Governance in the Health Sector : A Strategy for Measuring Determinants and Performance

Many different strategies have been proposed to improve the delivery of health care services, from capacity building to establishing new payment mechanisms. Recent attention has also asked whether improvements in the way health care services are go...

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Main Author: Savedoff, William D.
Format: Policy Research Working Paper
Language:English
Published: 2012
Subjects:
Online Access:http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20110509125737
http://hdl.handle.net/10986/3417
id okr-10986-3417
recordtype oai_dc
spelling okr-10986-34172021-04-23T14:02:09Z Governance in the Health Sector : A Strategy for Measuring Determinants and Performance Savedoff, William D. CAPACITY BUILDING GOVERNANCE HEALTHCARE SERVICE DELIVERY HEALTH HEALTH SYSTEM PERFORMANCE INTERNATIONAL DEVELOPMENT NEW PAYMENT MECHANISMS PRIVATE FIRMS PUBLIC ADMINISTRATION Many different strategies have been proposed to improve the delivery of health care services, from capacity building to establishing new payment mechanisms. Recent attention has also asked whether improvements in the way health care services are governed could make a difference. These approaches ask which factors -- such as rules and institutions -- influence the behavior of the system in ways that are associated with better performance and outcomes. This paper reviews the concept of governance as it is used in the literature on private firms, public administration, international development and health. It distinguishes between indicators that measure governance determinants from those that measure governance performance in order to propose a framework that is analytically coherent and empirically useful. The framework shows how these indicators can be used to test hypotheses about which governance forms are more useful for improving health system performance. The paper concludes by proposing specific measures of governance determinants and performance and describes the instruments available to collect and interpret them. 2012-03-19T18:02:05Z 2012-03-19T18:02:05Z 2011-05-01 http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20110509125737 http://hdl.handle.net/10986/3417 English Policy Research working paper ; no. WPS 5655 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank Publications & Research :: Policy Research Working Paper The World Region The World Region
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
topic CAPACITY BUILDING
GOVERNANCE
HEALTHCARE SERVICE DELIVERY
HEALTH
HEALTH SYSTEM PERFORMANCE
INTERNATIONAL DEVELOPMENT
NEW PAYMENT MECHANISMS
PRIVATE FIRMS
PUBLIC ADMINISTRATION
spellingShingle CAPACITY BUILDING
GOVERNANCE
HEALTHCARE SERVICE DELIVERY
HEALTH
HEALTH SYSTEM PERFORMANCE
INTERNATIONAL DEVELOPMENT
NEW PAYMENT MECHANISMS
PRIVATE FIRMS
PUBLIC ADMINISTRATION
Savedoff, William D.
Governance in the Health Sector : A Strategy for Measuring Determinants and Performance
geographic_facet The World Region
The World Region
relation Policy Research working paper ; no. WPS 5655
description Many different strategies have been proposed to improve the delivery of health care services, from capacity building to establishing new payment mechanisms. Recent attention has also asked whether improvements in the way health care services are governed could make a difference. These approaches ask which factors -- such as rules and institutions -- influence the behavior of the system in ways that are associated with better performance and outcomes. This paper reviews the concept of governance as it is used in the literature on private firms, public administration, international development and health. It distinguishes between indicators that measure governance determinants from those that measure governance performance in order to propose a framework that is analytically coherent and empirically useful. The framework shows how these indicators can be used to test hypotheses about which governance forms are more useful for improving health system performance. The paper concludes by proposing specific measures of governance determinants and performance and describes the instruments available to collect and interpret them.
format Publications & Research :: Policy Research Working Paper
author Savedoff, William D.
author_facet Savedoff, William D.
author_sort Savedoff, William D.
title Governance in the Health Sector : A Strategy for Measuring Determinants and Performance
title_short Governance in the Health Sector : A Strategy for Measuring Determinants and Performance
title_full Governance in the Health Sector : A Strategy for Measuring Determinants and Performance
title_fullStr Governance in the Health Sector : A Strategy for Measuring Determinants and Performance
title_full_unstemmed Governance in the Health Sector : A Strategy for Measuring Determinants and Performance
title_sort governance in the health sector : a strategy for measuring determinants and performance
publishDate 2012
url http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20110509125737
http://hdl.handle.net/10986/3417
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