Kosovo : Report on Management Accountability in the Health Sector
This report assesses the opportunities for improving the performance of the government health sector in Kosovo through better management and improved information for managers. Specifically, it concerns the kinds of information used by managers in t...
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| Format: | Health Sector Review |
| Language: | English en_US |
| Published: |
World Bank, Washington, DC
2013
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| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/2007/06/16426424/kosovo-report-management-accountability-health-sector http://hdl.handle.net/10986/12802 |
| id |
okr-10986-12802 |
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| recordtype |
oai_dc |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
ACCOUNTABILITY ACCOUNTING BASIC BEDS BENCHMARKS BROWSER BUDGETING CAPABILITIES CAPITAL BUDGETS CAPITAL INVESTMENT CAPITATION CASH FLOW CHARTS CLINICIANS CLINICS COMPUTER DATA COMPUTER SYSTEMS COMPUTERS COPYRIGHT CUSTOM CUSTOMS DATA ENTRY DATA SOURCES DEATHS DECENTRALIZATION DECISION MAKING DENTAL SERVICES DISKETTE DOCTORS EQUIPMENT ESSENTIAL DRUGS FORECASTS HARDWARE HEALTH ADMINISTRATION HEALTH CARE HEALTH CARE DELIVERY HEALTH CARE MANAGEMENT HEALTH CENTERS HEALTH EXPENDITURES HEALTH FACILITIES HEALTH INFORMATION HEALTH INFORMATION SYSTEM HEALTH INFORMATION SYSTEMS HEALTH INSURANCE HEALTH MANAGEMENT HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HEALTH SYSTEMS HOSPITAL SERVICES HOSPITALS HR HUMAN RESOURCE HUMAN RESOURCES ID IMMUNIZATION IMPLEMENTATION PROCESS IN PATIENT CARE INFORMATION SYSTEM INFORMATION SYSTEMS INPUT FACTORS INSURANCE INTEGRATION INTERVENTION INVENTORIES INVENTORY INVENTORY MANAGEMENT INVESTMENTS IN INFORMATION TECHNOLOGY LAWS LEGAL BASIS LICENSE MANAGEMENT OF RESOURCES MATERIAL MEDICAL SERVICES MEDICINE MORTALITY NURSES NURSING ORDER ENTRY OUTPATIENT SERVICES PATIENT PATIENT CARE PATIENT SATISFACTION PATIENTS PERFORMANCE INDICATORS PERFORMANCE MEASURES PHARMACEUTICAL PHARMACEUTICAL ADMINISTRATION PHARMACEUTICAL SECTOR PHARMACEUTICAL SYSTEMS PHARMACEUTICALS PHARMACY PHONE PHYSICIAN PHYSICIANS PILOT PROJECT PLASTIC CARD PRESCRIPTIONS PRIMARY CARE PRIMARY HEALTH CARE PRIVATE SECTOR PROCUREMENT PRODUCTION PROCESS PRODUCTION PROCESSES PRODUCTIVITY PROFESSIONAL RESPONSIBILITY PROFESSIONAL STAFF PROGRAMMING PROJECT MANAGEMENT PROTOCOL PROTOCOLS PROVIDER PAYMENT PUBLIC HEALTH PURCHASING REAL TIME REGISTRIES RELIABILITY REPRODUCTIVE HEALTH RESOURCE MOBILIZATION RESULT RESULTS RETAIL PHARMACIES SITES SOFTWARE PACKAGE STRATEGIC PLANNING SUPPORT STAFF TECHNICAL ASSISTANCE TIME PERIODS TRACKING SYSTEM UNIQUE ID UNIQUE IDENTIFIER UNIQUE IDENTIFIERS UNIQUE IDS USER USES VERIFICATION WORKERS |
| spellingShingle |
ACCOUNTABILITY ACCOUNTING BASIC BEDS BENCHMARKS BROWSER BUDGETING CAPABILITIES CAPITAL BUDGETS CAPITAL INVESTMENT CAPITATION CASH FLOW CHARTS CLINICIANS CLINICS COMPUTER DATA COMPUTER SYSTEMS COMPUTERS COPYRIGHT CUSTOM CUSTOMS DATA ENTRY DATA SOURCES DEATHS DECENTRALIZATION DECISION MAKING DENTAL SERVICES DISKETTE DOCTORS EQUIPMENT ESSENTIAL DRUGS FORECASTS HARDWARE HEALTH ADMINISTRATION HEALTH CARE HEALTH CARE DELIVERY HEALTH CARE MANAGEMENT HEALTH CENTERS HEALTH EXPENDITURES HEALTH FACILITIES HEALTH INFORMATION HEALTH INFORMATION SYSTEM HEALTH INFORMATION SYSTEMS HEALTH INSURANCE HEALTH