The Corporatization of Public Hospitals
Heavy investment over the past 30 years has made the hospital sector the largest expenditure category of the health system in most developed and developing countries. Despite shifts in attention and emphasis toward primary care as a first point of...
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| Format: | Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2013
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| Online Access: | http://documents.worldbank.org/curated/en/2000/09/3522470/corporatization-public-hospitals http://hdl.handle.net/10986/13694 |
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okr-10986-136942021-04-23T14:03:10Z The Corporatization of Public Hospitals Harding, April Preker, Alexander S. HEALTH CARE HOSPITALS HEALTH CARE REFORM POVERTY & HEALTH CASE STUDIES CLINICS COMMUNICABLE DISEASES COMPETENCIES CONCEPTUAL FRAMEWORK CULTURAL SETTINGS DEBT DECENTRALIZATION DEVELOPED COUNTRIES DEVELOPING COUNTRIES DEVELOPING COUNTRY DEVELOPMENT NETWORK DOCTORS ECONOMIC ACTIVITY ECONOMIC COOPERATION ECONOMIC PERSPECTIVES ECONOMICS EDUCATION EMPIRICAL EVIDENCE EMPLOYMENT EXPENDITURE CATEGORY EXTERNALITIES FINANCIAL RISK GOVERNANCE STRUCTURE HEALTH HEALTH CARE HEALTH CARE SYSTEMS HEALTH FACILITIES HEALTH POLICY HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HOSPITAL AUTONOMY HOSPITAL BEDS HOSPITAL COSTS HOSPITAL MANAGEMENT HOSPITALS HUMAN DEVELOPMENT INCOME INNOVATION INTERVENTION MACROECONOMICS MANAGERS MARKET EXCHANGE MARKET FAILURES MEDICAL CARE MEDICAL EQUIPMENT MORAL HAZARD MOTIVATION NUTRITION PATIENTS PAYMENTS ARRANGEMENTS PENSIONS PHYSICIANS POLICY ENVIRONMENT POLICY FRAMEWORK POLICY MAKERS POLICY OPTIONS PRIMARY CARE PRIVATE SECTOR PRIVATIZATION PRODUCTIVITY PUBLIC HEALTH PUBLIC HOSPITALS PUBLIC SECTOR PUBLIC SERVICES PUBLIC SYSTEMS PUBLIC UTILITIES SECTOR POLICY SERVICE DELIVERY SERVICE PROVIDERS SERVICE PROVISION SOCIAL DEVELOPMENT SOCIAL INSURANCE SOCIAL PROTECTION SOCIAL SECTORS SOCIAL SERVICES STATE- OWNED ENTERPRISES STRUCTURAL REFORMS TRANSACTION COSTS URBAN AREAS WORKERS Heavy investment over the past 30 years has made the hospital sector the largest expenditure category of the health system in most developed and developing countries. Despite shifts in attention and emphasis toward primary care as a first point of contact for patients, in most countries, hospitals remain a critical link to health care, providing both advanced and basic care for the population. Often, they are the provider "of last resort" for the poor and critically ill. Although it is clear that hospitals play a critical role in ensuring delivery of health services, there is much less agreement about how to improve the efficiency and quality of care provided. With increasing frequency, hospital autonomy, corporatization, and even privatization, are being considered and applied to improve performance of publicly run health services. The objective of this publication is to yield some insights about these popular reform modalities from a review of the literature, reform experiences in other sectors and empirical evidence from hospital sector itself. The review examines: (a) what problems these reforms are attempting to address; b) the core elements of the reforms; and, c) why they are structured the way they are (why their designers think they will resolve certain problems)? While this paper focuses on issues related to the design of the reforms, the paper also reports the findings from a larger study that examined the implementation and evaluation of such reforms so that they will be available to countries that are considering venturing down this reform path. 2013-05-30T16:10:05Z 2013-05-30T16:10:05Z 2000-09 http://documents.worldbank.org/curated/en/2000/09/3522470/corporatization-public-hospitals http://hdl.handle.net/10986/13694 English en_US HNP discussion paper series; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research |
| 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 |
