The Introduction of Market Forces in the Public Hospital Sector : From New Public Sector Management to Organizational Reform
This Discussion Paper was prepared as a background document for the Hospital Reform Module of the Joint Harvard/World Bank Institute Flagship Course on Health Sector Reform and Sustainable Financing. The Flagship course provides a practical review...
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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/2002/06/3542175/introduction-market-forces-public-hospital-sector-new-public-sector-management-organizational-reform http://hdl.handle.net/10986/13703 |
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okr-10986-137032021-04-23T14:03:09Z The Introduction of Market Forces in the Public Hospital Sector : From New Public Sector Management to Organizational Reform Jakab, Melitta Preker, Alexander Harding, April Hawkins, Loraine ACCOUNTABILITY ALLOCATIVE EFFICIENCY BUREAUCRACIES BUREAUCRACY BUREAUCRATS BUSINESS MANAGEMENT CLINICS COMMUNICABLE DISEASES COMMUNITIES CORRUPTION DECENTRALIZATION DECISIONMAKING DELIVERY SYSTEMS DOCTORS DRUGS EMPLOYMENT FAMILIES FINANCIAL MANAGEMENT FIXED COSTS FRAUD HEALTH CARE HEALTH CARE WORKERS HEALTH FACILITIES HEALTH FINANCING HEALTH POLICY HEALTH SECTOR HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HOSPITAL BEDS HOSPITAL CARE HOSPITAL SERVICES HOSPITALS LABORATORIES MANAGEMENT STRATEGY MANAGEMENT TECHNIQUES MANAGERS MARKETING MINISTRIES OF HEALTH MOTIVATION NUTRITION OCCUPANCY OCCUPANCY RATES ORGANIZATIONAL REFORM ORGANIZATIONAL STRUCTURE PATIENTS PHYSICIANS PRIMARY CARE PRIVATE SECTOR PROCUREMENT PUBLIC HEALTH PUBLIC HOSPITALS PUBLIC SECTOR PURCHASING REFORMS RESOURCE MANAGEMENT RETIREMENT SERVICE DELIVERY SERVICE PROVIDERS SOCIAL SERVICES STRATEGIC MANAGEMENT TELECOMMUNICATIONS USER FEES WASTE WORKERS HEALTH CARE HEALTH ECONOMICS HEALTH FINANCE HEALTH FINANCING HOSPITAL REFORM PUBLIC HOSPITALS PRIVATIZATION HEALTH CARE QUALITY This Discussion Paper was prepared as a background document for the Hospital Reform Module of the Joint Harvard/World Bank Institute Flagship Course on Health Sector Reform and Sustainable Financing. The Flagship course provides a practical review and update of current issues in health systems reform and financing for senior policy makers from developing countries. Since its inception, the Flagship course has reached more than 3,000 participants from over 50 countries. 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. This Discussion Paper provides insights into recent hospital reforms undertaken throughout the world, with an emphasis on organizational changes such as increased management autonomy, corporatization, and privatization. It provides 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 material presented 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? 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. 2013-05-30T18:16:05Z 2013-05-30T18:16:05Z 2002-06 http://documents.worldbank.org/curated/en/2002/06/3542175/introduction-market-forces-public-hospital-sector-new-public-sector-management-organizational-reform http://hdl.handle.net/10986/13703 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 |
ACCOUNTABILITY ALLOCATIVE EFFICIENCY BUREAUCRACIES BUREAUCRACY BUREAUCRATS BUSINESS MANAGEMENT CLINICS COMMUNICABLE DISEASES COMMUNITIES CORRUPTION DECENTRALIZATION DECISIONMAKING DELIVERY SYSTEMS DOCTORS DRUGS EMPLOYMENT FAMILIES FINANCIAL MANAGEMENT FIXED COSTS FRAUD HEALTH CARE HEALTH CARE WORKERS HEALTH FACILITIES HEALTH FINANCING HEALTH POLICY HEALTH SECTOR HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HOSPITAL BEDS HOSPITAL CARE HOSPITAL SERVICES HOSPITALS LABORATORIES MANAGEMENT STRATEGY MANAGEMENT TECHNIQUES MANAGERS MARKETING MINISTRIES OF HEALTH MOTIVATION NUTRITION OCCUPANCY OCCUPANCY RATES ORGANIZATIONAL REFORM ORGANIZATIONAL STRUCTURE PATIENTS PHYSICIANS PRIMARY CARE PRIVATE SECTOR PROCUREMENT PUBLIC HEALTH PUBLIC HOSPITALS PUBLIC SECTOR PURCHASING REFORMS RESOURCE MANAGEMENT RETIREMENT SERVICE DELIVERY SERVICE PROVIDERS SOCIAL SERVICES STRATEGIC MANAGEMENT TELECOMMUNICATIONS USER FEES WASTE WORKERS HEALTH CARE HEALTH ECONOMICS HEALTH FINANCE HEALTH FINANCING HOSPITAL REFORM PUBLIC HOSPITALS PRIVATIZATION HEALTH CARE QUALITY |
