A Framework for Purchasing Health Care Labor

Health care labor is central to managing and delivering health services. Because recruitment and retention policies are key issues for purchasers, gaining insights into labor-purchasing mechanisms may permit them to be addressed more effectively. T...

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Main Authors:	Zurn, Pascal, Adams, Orvill
Format:	Working Paper
Language:	English en_US
Published:	World Bank, Washington, DC 2013
Subjects:	BASIC HEALTH BASIC HEALTH SERVICES BUDGET CONSTRAINTS CAPITATION CAPITATION SYSTEM CITIES COMPETITIVE MARKETS DETERMINANTS OF HEALTH DISEASE PREVENTION DOCTORS ECONOMICS OF HEALTH EMPLOYMENT FEE FOR SERVICE FINANCIAL RISK GENERAL PRACTICE GENERAL PRACTITIONERS HEALTH HEALTH CARE HEALTH CARE COSTS HEALTH CARE FINANCING HEALTH CARE PLANNING HEALTH CARE PROVIDERS HEALTH CARE REFORM HEALTH CARE REFORMS HEALTH CARE SECTOR HEALTH CARE SYSTEMS HEALTH CARE WORKERS HEALTH DEVELOPMENT HEALTH ECONOMICS HEALTH EXPENDITURES HEALTH FINANCING HEALTH INSTITUTIONS HEALTH INSURANCE HEALTH OUTCOMES HEALTH PROFESSIONALS HEALTH PROMOTION HEALTH PROVIDERS HEALTH REFORM HEALTH SECTOR HEALTH SECTOR WORKERS HEALTH SERVICE PROVIDERS HEALTH SERVICE PROVISION HEALTH SERVICES HEALTH SERVICES ORGANIZATION HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HEALTH SYSTEMS HEALTH WORKFORCE HOSPITALS HUMAN DEVELOPMENT HUMAN RESOURCES INCOME INDUCED DEMAND INNOVATION INTERNATIONAL COMPARISONS INTERVENTION LABOR FORCE LESSONS LEARNED MANAGERS MARKET FAILURES MEDICAL CARE MEDICAL EQUIPMENT MEDICAL SAVINGS ACCOUNTS MEDICARE MIGRATION MORTALITY MOTIVATION NONGOVERNMENTAL ORGANIZATIONS NONPROFIT SECTOR NURSES NURSING NURSING CARE NUTRITION PATIENT SATISFACTION PATIENTS PHARMACISTS PHYSICIANS POLICY POLICY RESEARCH PRIMARY CARE PRIMARY HEALTH CARE PRIVATE INSURANCE PRIVATE SECTOR PROFESSIONAL ASSOCIATIONS PROMOTING HEALTH PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH INTERVENTIONS PUBLIC HEALTH SYSTEMS PUBLIC HEALTH WORKERS PUBLIC HOSPITALS PUBLIC SECTOR QUALITY OF CARE SERVICE DELIVERY SOCIAL POLICY VACCINATION WORKING CONDITIONS
Online Access:	http://documents.worldbank.org/curated/en/2004/09/5643425/framework-purchasing-health-care-labor http://hdl.handle.net/10986/13754

