Improving the Delivery of Health Services : A Guide to Choosing Strategies

Sufficient funding and efficacious technology may be necessary conditions for achieving health gains, but experience in many countries confirms that they are not sufficient. Effective and efficient service delivery is the point at which the potenti...

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Bibliographic Details
Main Authors:	Berman, Peter, Pallas, Sarah, Smith, Amy L., Curry, Leslie, Bradley, Elizabeth H.
Format:	Working Paper
Language:	English en_US
Published:	World Bank, Washington, DC 2013
Subjects:	ACCOUNTABILITY ACCOUNTING ALLOCATIVE EFFICIENCY ANTENATAL CARE ANTENATAL VISITS ANTICORRUPTION BEST PRACTICES CHILD MORTALITY CHILD SURVIVAL CHRONIC DISEASE CIVIL SERVANTS CLINICAL GUIDELINES CLINICS COMMUNITIES COMMUNITY HEALTH COMMUNITY HOSPITALS CORRUPT CORRUPT PRACTICES CORRUPTION DECISION MAKING DEVELOPING COUNTRIES DEVELOPMENT ASSISTANCE DISABILITY DISADVANTAGED GROUPS DISCRETION DISEASES DISTRICTS DOCTORS EFFECTIVE ACTION EPIDEMIC EPIDEMICS EPIDEMIOLOGICAL TRANSITION ESSENTIAL DRUGS ETHNIC GROUP FAMILIES FAMILY PLANNING FAMILY PLANNING SERVICES GENDER GLOBAL HEALTH GOVERNMENT CAPACITY GOVERNMENT OFFICIALS HEALTH CARE HEALTH CARE DELIVERY HEALTH CARE ORGANIZATIONS HEALTH CARE WORKERS HEALTH CAREDELIVERY HEALTH CENTERS HEALTH DELIVERY HEALTH EDUCATION HEALTH FACILITIES HEALTH FINANCING HEALTH INFORMATION HEALTH INFORMATION SYSTEMS HEALTH MANAGEMENT HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH POLICY HEALTH PROFESSIONALS HEALTH PROGRAMS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SERVICE DELIVERY HEALTH SERVICEDELIVERY HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HEALTH SYSTEM STRENGTHENING HEALTH SYSTEMS HEALTH WORKERS HEALTH WORKFORCE HIV/AIDS HOME VISITS HOSPITAL HOSPITAL MANAGEMENT HOSPITAL PATIENTS HOSPITALS HOUSEHOLD SURVEYS HUMAN DEVELOPMENT HUMAN RESOURCE MANAGEMENT HUMAN RESOURCES HUMAN SOCIETIES IMMUNIZATION IMMUNIZATIONS IMPACT ON HEALTH IMPROVEMENT OF HEALTH IMPROVING HEALTH CARE INCOME INDIVIDUAL HEALTH INFANT INFORMATION TECHNOLOGIES INFORMED DECISIONS INITIATIVE INSURANCE INTERVENTION INTERVENTIONS INVESTIGATION LACK OF KNOWLEDGE LEADERSHIP LIVING STANDARDS MALARIA MATERIAL RESOURCES MEDICAL RECORDS MEDICAL SUPPLIES MEDICAL TECHNOLOGY MILLENNIUM DEVELOPMENT GOAL MILLENNIUM DEVELOPMENT GOALS MINISTRIES OF HEALTH MORTALITY NATIONAL GOVERNMENT NATIONAL LEVEL NEEDS ASSESSMENT NEWBORN NURSE NURSES NURSING NUTRITION OCCUPANCY OCCUPANCY RATES OCCUPATIONS ORAL REHYDRATION SOLUTION PATIENT PATIENT SATISFACTION PATIENTS PEER PRESSURE PERSONAL HEALTH PHARMACIES PLAN OF ACTION PLANS OF ACTION POLICY MAKERS POLITICAL PARTY POLITICAL POWER POLITICAL SUPPORT POPULATION STRATEGY PRACTITIONERS PREFERENTIAL PREGNANT WOMEN PRIMARY HEALTH CLINIC PROCUREMENT PROGRESS PROVIDER PAYMENT PSYCHOLOGY PUBLIC HEALTH PUBLIC HEALTH PROGRAMS PUBLIC SERVICE QUALITY IMPROVEMENT QUALITY OF CARE REGULATORY FRAMEWORKS REMEDY RURAL AREA RURAL AREAS RURAL COMMUNITIES RURAL COMMUNITY RURAL HOSPITALS RURAL POPULATION SAFETY SANCTION SCARCE RESOURCES SERVICE PROVIDERS SERVICE PROVISION SERVICEDELIVERY SYSTEMS SHOPS SOCIAL CLASS SOCIAL NORMS SOCIAL SCIENCE SOCIAL SERVICES SOCIAL SYSTEMS SOCIETAL LEVEL SPILLOVER TRAINING OPPORTUNITIES TRANSPORTATION USER FEES VACCINATION VILLAGES WORKERS WORKING CONDITIONS WORLD HEALTH ORGANIZATION YOUNG CHILD YOUNG CHILDREN
Online Access:	http://documents.worldbank.org/curated/en/2011/05/15543481/improving-delivery-health-services-guide-choosing-strategies http://hdl.handle.net/10986/13594

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Summary:	Sufficient funding and efficacious technology may be necessary conditions for achieving health gains, but experience in many countries confirms that they are not sufficient. Effective and efficient service delivery is the point at which the potential of the health system to improve lives meets the opportunity to realize health gains. Health service delivery performance means access and use by those in need; adequate quality of care to produce health benefits; efficient use of scarce resources; and organizations that can learn, adapt, and improve for the future. All too often, potential benefits are not realized because service delivery underperforms. Organizations must combine financial, physical, and human resources to deliver health services. However, organizations can be complex, and this complexity must be considered in developing strategies for change. This guide will help planners and policy makers navigate the complexity and make better decisions to improve health services. Users of this Guide will find practical advice about what performance means in service delivery as well as how to measure the performance of service delivery organizations. The Guide discusses reforms to service delivery organizations at the system level and at the individual facility level. It emphasizes the internal workings of the organization as well as the external environment in which an organization functions, and discusses its capacity to develop and manage change. A diverse set of theories and concepts explaining organization performance are brought together and compared. Guidance is given on how to identify the root causes of poor performance, the most plausible explanations underlying these causes, and the right strategies to address and improve performance.

Improving the Delivery of Health Services : A Guide to Choosing Strategies

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