Developing Strategies for Improving Health Care Delivery : Guide to Concepts, Determinants, Measurement, and Intervention Design

Developing Strategies for Improving Health Care Delivery : Guide to Concepts, Determinants, Measurement, and Intervention Design

This report is a user's guide for defining, measuring, and improving the performance of health service delivery organizations. The authors define six core performance domains: quality, efficiency, utilization, access, learning, and sustainabil...

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Bibliographic Details
Main Authors:	Bradley, Elizabeth H., Pallas, Sarah, Bashyal, Chhitij, Berman, Peter, Curry, Leslie
Format:	Working Paper
Language:	English en_US
Published:	World Bank, Washington, DC 2013
Subjects:	ACCESS TO HEALTH SERVICES ACHIEVEMENT ADAPTATION ADMINISTRATIVE SYSTEMS ANTENATAL CARE ATTENTION BELIEFS BEST PRACTICE BEST PRACTICES BURNS CAPABILITIES CAPABILITY CLINICAL GUIDELINES CLINICS COGNITION COGNITIVE PSYCHOLOGY COMPETENCIES CONDITIONING CUSTOMER SATISFACTION DECISION MAKING DELIVERY SYSTEM DELIVERY SYSTEMS DOCTORS DOMAIN DOMAINS ECOLOGY ECONOMIC MODELS ECONOMIC THEORIES ECONOMICS ECONOMISTS EMPIRICAL EVIDENCE EMPIRICAL STUDIES ENABLING ENVIRONMENT ENVIRONMENTAL ENVIRONMENTAL FACTORS ENVIRONMENTS EPIDEMIOLOGICAL TRANSITION EQUIPMENT ETHICS EXPLOITATION FINANCIAL MANAGEMENT FINANCIAL RESOURCES FINANCIAL RISK FINANCIAL SUPPORT GENDER GEOGRAPHIC REGION GROUP DYNAMICS HEALTH CARE HEALTH CARE COSTS HEALTH CARE DELIVERY HEALTH CARE FACILITIES HEALTH CARE ORGANIZATIONS HEALTH CARE SERVICES HEALTH CARE WORKERS HEALTH CLINICS HEALTH FACILITIES HEALTH MANAGEMENT HEALTH OUTCOMES HEALTH POLICY HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HEALTH SYSTEMS HEALTH SYSTEMS RESEARCH HEALTH WORKFORCE HORIZONTAL INTEGRATION HOSPITAL MANAGEMENT HOSPITALS HUMAN BEHAVIOR HUMAN DEVELOPMENT HUMAN RESOURCE HUMAN RESOURCE MANAGEMENT HUMAN RESOURCES IMMUNIZATION INCOME INDIVIDUAL BEHAVIOR INFORMATION FLOW INFORMATION SYSTEMS INFORMATION TECHNOLOGY INNOVATION INSURANCE INTEGRATION INTERFACE INTERNAL DATA INTERNATIONAL STANDARDS INTERVENTION LAWS LEADERSHIP LEARNING LEGAL STANDARDS LEGAL SYSTEMS MARKET COMPETITION MATERIAL MEDICAL CARE MEDICAL RECORDS MEDICAL SUPPLIES MODELING MOTIVATION NEEDS ASSESSMENT NETWORKS NEW TECHNOLOGY NURSES NUTRITION OPEN SYSTEM OPEN SYSTEMS OPPORTUNITY COSTS ORGANIZATIONAL OBJECTIVES ORGANIZATIONAL PSYCHOLOGY PATIENT PATIENT SATISFACTION PATIENTS PERCEPTION PERFORMANCE MEASURES PHARMACIES PHARMACISTS PHYSICIAN PHYSICIANS POLICY MAKERS PREGNANT WOMEN PROBLEM SOLVING PROCUREMENT PRODUCTION FUNCTIONS PROTOCOLS PROVIDER PAYMENT PSYCHOLOGY PUBLIC HEALTH PUBLIC HOSPITALS QUALITY MANAGEMENT QUALITY OF HEALTH QUALITY OF HEALTH CARE QUALITY OF SERVICE REGULATORY ENVIRONMENT RELIABILITY RESULT RESULTS SOCIAL SERVICES SOCIALIZATION SUPERVISION SUPPLY CHAIN SUPPLY CHAIN MANAGEMENT SUPPORT STAFF TARGETS TAXONOMY TECHNICAL EXPERTISE TECHNICAL KNOWLEDGE TECHNICAL STANDARDS TECHNOLOGICAL INNOVATION THERAPY THINKING TRANSACTION USER USERS USES VACCINATION WASTE WASTE DISPOSAL WORKERS WORKING CONDITIONS
Online Access:	http://documents.worldbank.org/curated/en/2010/06/14081719/developing-strategies-improving-health-care-delivery-guide-concepts-determinants-measurement-intervention-design http://hdl.handle.net/10986/13610

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Summary:	This report is a user's guide for defining, measuring, and improving the performance of health service delivery organizations. The authors define six core performance domains: quality, efficiency, utilization, access, learning, and sustainability and provide a compendium of metrics that have been used to measure organizational performance in each of these six domains. The compendium, which includes 116 distinct categories of metrics, is based on a detailed literature review of peer-reviewed empirical studies of health care organizational performance in World Bank client countries. Based on reading of the literature, the authors define seven major strategy areas potentially useful for improving performance among health care organizations: 1) standards and guidelines, 2) organizational design, 3) education and training, 4) process improvement and technology and tool development, 5) incentives, 6) organizational culture, and 7) leadership and management. The authors provide illustrations of facility-level interventions within each of the strategy areas and highlight the conditions under which certain strategies may be more effective than others. The authors propose that the choice of strategy targeted at organizational level to improve performance should be informed by the identified root causes of the problem, the implementation capabilities of the organization, and the environmental conditions faced by the organization.