id	okr-10986-13754
recordtype	oai_dc
spelling	okr-10986-137542021-04-23T14:03:09Z A Framework for Purchasing Health Care Labor Zurn, Pascal Adams, Orvill BASIC HEALTH BASIC HEALTH SERVICES BUDGET CONSTRAINTS CAPITATION CAPITATION SYSTEM CITIES COMPETITIVE MARKETS DETERMINANTS OF HEALTH DISEASE PREVENTION DOCTORS ECONOMICS OF HEALTH EMPLOYMENT FEE FOR SERVICE FINANCIAL RISK GENERAL PRACTICE GENERAL PRACTITIONERS HEALTH HEALTH CARE HEALTH CARE COSTS HEALTH CARE FINANCING HEALTH CARE PLANNING HEALTH CARE PROVIDERS HEALTH CARE REFORM HEALTH CARE REFORMS HEALTH CARE SECTOR HEALTH CARE SYSTEMS HEALTH CARE WORKERS HEALTH DEVELOPMENT HEALTH ECONOMICS HEALTH EXPENDITURES HEALTH FINANCING HEALTH INSTITUTIONS HEALTH INSURANCE HEALTH OUTCOMES HEALTH PROFESSIONALS HEALTH PROMOTION HEALTH PROVIDERS HEALTH REFORM HEALTH SECTOR HEALTH SECTOR WORKERS HEALTH SERVICE PROVIDERS HEALTH SERVICE PROVISION HEALTH SERVICES HEALTH SERVICES ORGANIZATION HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HEALTH SYSTEMS HEALTH WORKFORCE HOSPITALS HUMAN DEVELOPMENT HUMAN RESOURCES INCOME INDUCED DEMAND INNOVATION INTERNATIONAL COMPARISONS INTERVENTION LABOR FORCE LESSONS LEARNED MANAGERS MARKET FAILURES MEDICAL CARE MEDICAL EQUIPMENT MEDICAL SAVINGS ACCOUNTS MEDICARE MIGRATION MORTALITY MOTIVATION NONGOVERNMENTAL ORGANIZATIONS NONPROFIT SECTOR NURSES NURSING NURSING CARE NUTRITION PATIENT SATISFACTION PATIENTS PHARMACISTS PHYSICIANS POLICY POLICY RESEARCH PRIMARY CARE PRIMARY HEALTH CARE PRIVATE INSURANCE PRIVATE SECTOR PROFESSIONAL ASSOCIATIONS PROMOTING HEALTH PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH INTERVENTIONS PUBLIC HEALTH SYSTEMS PUBLIC HEALTH WORKERS PUBLIC HOSPITALS PUBLIC SECTOR QUALITY OF CARE SERVICE DELIVERY SOCIAL POLICY VACCINATION WORKING CONDITIONS Health care labor is central to managing and delivering health services. Because recruitment and retention policies are key issues for purchasers, gaining insights into labor-purchasing mechanisms may permit them to be addressed more effectively. This paper is intended to provide a brief introduction to health care labor purchasing and the mechanisms through which it can have an impact on the delivery of health services and on health system performance. A framework is developed to foster understanding of health labor purchasing mechanisms. This framework examines the different types and characteristics of the purchasers and providers. It also examines the terms of labor purchasing, that is, working conditions (career development, contract duration, working time and shift work, work autonomy and separation), remuneration and benefits. These elements determine, to a large extent, workers' behavioral responses such as willingness to apply for and accept employment and job satisfaction. In turn, these behavioral responses are likely to affect performance. Finally, contextual and policy factors related to the health care system and the labor market that affect labor purchasing, health services delivery, and health system performance, are also considered in the framework. Under this category, we review the public-private mix, the purchaser-provider split, contracting in and out, purchaser power, and provider power. The framework presented in this paper encompasses a wide diversity of elements, but the role of yet more factors should also be investigated. For instance, the role of cultural or political factors is likely to affect labor purchasing. The effects of migration on labor purchasing should also be considered. A better understanding of the interaction between the elements of the framework would reinforce the analysis. 2013-06-04T20:58:44Z 2013-06-04T20:58:44Z 2004-09 http://documents.worldbank.org/curated/en/2004/09/5643425/framework-purchasing-health-care-labor http://hdl.handle.net/10986/13754 English en_US Health, Nutrition and Population (HNP) discussion paper; 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	BASIC HEALTH BASIC HEALTH SERVICES BUDGET CONSTRAINTS CAPITATION CAPITATION SYSTEM CITIES COMPETITIVE MARKETS DETERMINANTS OF HEALTH DISEASE PREVENTION DOCTORS ECONOMICS OF HEALTH EMPLOYMENT FEE FOR SERVICE FINANCIAL RISK GENERAL PRACTICE GENERAL PRACTITIONERS HEALTH HEALTH CARE HEALTH CARE COSTS HEALTH CARE FINANCING HEALTH CARE PLANNING HEALTH CARE PROVIDERS HEALTH CARE REFORM HEALTH CARE REFORMS HEALTH CARE SECTOR HEALTH CARE SYSTEMS HEALTH CARE WORKERS HEALTH DEVELOPMENT HEALTH ECONOMICS HEALTH EXPENDITURES HEALTH FINANCING HEALTH INSTITUTIONS HEALTH INSURANCE HEALTH OUTCOMES HEALTH PROFESSIONALS HEALTH PROMOTION HEALTH PROVIDERS HEALTH REFORM HEALTH SECTOR HEALTH SECTOR WORKERS HEALTH SERVICE PROVIDERS HEALTH SERVICE PROVISION HEALTH SERVICES HEALTH SERVICES ORGANIZATION HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HEALTH SYSTEMS HEALTH WORKFORCE HOSPITALS HUMAN DEVELOPMENT HUMAN RESOURCES INCOME INDUCED DEMAND INNOVATION INTERNATIONAL COMPARISONS INTERVENTION LABOR FORCE LESSONS LEARNED MANAGERS MARKET FAILURES MEDICAL CARE MEDICAL EQUIPMENT MEDICAL SAVINGS ACCOUNTS MEDICARE MIGRATION MORTALITY MOTIVATION NONGOVERNMENTAL ORGANIZATIONS NONPROFIT SECTOR NURSES NURSING NURSING CARE NUTRITION PATIENT SATISFACTION PATIENTS PHARMACISTS PHYSICIANS POLICY POLICY RESEARCH PRIMARY CARE PRIMARY HEALTH CARE PRIVATE INSURANCE PRIVATE SECTOR PROFESSIONAL ASSOCIATIONS PROMOTING HEALTH PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH INTERVENTIONS PUBLIC HEALTH SYSTEMS PUBLIC HEALTH WORKERS PUBLIC HOSPITALS PUBLIC SECTOR QUALITY OF CARE SERVICE DELIVERY SOCIAL POLICY VACCINATION WORKING CONDITIONS
