Governance in Health Care Delivery : Raising Performance
The impacts of health care investments in developing and transition countries are typically measured by inputs and general health outcomes. Missing from the health agenda are measures of performance that reflect whether health systems are meeting t...
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| Format: | Policy Research Working Paper |
| Language: | English |
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2012
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| 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_20091013151915 http://hdl.handle.net/10986/4266 |
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okr-10986-4266 |
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oai_dc |
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Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English |
| topic |
ABSENTEEISM ACCOUNTABILITY ACCOUNTABILITY FOR PERFORMANCE ACCOUNTABILITY MECHANISMS ACCOUNTING AGGREGATE EXPENDITURE AGGREGATE EXPENDITURES ANNUAL BUDGET ANNUAL BUDGET PROCESS AUDIT FINDINGS AUDITORS AUTHORIZED BUDGET AUXILIARY NURSES BANDAGES BASIC SERVICES BENEFICIARIES BUDGET ACCOUNTS BUDGET ALLOCATION BUDGET ALLOCATIONS BUDGET COMPREHENSIVENESS BUDGET CREDIBILITY BUDGET CYCLE BUDGET EXECUTION BUDGET MANAGEMENT BUDGET PROCESS BUDGET RECORDS BUDGET RULES CAPITAL EXPENDITURES CASH BALANCES CENTRAL GOVERNMENT CERTIFICATION CLINICS COMMUNITY PARTICIPATION CORRUPTION DATA DATA COLLECTION DATA ENTRY DATA ON PERFORMANCE DEATHS DEBT DELIVERY OF HEALTH SERVICES DOCTORS EDUCATION PROGRAMS EFFECTIVENESS OF SERVICE DELIVERY EFFICIENCY OF PUBLIC SPENDING EMPLOYMENT ESSENTIAL DRUGS EXPENDITURE AREAS EXPENDITURE CATEGORIES EXPENDITURE CONTROLS EXPENDITURE PROGRAM EXPENDITURE TRACKING SURVEYS EXTERNAL ACCOUNTABILITY EXTERNAL AUDIT EXTERNAL AUDITS FINANCE MANAGEMENT FINANCE MINISTRIES FINANCIAL ACCOUNTABILITY FINANCIAL INFORMATION FINANCIAL MANAGEMENT FINANCIAL MANAGEMENT SYSTEMS FINANCIAL REPORTS FINANCIAL RESOURCES FINANCING ARRANGEMENTS GOVERNMENT BUDGETS GOVERNMENT POLICIES HEALTH CARE HEALTH CARE DELIVERY HEALTH CARE FACILITIES HEALTH CARE PROFESSIONALS HEALTH CARE PROVIDERS HEALTH CARE PROVISION HEALTH CARE SERVICE DELIVERY HEALTH CARE SYSTEM HEALTH CARE SYSTEMS HEALTH CLINIC HEALTH CLINICS HEALTH CONSEQUENCES HEALTH DEPARTMENTS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH INSURANCE HEALTH INVESTMENTS HEALTH MINISTRIES HEALTH OUTCOMES HEALTH POLICIES HEALTH POLICY HEALTH PROJECTS HEALTH PROVIDERS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICE PROVIDERS HEALTH SERVICE PROVISION HEALTH SERVICES HEALTH SPENDING HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEMS HEALTH UNIT HEALTH WORKFORCE HIV/AIDS HOSPITAL BEDS HOSPITAL MANAGEMENT HOSPITAL PATIENTS HOSPITAL PERFORMANCE HOSPITALS HUMAN DEVELOPMENT HUMAN RESOURCE MANAGEMENT HUMAN RESOURCES ILLNESS IMMUNIZATION INCOME INFANT MORTALITY INSTITUTIONALIZATION INSURANCE INTEGRATION INTENDED BENEFICIARIES INTERGOVERNMENTAL FISCAL RELATIONS INTERMEDIARIES INTERNAL AUDIT INTERNAL CONTROL INTERNAL CONTROLS LAWS LIFE EXPECTANCY