| spellingShingle |
ACCOUNTABILITY ALLOCATIVE EFFICIENCY BUREAUCRACIES BUREAUCRACY BUREAUCRATS BUSINESS MANAGEMENT CLINICS COMMUNICABLE DISEASES COMMUNITIES CORRUPTION DECENTRALIZATION DECISIONMAKING DELIVERY SYSTEMS DOCTORS DRUGS EMPLOYMENT FAMILIES FINANCIAL MANAGEMENT FIXED COSTS FRAUD HEALTH CARE HEALTH CARE WORKERS HEALTH FACILITIES HEALTH FINANCING HEALTH POLICY HEALTH SECTOR HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HOSPITAL BEDS HOSPITAL CARE HOSPITAL SERVICES HOSPITALS LABORATORIES MANAGEMENT STRATEGY MANAGEMENT TECHNIQUES MANAGERS MARKETING MINISTRIES OF HEALTH MOTIVATION NUTRITION OCCUPANCY OCCUPANCY RATES ORGANIZATIONAL REFORM ORGANIZATIONAL STRUCTURE PATIENTS PHYSICIANS PRIMARY CARE PRIVATE SECTOR PROCUREMENT PUBLIC HEALTH PUBLIC HOSPITALS PUBLIC SECTOR PURCHASING REFORMS RESOURCE MANAGEMENT RETIREMENT SERVICE DELIVERY SERVICE PROVIDERS SOCIAL SERVICES STRATEGIC MANAGEMENT TELECOMMUNICATIONS USER FEES WASTE WORKERS HEALTH CARE HEALTH ECONOMICS HEALTH FINANCE HEALTH FINANCING HOSPITAL REFORM PUBLIC HOSPITALS PRIVATIZATION HEALTH CARE QUALITY Jakab, Melitta Preker, Alexander Harding, April Hawkins, Loraine The Introduction of Market Forces in the Public Hospital Sector : From New Public Sector Management to Organizational Reform |
| relation |
HNP discussion paper series; |
| description |
This Discussion Paper was prepared as a
background document for the Hospital Reform Module of the
Joint Harvard/World Bank Institute Flagship Course on Health
Sector Reform and Sustainable Financing. The Flagship course
provides a practical review and update of current issues in
health systems reform and financing for senior policy makers
from developing countries. Since its inception, the Flagship
course has reached more than 3,000 participants from over 50
countries. 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. This Discussion Paper provides
insights into recent hospital reforms undertaken throughout
the world, with an emphasis on organizational changes such
as increased management autonomy, corporatization, and
privatization. It provides 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 material presented 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? 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 |
Jakab, Melitta Preker, Alexander Harding, April Hawkins, Loraine |
| author_facet |
Jakab, Melitta Preker, Alexander Harding, April Hawkins, Loraine |
| author_sort |
Jakab, Melitta |
| title |
The Introduction of Market Forces in the Public Hospital Sector : From New Public Sector Management to Organizational Reform |
| title_short |
The Introduction of Market Forces in the Public Hospital Sector : From New Public Sector Management to Organizational Reform |
| title_full |
The Introduction of Market Forces in the Public Hospital Sector : From New Public Sector Management to Organizational Reform |
| title_fullStr |
The Introduction of Market Forces in the Public Hospital Sector : From New Public Sector Management to Organizational Reform |
| title_full_unstemmed |
The Introduction of Market Forces in the Public Hospital Sector : From New Public Sector Management to Organizational Reform |
| title_sort |
introduction of market forces in the public hospital sector : from new public sector management to organizational reform |
| publisher |
World Bank, Washington, DC |
| publishDate |
2013 |
| url |
http://documents.worldbank.org/curated/en/2002/06/3542175/introduction-market-forces-public-hospital-sector-new-public-sector-management-organizational-reform http://hdl.handle.net/10986/13703 |
| _version_ |
1764424452019322880 |