MANAGEMENT HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HEALTH SYSTEMS HOSPITAL SERVICES HOSPITALS HR HUMAN RESOURCE HUMAN RESOURCES ID IMMUNIZATION IMPLEMENTATION PROCESS IN PATIENT CARE INFORMATION SYSTEM INFORMATION SYSTEMS INPUT FACTORS INSURANCE INTEGRATION INTERVENTION INVENTORIES INVENTORY INVENTORY MANAGEMENT INVESTMENTS IN INFORMATION TECHNOLOGY LAWS LEGAL BASIS LICENSE MANAGEMENT OF RESOURCES MATERIAL MEDICAL SERVICES MEDICINE MORTALITY NURSES NURSING ORDER ENTRY OUTPATIENT SERVICES PATIENT PATIENT CARE PATIENT SATISFACTION PATIENTS PERFORMANCE INDICATORS PERFORMANCE MEASURES PHARMACEUTICAL PHARMACEUTICAL ADMINISTRATION PHARMACEUTICAL SECTOR PHARMACEUTICAL SYSTEMS PHARMACEUTICALS PHARMACY PHONE PHYSICIAN PHYSICIANS PILOT PROJECT PLASTIC CARD PRESCRIPTIONS PRIMARY CARE PRIMARY HEALTH CARE PRIVATE SECTOR PROCUREMENT PRODUCTION PROCESS PRODUCTION PROCESSES PRODUCTIVITY PROFESSIONAL RESPONSIBILITY PROFESSIONAL STAFF PROGRAMMING PROJECT MANAGEMENT PROTOCOL PROTOCOLS PROVIDER PAYMENT PUBLIC HEALTH PURCHASING REAL TIME REGISTRIES RELIABILITY REPRODUCTIVE HEALTH RESOURCE MOBILIZATION RESULT RESULTS RETAIL PHARMACIES SITES SOFTWARE PACKAGE STRATEGIC PLANNING SUPPORT STAFF TECHNICAL ASSISTANCE TIME PERIODS TRACKING SYSTEM UNIQUE ID UNIQUE IDENTIFIER UNIQUE IDENTIFIERS UNIQUE IDS USER USES VERIFICATION WORKERS Gaumer, Gary Kosovo : Report on Management Accountability in the Health Sector |
| geographic_facet |
Europe and Central Asia Kosovo |
| description |
This report assesses the opportunities
for improving the performance of the government health
sector in Kosovo through better management and improved
information for managers. Specifically, it concerns the
kinds of information used by managers in the health system,
and indications of demand for additional data and
performance measures. Overall, we try to assess the need for
new investments in information technology in the health
system as a means for improving health system performance.
The health system in Kosovo is a government system of six
regional hospitals, several smaller facilities; all
supported by a large tertiary university hospital and
associated specialists in Prishtina, and a set of
municipally-managed primary health centers (and their
subordinate health houses and ambulances throughout the
countryside). Written referrals are required for secondary
and tertiary care. Essential drugs are free in the clinics,
if available. The government operates and finances this
system in a traditional line budget way by paying salaries
directly from the Ministry of Economics and Finance (MOF),
and setting strict budget limits for facility managers for
goods and services and capital. Municipalities receive a
capitation grant from the MOF to help to finance the
clinics. Modest co payments are collected for ambulatory
care. There is essentially no private insurance. Health
behaviors are poor, particularly relating to reproductive
health, where maternal and birth outcomes are very poor.
Most telling about the service quality of the government
health system, the use of the private sector and nearby
out-of-country providers is growing, and may now exceed 50
percent of ambulatory care used by citizens. The report
summarizes the data collection activities (section two), the
framework for analysis (section three), the findings from
the study (section four), recommendations (section five).