LINES OF ACCOUNTABILITY LIVING CONDITIONS MANAGEMENT CONTROL MANAGEMENT CONTROLS MEASURABLE OUTPUTS MEDICAL CARE MEDICAL EDUCATION MEDICAL EQUIPMENT MEDICAL SUPPLIES MEDICINES MIGRATION MINISTRY OF FINANCE MISMANAGEMENT MORTALITY NURSES NURSING OUTCOME INDICATORS PATIENT PATIENT SATISFACTION PATIENTS PAYMENT SYSTEM PERFORMANCE DATA PERFORMANCE INDICATORS PERFORMANCE INFORMATION PERFORMANCE ISSUES PERFORMANCE MEASURES PERFORMANCE MONITORING PHARMACISTS PHARMACY PHYSICIAN PHYSICIANS POLITICIANS PRIVATE MARKET PRIVATE PHARMACIES PRIVATE SECTOR PROBABILITY PROCUREMENT PROCESS PROGRAM MANAGERS PROGRAM OBJECTIVES PROGRAMS PROVIDER PAYMENT PROVISION OF HEALTH SERVICES PUBLIC EXPENDITURE PUBLIC EXPENDITURE TRACKING PUBLIC EXPENDITURES PUBLIC FINANCE PUBLIC FINANCIAL MANAGEMENT PUBLIC FUNDS PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH CARE SERVICES PUBLIC HEALTH SYSTEMS PUBLIC HEALTH WORKERS PUBLIC HOSPITALS PUBLIC INVESTMENTS PUBLIC OFFICIALS PUBLIC PROCUREMENT PUBLIC PROVISION PUBLIC RESOURCES PUBLIC SECTOR PUBLIC SECTOR MANAGEMENT PUBLIC SERVICE QUALITY CONTROL QUALITY OF HEALTH QUALITY OF HEALTH CARE QUANTITATIVE SERVICE DELIVERY REGIONAL ADMINISTRATION RESOURCE ALLOCATION RESOURCE FLOWS SECTOR POLICY SERVICE QUALITY TRANSPARENCY UNINTENDED CONSEQUENCES USE PERFORMANCE INFORMATION WASTE WORK ENVIRONMENT WORKERS |
| spellingShingle |
ABSENTEEISM ACCOUNTABILITY ACCOUNTABILITY FOR PERFORMANCE ACCOUNTABILITY MECHANISMS ACCOUNTING AGGREGATE EXPENDITURE AGGREGATE EXPENDITURES ANNUAL BUDGET ANNUAL BUDGET PROCESS AUDIT FINDINGS AUDITORS AUTHORIZED BUDGET AUXILIARY NURSES BANDAGES BASIC SERVICES BENEFICIARIES BUDGET ACCOUNTS BUDGET ALLOCATION BUDGET ALLOCATIONS BUDGET COMPREHENSIVENESS BUDGET CREDIBILITY BUDGET CYCLE BUDGET EXECUTION BUDGET MANAGEMENT BUDGET PROCESS BUDGET RECORDS BUDGET RULES CAPITAL EXPENDITURES CASH BALANCES CENTRAL GOVERNMENT CERTIFICATION CLINICS COMMUNITY PARTICIPATION CORRUPTION DATA DATA COLLECTION DATA ENTRY DATA ON PERFORMANCE DEATHS DEBT DELIVERY OF HEALTH SERVICES DOCTORS EDUCATION PROGRAMS EFFECTIVENESS OF SERVICE DELIVERY EFFICIENCY OF PUBLIC SPENDING EMPLOYMENT ESSENTIAL DRUGS EXPENDITURE AREAS EXPENDITURE CATEGORIES EXPENDITURE CONTROLS EXPENDITURE PROGRAM EXPENDITURE TRACKING SURVEYS EXTERNAL ACCOUNTABILITY EXTERNAL AUDIT EXTERNAL AUDITS FINANCE MANAGEMENT FINANCE MINISTRIES FINANCIAL ACCOUNTABILITY FINANCIAL INFORMATION FINANCIAL MANAGEMENT FINANCIAL MANAGEMENT SYSTEMS FINANCIAL REPORTS FINANCIAL RESOURCES FINANCING ARRANGEMENTS GOVERNMENT BUDGETS GOVERNMENT POLICIES HEALTH CARE HEALTH CARE DELIVERY HEALTH CARE FACILITIES HEALTH CARE PROFESSIONALS HEALTH CARE PROVIDERS HEALTH CARE PROVISION HEALTH CARE SERVICE DELIVERY HEALTH CARE SYSTEM HEALTH CARE SYSTEMS HEALTH CLINIC HEALTH CLINICS HEALTH CONSEQUENCES HEALTH DEPARTMENTS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH INSURANCE HEALTH INVESTMENTS HEALTH MINISTRIES HEALTH OUTCOMES HEALTH POLICIES HEALTH POLICY HEALTH PROJECTS HEALTH PROVIDERS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICE PROVIDERS HEALTH SERVICE PROVISION HEALTH SERVICES HEALTH SPENDING HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEMS HEALTH UNIT HEALTH WORKFORCE HIV/AIDS HOSPITAL BEDS HOSPITAL MANAGEMENT HOSPITAL PATIENTS HOSPITAL PERFORMANCE HOSPITALS HUMAN DEVELOPMENT HUMAN RESOURCE MANAGEMENT HUMAN RESOURCES ILLNESS IMMUNIZATION INCOME INFANT MORTALITY INSTITUTIONALIZATION INSURANCE INTEGRATION INTENDED BENEFICIARIES INTERGOVERNMENTAL FISCAL RELATIONS INTERMEDIARIES INTERNAL AUDIT INTERNAL CONTROL INTERNAL CONTROLS LAWS LIFE EXPECTANCY LINES OF ACCOUNTABILITY LIVING CONDITIONS MANAGEMENT CONTROL MANAGEMENT CONTROLS MEASURABLE OUTPUTS MEDICAL CARE MEDICAL EDUCATION MEDICAL EQUIPMENT MEDICAL SUPPLIES MEDICINES MIGRATION MINISTRY OF FINANCE MISMANAGEMENT MORTALITY NURSES NURSING OUTCOME INDICATORS PATIENT PATIENT SATISFACTION PATIENTS PAYMENT SYSTEM PERFORMANCE DATA PERFORMANCE INDICATORS PERFORMANCE INFORMATION PERFORMANCE ISSUES PERFORMANCE MEASURES PERFORMANCE MONITORING PHARMACISTS PHARMACY PHYSICIAN PHYSICIANS POLITICIANS PRIVATE MARKET PRIVATE PHARMACIES PRIVATE SECTOR PROBABILITY PROCUREMENT PROCESS PROGRAM MANAGERS PROGRAM OBJECTIVES PROGRAMS PROVIDER PAYMENT PROVISION OF HEALTH SERVICES PUBLIC EXPENDITURE PUBLIC EXPENDITURE TRACKING PUBLIC EXPENDITURES PUBLIC FINANCE PUBLIC FINANCIAL MANAGEMENT PUBLIC FUNDS PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH CARE SERVICES PUBLIC HEALTH SYSTEMS PUBLIC HEALTH WORKERS PUBLIC HOSPITALS PUBLIC INVESTMENTS PUBLIC OFFICIALS PUBLIC PROCUREMENT PUBLIC PROVISION PUBLIC RESOURCES PUBLIC SECTOR PUBLIC SECTOR MANAGEMENT PUBLIC SERVICE QUALITY CONTROL QUALITY OF HEALTH QUALITY OF HEALTH CARE QUANTITATIVE SERVICE DELIVERY REGIONAL ADMINISTRATION RESOURCE ALLOCATION RESOURCE FLOWS SECTOR POLICY SERVICE QUALITY TRANSPARENCY UNINTENDED CONSEQUENCES USE PERFORMANCE INFORMATION WASTE WORK ENVIRONMENT WORKERS Lewis, Maureen Pettersson, Gunilla Governance in Health Care Delivery : Raising Performance |
| geographic_facet |
The World Region |
| relation |
Policy Research working paper ; no. WPS 5074 |
| description |
The impacts of health care investments
in developing and transition countries are typically
measured by inputs and general health outcomes. Missing from
the health agenda are measures of performance that reflect
whether health systems are meeting their objectives; public
resources are being used appropriately; and the priorities
of governments are being implemented. This paper suggests
that good governance is central to raising performance in
health care delivery. Crucial to high performance are
standards, information, incentives and accountability. This
paper provides a definition of good governance in health and
a framework for thinking about governance issues as a way of
improving performance in the health sector. Performance
indicators that offer the potential for tracking relative
health performance are proposed, and provide the context for
the discussion of good governance in health service delivery
in the areas of budget and resource management, individual
provider performance, health facility performance, informal
payments, and corruption perceptions. What we do and do not
