery of
health services, less is known about how to improve the
efficiency and quality of care provided. This book, a
well-documented collection of case studies, is an attempt to
examine the design, implementation and impact of reforms
that introduced market forces in the public hospital sector;
and tries to answer three questions: a) what problems did
this type of reform try to address; b) what are the core
elements of their design, implementation, and evaluation;
and c) is there any evidence that this type of reform is
successful in addressing problems for which they were
intended?. It also provides some insights about recent
trends in the reform of public hospitals, with an emphasis
on organizational changes such as increased management
autonomy, corporatization, and privatization.
Palabras clave
HEALTH SERVICES, HOSPITALS, PUBLIC HOSPITALS, INNOVATION IN BUSINESS, CORPORATE ACQUISITIONS, PRIVATIZATION, INTERVENTION, INSTITUTIONAL CAPACITY, STRATEGIC MANAGEMENT, CASE STUDIES, CORPORATIZATION ACCOUNTABILITY, AGING, ALLOCATIVE EFFICIENCY, BALANCE SHEETS, BEDS, BURDEN OF DISEASE, BUREAUCRACIES, BUREAUCRACY, CENTRALIZATION, CEO, CORRUPTION, DECENTRALIZATION, DELIVERY SYSTEMS, DEPRECIATION, DISPENSARIES, DRUGS, EXPENDITURES, FEASIBILITY, FINANCIAL MANAGEMENT, HEALTH ADMINISTRATION, HEALTH CARE, HEALTH EXPENDITURES, HEALTH FACILITIES, HEALTH OUTCOMES, HEALTH POLICY, HEALTH REFORMS, HEALTH SECTOR, HEALTH SERVICES, HEALTH STATUS, HEALTH SYSTEM, HEALTH SYSTEMS, HMO, HOSPITAL AUTONOMY, HOSPITAL MANAGEMENT, HOSPITAL SERVICES, HOSPITALIZATION, HOSPITALS, INTEGRATED HEALTH CARE, LAWS, MANAGEMENT CONTRACTS, MANAGEMENT INFORMATION, MANAGEMENT INFORMATION SYSTEMS, MANAGEMENT TECHNIQUES, MANAGERS, MEDIA, MIS, MOTIVATION, NUTRITION, OCCUPANCY, OCCUPANCY RATES, OPERATING BUDGETS, OPERATING COSTS, ORGANIZATIONAL BEHAVIOR, ORGANIZATIONAL REFORM, PATIENT SATISFACTION, PATIENTS, PERFORMANCE BUDGETING, PERFORMANCE INDICATORS, PHARMACEUTICALS, PRIMARY CARE, PRIVATE SECTOR, PROCUREMENT, PROFESSIONAL ASSOCIATIONS, PROFESSIONAL PRACTICE, PUBLIC HEALTH, PUBLIC HOSPITALS, PUBLIC SECTOR, PURCHASING, RATIONALIZATION, REFORM POLICIES, REFORM PROCESS, REHABILITATION, SERVICE DELIVERY, SERVICE PROVIDERS, SERVICE QUALITY, STRATEGIC PLANNING, TEAMWORK, TELECOMMUNICATIONS, USER FEES