Annexes contain data gathering forms and protocols
referenced in the text. |
| format |
Economic & Sector Work :: Health Sector Review |
| author |
Gaumer, Gary |
| author_facet |
Gaumer, Gary |
| author_sort |
Gaumer, Gary |
| title |
Kosovo : Report on Management Accountability in the Health Sector |
| title_short |
Kosovo : Report on Management Accountability in the Health Sector |
| title_full |
Kosovo : Report on Management Accountability in the Health Sector |
| title_fullStr |
Kosovo : Report on Management Accountability in the Health Sector |
| title_full_unstemmed |
Kosovo : Report on Management Accountability in the Health Sector |
| title_sort |
kosovo : report on management accountability in the health sector |
| publisher |
World Bank, Washington, DC |
| publishDate |
2013 |
| url |
http://documents.worldbank.org/curated/en/2007/06/16426424/kosovo-report-management-accountability-health-sector http://hdl.handle.net/10986/12802 |
| _version_ |
1764421328042983424 |
| spelling |
okr-10986-128022021-04-23T14:03:04Z Kosovo : Report on Management Accountability in the Health Sector Gaumer, Gary ACCOUNTABILITY ACCOUNTING BASIC BEDS BENCHMARKS BROWSER BUDGETING CAPABILITIES CAPITAL BUDGETS CAPITAL INVESTMENT CAPITATION CASH FLOW CHARTS CLINICIANS CLINICS COMPUTER DATA COMPUTER SYSTEMS COMPUTERS COPYRIGHT CUSTOM CUSTOMS DATA ENTRY DATA SOURCES DEATHS DECENTRALIZATION DECISION MAKING DENTAL SERVICES DISKETTE DOCTORS EQUIPMENT ESSENTIAL DRUGS FORECASTS HARDWARE HEALTH ADMINISTRATION HEALTH CARE HEALTH CARE DELIVERY HEALTH CARE MANAGEMENT HEALTH CENTERS HEALTH EXPENDITURES HEALTH FACILITIES HEALTH INFORMATION HEALTH INFORMATION SYSTEM HEALTH INFORMATION SYSTEMS HEALTH INSURANCE HEALTH MANAGEMENT HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HEALTH SYSTEMS HOSPITAL SERVICES HOSPITALS HR HUMAN RESOURCE HUMAN RESOURCES ID IMMUNIZATION IMPLEMENTATION PROCESS IN PATIENT CARE INFORMATION SYSTEM INFORMATION SYSTEMS INPUT FACTORS INSURANCE INTEGRATION INTERVENTION INVENTORIES INVENTORY INVENTORY MANAGEMENT INVESTMENTS IN INFORMATION TECHNOLOGY LAWS LEGAL BASIS LICENSE MANAGEMENT OF RESOURCES MATERIAL MEDICAL SERVICES MEDICINE MORTALITY NURSES NURSING ORDER ENTRY OUTPATIENT SERVICES PATIENT PATIENT CARE PATIENT SATISFACTION PATIENTS PERFORMANCE INDICATORS PERFORMANCE MEASURES PHARMACEUTICAL PHARMACEUTICAL ADMINISTRATION PHARMACEUTICAL SECTOR PHARMACEUTICAL SYSTEMS PHARMACEUTICALS PHARMACY PHONE PHYSICIAN PHYSICIANS PILOT PROJECT PLASTIC CARD PRESCRIPTIONS PRIMARY CARE PRIMARY HEALTH CARE PRIVATE SECTOR PROCUREMENT PRODUCTION PROCESS PRODUCTION PROCESSES PRODUCTIVITY PROFESSIONAL RESPONSIBILITY PROFESSIONAL STAFF PROGRAMMING PROJECT MANAGEMENT PROTOCOL PROTOCOLS PROVIDER PAYMENT PUBLIC HEALTH PURCHASING REAL TIME REGISTRIES RELIABILITY REPRODUCTIVE HEALTH RESOURCE MOBILIZATION RESULT RESULTS RETAIL PHARMACIES SITES SOFTWARE PACKAGE STRATEGIC PLANNING SUPPORT STAFF TECHNICAL ASSISTANCE TIME PERIODS TRACKING SYSTEM UNIQUE ID UNIQUE IDENTIFIER UNIQUE IDENTIFIERS UNIQUE IDS USER USES VERIFICATION WORKERS This report assesses the opportunities for improving the performance of the government health sector in Kosovo through better management and improved information for managers. Specifically, it concerns the kinds of information used by managers in the health system, and indications of demand for additional data and performance measures. Overall, we try to assess the need for new investments in information technology in the health system as a means for improving health system performance. The health system in Kosovo is a government system of six regional hospitals, several smaller facilities; all supported by a large tertiary university hospital and associated specialists in Prishtina, and a set of municipally-managed primary health centers (and their subordinate health houses and ambulances throughout the countryside). Written referrals are required for secondary and tertiary care. Essential drugs are free in the clinics, if available. The government operates and finances this system in a traditional line budget way by paying salaries directly from the Ministry of Economics and Finance (MOF), and setting strict budget limits for facility managers for goods and services and capital. Municipalities receive a capitation grant from the MOF to help to finance the clinics. Modest co payments are collected for ambulatory care. There is essentially no private insurance. Health behaviors are poor, particularly relating to reproductive health, where maternal and birth outcomes are very poor. Most telling about the service quality of the government health system, the use of the private sector and nearby out-of-country providers is growing, and may now exceed 50 percent of ambulatory care used by citizens. The report summarizes the data collection activities (section two), the framework for analysis (section three), the findings from the study (section four), recommendations (section five). Annexes contain data gathering forms and protocols referenced in the text. 2013-03-20T22:03:24Z 2013-03-20T22:03:24Z 2007-06-28 http://documents.worldbank.org/curated/en/2007/06/16426424/kosovo-report-management-accountability-health-sector http://hdl.handle.net/10986/12802 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Economic & Sector Work :: Health Sector Review Economic & Sector Work Europe and Central Asia Kosovo |