know about effective solutions to advance good governance
and performance in health is presented for each area,
drawing on existing research and documented experiences. |
| format |
Publications & Research :: Policy Research Working Paper |
| author |
Lewis, Maureen Pettersson, Gunilla |
| author_facet |
Lewis, Maureen Pettersson, Gunilla |
| author_sort |
Lewis, Maureen |
| title |
Governance in Health Care Delivery : Raising Performance |
| title_short |
Governance in Health Care Delivery : Raising Performance |
| title_full |
Governance in Health Care Delivery : Raising Performance |
| title_fullStr |
Governance in Health Care Delivery : Raising Performance |
| title_full_unstemmed |
Governance in Health Care Delivery : Raising Performance |
| title_sort |
governance in health care delivery : raising 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_20091013151915 http://hdl.handle.net/10986/4266 |
| _version_ |
1764390663713980416 |
| spelling |
okr-10986-42662021-04-23T14:02:16Z Governance in Health Care Delivery : Raising Performance Lewis, Maureen Pettersson, Gunilla ABSENTEEISM ACCOUNTABILITY ACCOUNTABILITY FOR PERFORMANCE ACCOUNTABILITY MECHANISMS ACCOUNTING AGGREGATE EXPENDITURE AGGREGATE EXPENDITURES ANNUAL BUDGET ANNUAL BUDGET PROCESS AUDIT FINDINGS AUDITORS AUTHORIZED BUDGET AUXILIARY NURSES BANDAGES BASIC SERVICES BENEFICIARIES BUDGET ACCOUNTS BUDGET ALLOCATION BUDGET ALLOCATIONS BUDGET COMPREHENSIVENESS BUDGET CREDIBILITY BUDGET CYCLE BUDGET EXECUTION BUDGET MANAGEMENT BUDGET PROCESS BUDGET RECORDS BUDGET RULES CAPITAL EXPENDITURES CASH BALANCES CENTRAL GOVERNMENT CERTIFICATION CLINICS COMMUNITY PARTICIPATION CORRUPTION DATA DATA COLLECTION DATA ENTRY DATA ON PERFORMANCE DEATHS DEBT DELIVERY OF HEALTH SERVICES DOCTORS EDUCATION PROGRAMS EFFECTIVENESS OF SERVICE DELIVERY EFFICIENCY OF PUBLIC SPENDING EMPLOYMENT ESSENTIAL DRUGS EXPENDITURE AREAS EXPENDITURE CATEGORIES EXPENDITURE CONTROLS EXPENDITURE PROGRAM EXPENDITURE TRACKING SURVEYS EXTERNAL ACCOUNTABILITY EXTERNAL AUDIT EXTERNAL AUDITS FINANCE MANAGEMENT FINANCE MINISTRIES FINANCIAL ACCOUNTABILITY FINANCIAL INFORMATION FINANCIAL MANAGEMENT FINANCIAL MANAGEMENT SYSTEMS FINANCIAL REPORTS FINANCIAL RESOURCES FINANCING ARRANGEMENTS GOVERNMENT BUDGETS GOVERNMENT POLICIES HEALTH CARE HEALTH CARE DELIVERY HEALTH CARE FACILITIES HEALTH CARE PROFESSIONALS HEALTH CARE PROVIDERS HEALTH CARE PROVISION HEALTH CARE SERVICE DELIVERY HEALTH CARE SYSTEM HEALTH CARE SYSTEMS HEALTH CLINIC HEALTH CLINICS HEALTH CONSEQUENCES HEALTH DEPARTMENTS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH INSURANCE HEALTH INVESTMENTS HEALTH MINISTRIES HEALTH OUTCOMES HEALTH POLICIES HEALTH POLICY HEALTH PROJECTS HEALTH PROVIDERS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICE PROVIDERS HEALTH SERVICE PROVISION HEALTH SERVICES HEALTH SPENDING HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEMS HEALTH UNIT HEALTH WORKFORCE HIV/AIDS HOSPITAL BEDS HOSPITAL MANAGEMENT HOSPITAL PATIENTS HOSPITAL PERFORMANCE HOSPITALS HUMAN DEVELOPMENT HUMAN RESOURCE MANAGEMENT HUMAN RESOURCES ILLNESS IMMUNIZATION INCOME INFANT MORTALITY INSTITUTIONALIZATION