spellingShingle	BASIC HEALTH BASIC HEALTH SERVICES BUDGET CONSTRAINTS CAPITATION CAPITATION SYSTEM CITIES COMPETITIVE MARKETS DETERMINANTS OF HEALTH DISEASE PREVENTION DOCTORS ECONOMICS OF HEALTH EMPLOYMENT FEE FOR SERVICE FINANCIAL RISK GENERAL PRACTICE GENERAL PRACTITIONERS HEALTH HEALTH CARE HEALTH CARE COSTS HEALTH CARE FINANCING HEALTH CARE PLANNING HEALTH CARE PROVIDERS HEALTH CARE REFORM HEALTH CARE REFORMS HEALTH CARE SECTOR HEALTH CARE SYSTEMS HEALTH CARE WORKERS HEALTH DEVELOPMENT HEALTH ECONOMICS HEALTH EXPENDITURES HEALTH FINANCING HEALTH INSTITUTIONS HEALTH INSURANCE HEALTH OUTCOMES HEALTH PROFESSIONALS HEALTH PROMOTION HEALTH PROVIDERS HEALTH REFORM HEALTH SECTOR HEALTH SECTOR WORKERS HEALTH SERVICE PROVIDERS HEALTH SERVICE PROVISION HEALTH SERVICES HEALTH SERVICES ORGANIZATION HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HEALTH SYSTEMS HEALTH WORKFORCE HOSPITALS HUMAN DEVELOPMENT HUMAN RESOURCES INCOME INDUCED DEMAND INNOVATION INTERNATIONAL COMPARISONS INTERVENTION LABOR FORCE LESSONS LEARNED MANAGERS MARKET FAILURES MEDICAL CARE MEDICAL EQUIPMENT MEDICAL SAVINGS ACCOUNTS MEDICARE MIGRATION MORTALITY MOTIVATION NONGOVERNMENTAL ORGANIZATIONS NONPROFIT SECTOR NURSES NURSING NURSING CARE NUTRITION PATIENT SATISFACTION PATIENTS PHARMACISTS PHYSICIANS POLICY POLICY RESEARCH PRIMARY CARE PRIMARY HEALTH CARE PRIVATE INSURANCE PRIVATE SECTOR PROFESSIONAL ASSOCIATIONS PROMOTING HEALTH PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH INTERVENTIONS PUBLIC HEALTH SYSTEMS PUBLIC HEALTH WORKERS PUBLIC HOSPITALS PUBLIC SECTOR QUALITY OF CARE SERVICE DELIVERY SOCIAL POLICY VACCINATION WORKING CONDITIONS Zurn, Pascal Adams, Orvill A Framework for Purchasing Health Care Labor
relation	Health, Nutrition and Population (HNP) discussion paper;
description	Health care labor is central to managing and delivering health services. Because recruitment and retention policies are key issues for purchasers, gaining insights into labor-purchasing mechanisms may permit them to be addressed more effectively. This paper is intended to provide a brief introduction to health care labor purchasing and the mechanisms through which it can have an impact on the delivery of health services and on health system performance. A framework is developed to foster understanding of health labor purchasing mechanisms. This framework examines the different types and characteristics of the purchasers and providers. It also examines the terms of labor purchasing, that is, working conditions (career development, contract duration, working time and shift work, work autonomy and separation), remuneration and benefits. These elements determine, to a large extent, workers' behavioral responses such as willingness to apply for and accept employment and job satisfaction. In turn, these behavioral responses are likely to affect performance. Finally, contextual and policy factors related to the health care system and the labor market that affect labor purchasing, health services delivery, and health system performance, are also considered in the framework. Under this category, we review the public-private mix, the purchaser-provider split, contracting in and out, purchaser power, and provider power. The framework presented in this paper encompasses a wide diversity of elements, but the role of yet more factors should also be investigated. For instance, the role of cultural or political factors is likely to affect labor purchasing. The effects of migration on labor purchasing should also be considered. A better understanding of the interaction between the elements of the framework would reinforce the analysis.
format	Publications & Research :: Working Paper
author	Zurn, Pascal Adams, Orvill
author_facet	Zurn, Pascal Adams, Orvill
author_sort	Zurn, Pascal
title	A Framework for Purchasing Health Care Labor
title_short	A Framework for Purchasing Health Care Labor
title_full	A Framework for Purchasing Health Care Labor
title_fullStr	A Framework for Purchasing Health Care Labor
title_full_unstemmed	A Framework for Purchasing Health Care Labor
title_sort	framework for purchasing health care labor
publisher	World Bank, Washington, DC
publishDate	2013
url	http://documents.worldbank.org/curated/en/2004/09/5643425/framework-purchasing-health-care-labor http://hdl.handle.net/10986/13754
_version_	1764424239490793472

A Framework for Purchasing Health Care Labor

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