HEALTH CARE HOSPITALS HEALTH CARE REFORM POVERTY & HEALTH CASE STUDIES CLINICS COMMUNICABLE DISEASES COMPETENCIES CONCEPTUAL FRAMEWORK CULTURAL SETTINGS DEBT DECENTRALIZATION DEVELOPED COUNTRIES DEVELOPING COUNTRIES DEVELOPING COUNTRY DEVELOPMENT NETWORK DOCTORS ECONOMIC ACTIVITY ECONOMIC COOPERATION ECONOMIC PERSPECTIVES ECONOMICS EDUCATION EMPIRICAL EVIDENCE EMPLOYMENT EXPENDITURE CATEGORY EXTERNALITIES FINANCIAL RISK GOVERNANCE STRUCTURE HEALTH HEALTH CARE HEALTH CARE SYSTEMS HEALTH FACILITIES HEALTH POLICY HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HOSPITAL AUTONOMY HOSPITAL BEDS HOSPITAL COSTS HOSPITAL MANAGEMENT HOSPITALS HUMAN DEVELOPMENT INCOME INNOVATION INTERVENTION MACROECONOMICS MANAGERS MARKET EXCHANGE MARKET FAILURES MEDICAL CARE MEDICAL EQUIPMENT MORAL HAZARD MOTIVATION NUTRITION PATIENTS PAYMENTS ARRANGEMENTS PENSIONS PHYSICIANS POLICY ENVIRONMENT POLICY FRAMEWORK POLICY MAKERS POLICY OPTIONS PRIMARY CARE PRIVATE SECTOR PRIVATIZATION PRODUCTIVITY PUBLIC HEALTH PUBLIC HOSPITALS PUBLIC SECTOR PUBLIC SERVICES PUBLIC SYSTEMS PUBLIC UTILITIES SECTOR POLICY SERVICE DELIVERY SERVICE PROVIDERS SERVICE PROVISION SOCIAL DEVELOPMENT SOCIAL INSURANCE SOCIAL PROTECTION SOCIAL SECTORS SOCIAL SERVICES STATE- OWNED ENTERPRISES STRUCTURAL REFORMS TRANSACTION COSTS URBAN AREAS WORKERS |
| spellingShingle |
HEALTH CARE HOSPITALS HEALTH CARE REFORM POVERTY & HEALTH CASE STUDIES CLINICS COMMUNICABLE DISEASES COMPETENCIES CONCEPTUAL FRAMEWORK CULTURAL SETTINGS DEBT DECENTRALIZATION DEVELOPED COUNTRIES DEVELOPING COUNTRIES DEVELOPING COUNTRY DEVELOPMENT NETWORK DOCTORS ECONOMIC ACTIVITY ECONOMIC COOPERATION ECONOMIC PERSPECTIVES ECONOMICS EDUCATION EMPIRICAL EVIDENCE EMPLOYMENT EXPENDITURE CATEGORY EXTERNALITIES FINANCIAL RISK GOVERNANCE STRUCTURE HEALTH HEALTH CARE HEALTH CARE SYSTEMS HEALTH FACILITIES HEALTH POLICY HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HOSPITAL AUTONOMY HOSPITAL BEDS HOSPITAL COSTS HOSPITAL MANAGEMENT HOSPITALS HUMAN DEVELOPMENT INCOME INNOVATION INTERVENTION MACROECONOMICS MANAGERS MARKET EXCHANGE MARKET FAILURES MEDICAL CARE MEDICAL EQUIPMENT MORAL HAZARD MOTIVATION NUTRITION PATIENTS PAYMENTS ARRANGEMENTS PENSIONS PHYSICIANS POLICY ENVIRONMENT POLICY FRAMEWORK POLICY MAKERS POLICY OPTIONS PRIMARY CARE PRIVATE SECTOR PRIVATIZATION PRODUCTIVITY PUBLIC HEALTH PUBLIC HOSPITALS PUBLIC SECTOR PUBLIC SERVICES PUBLIC SYSTEMS PUBLIC UTILITIES SECTOR POLICY SERVICE DELIVERY SERVICE PROVIDERS SERVICE PROVISION SOCIAL DEVELOPMENT SOCIAL INSURANCE SOCIAL PROTECTION SOCIAL SECTORS SOCIAL SERVICES STATE- OWNED ENTERPRISES STRUCTURAL REFORMS TRANSACTION COSTS URBAN AREAS WORKERS Harding, April Preker, Alexander S. The Corporatization of Public Hospitals |
| relation |
HNP discussion paper series; |
| description |
Heavy investment over the past 30 years
has made the hospital sector the largest expenditure
category of the health system in most developed and
developing countries. Despite shifts in attention and
emphasis toward primary care as a first point of contact for
patients, in most countries, hospitals remain a critical
link to health care, providing both advanced and basic care
for the population. Often, they are the provider "of
last resort" for the poor and critically ill. Although
it is clear that hospitals play a critical role in ensuring
delivery of health services, there is much less agreement
about how to improve the efficiency and quality of care
provided. With increasing frequency, hospital autonomy,
corporatization, and even privatization, are being
considered and applied to improve performance of publicly
run health services. The objective of this publication is to
yield some insights about these popular reform modalities
from a review of the literature, reform experiences in other
sectors and empirical evidence from hospital sector itself.
The review examines: (a) what problems these reforms are
attempting to address; b) the core elements of the reforms;
and, c) why they are structured the way they are (why their
designers think they will resolve certain problems)? While
this paper focuses on issues related to the design of the
reforms, the paper also reports the findings from a larger
study that examined the implementation and evaluation of
such reforms so that they will be available to countries
that are considering venturing down this reform path. |
| format |
Publications & Research :: Working Paper |
| author |
Harding, April Preker, Alexander S. |
| author_facet |
Harding, April Preker, Alexander S. |
| author_sort |
Harding, April |
| title |
The Corporatization of Public Hospitals |
| title_short |
The Corporatization of Public Hospitals |
| title_full |
The Corporatization of Public Hospitals |
| title_fullStr |
The Corporatization of Public Hospitals |
| title_full_unstemmed |
The Corporatization of Public Hospitals |
| title_sort |
corporatization of public hospitals |
| publisher |
World Bank, Washington, DC |
| publishDate |
2013 |
| url |
http://documents.worldbank.org/curated/en/2000/09/3522470/corporatization-public-hospitals http://hdl.handle.net/10986/13694 |
| _version_ |
1764424568739463168 |