INSURANCE INTEGRATION INTENDED BENEFICIARIES INTERGOVERNMENTAL FISCAL RELATIONS INTERMEDIARIES INTERNAL AUDIT INTERNAL CONTROL INTERNAL CONTROLS LAWS LIFE EXPECTANCY LINES OF ACCOUNTABILITY LIVING CONDITIONS MANAGEMENT CONTROL MANAGEMENT CONTROLS MEASURABLE OUTPUTS MEDICAL CARE MEDICAL EDUCATION MEDICAL EQUIPMENT MEDICAL SUPPLIES MEDICINES MIGRATION MINISTRY OF FINANCE MISMANAGEMENT MORTALITY NURSES NURSING OUTCOME INDICATORS PATIENT PATIENT SATISFACTION PATIENTS PAYMENT SYSTEM PERFORMANCE DATA PERFORMANCE INDICATORS PERFORMANCE INFORMATION PERFORMANCE ISSUES PERFORMANCE MEASURES PERFORMANCE MONITORING PHARMACISTS PHARMACY PHYSICIAN PHYSICIANS POLITICIANS PRIVATE MARKET PRIVATE PHARMACIES PRIVATE SECTOR PROBABILITY PROCUREMENT PROCESS PROGRAM MANAGERS PROGRAM OBJECTIVES PROGRAMS PROVIDER PAYMENT PROVISION OF HEALTH SERVICES PUBLIC EXPENDITURE PUBLIC EXPENDITURE TRACKING PUBLIC EXPENDITURES PUBLIC FINANCE PUBLIC FINANCIAL MANAGEMENT PUBLIC FUNDS PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH CARE SERVICES PUBLIC HEALTH SYSTEMS PUBLIC HEALTH WORKERS PUBLIC HOSPITALS PUBLIC INVESTMENTS PUBLIC OFFICIALS PUBLIC PROCUREMENT PUBLIC PROVISION PUBLIC RESOURCES PUBLIC SECTOR PUBLIC SECTOR MANAGEMENT PUBLIC SERVICE QUALITY CONTROL QUALITY OF HEALTH QUALITY OF HEALTH CARE QUANTITATIVE SERVICE DELIVERY REGIONAL ADMINISTRATION RESOURCE ALLOCATION RESOURCE FLOWS SECTOR POLICY SERVICE QUALITY TRANSPARENCY UNINTENDED CONSEQUENCES USE PERFORMANCE INFORMATION WASTE WORK ENVIRONMENT WORKERS The impacts of health care investments in developing and transition countries are typically measured by inputs and general health outcomes. Missing from the health agenda are measures of performance that reflect whether health systems are meeting their objectives; public resources are being used appropriately; and the priorities of governments are being implemented. This paper suggests that good governance is central to raising performance in health care delivery. Crucial to high performance are standards, information, incentives and accountability. This paper provides a definition of good governance in health and a framework for thinking about governance issues as a way of improving performance in the health sector. Performance indicators that offer the potential for tracking relative health performance are proposed, and provide the context for the discussion of good governance in health service delivery in the areas of budget and resource management, individual provider performance, health facility performance, informal payments, and corruption perceptions. What we do and do not know about effective solutions to advance good governance and performance in health is presented for each area, drawing on existing research and documented experiences. 2012-03-19T19:12:55Z 2012-03-19T19:12:55Z 2009-10-01 http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20091013151915 http://hdl.handle.net/10986/4266 English Policy Research working paper ; no. WPS 5074 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank Publications & Research :: Policy Research Working Paper The World Region |