Publication:
The Corporatization of Public Hospitals

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dc.contributor.authorHarding, April
dc.contributor.authorPreker, Alexander S.
dc.date.accessioned2013-05-30T16:10:05Z
dc.date.available2013-05-30T16:10:05Z
dc.date.issued2000-09
dc.description.abstractHeavy 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.en
dc.identifierhttp://documents.worldbank.org/curated/en/2000/09/3522470/corporatization-public-hospitals
dc.identifier.doi10.1596/13694
dc.identifier.urihttps://hdl.handle.net/10986/13694
dc.languageEnglish
dc.language.isoen_US
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesHNP discussion paper series;
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectHEALTH CARE
dc.subjectHOSPITALS
dc.subjectHEALTH CARE REFORM
dc.subjectPOVERTY & HEALTH CASE STUDIES
dc.subjectCLINICS
dc.subjectCOMMUNICABLE DISEASES
dc.subjectCOMPETENCIES
dc.subjectCONCEPTUAL FRAMEWORK
dc.subjectCULTURAL SETTINGS
dc.subjectDEBT
dc.subjectDECENTRALIZATION
dc.subjectDEVELOPED COUNTRIES
dc.subjectDEVELOPING COUNTRIES
dc.subjectDEVELOPING COUNTRY
dc.subjectDEVELOPMENT NETWORK
dc.subjectDOCTORS
dc.subjectECONOMIC ACTIVITY
dc.subjectECONOMIC COOPERATION
dc.subjectECONOMIC PERSPECTIVES
dc.subjectECONOMICS
dc.subjectEDUCATION
dc.subjectEMPIRICAL EVIDENCE
dc.subjectEMPLOYMENT
dc.subjectEXPENDITURE CATEGORY
dc.subjectEXTERNALITIES
dc.subjectFINANCIAL RISK
dc.subjectGOVERNANCE STRUCTURE
dc.subjectHEALTH
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE SYSTEMS
dc.subjectHEALTH FACILITIES
dc.subjectHEALTH POLICY
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICE
dc.subjectHEALTH SERVICES
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH SYSTEMS
dc.subjectHOSPITAL AUTONOMY
dc.subjectHOSPITAL BEDS
dc.subjectHOSPITAL COSTS
dc.subjectHOSPITAL MANAGEMENT
dc.subjectHOSPITALS
dc.subjectHUMAN DEVELOPMENT
dc.subjectINCOME
dc.subjectINNOVATION
dc.subjectINTERVENTION
dc.subjectMACROECONOMICS
dc.subjectMANAGERS
dc.subjectMARKET EXCHANGE
dc.subjectMARKET FAILURES
dc.subjectMEDICAL CARE
dc.subjectMEDICAL EQUIPMENT
dc.subjectMORAL HAZARD
dc.subjectMOTIVATION
dc.subjectNUTRITION
dc.subjectPATIENTS
dc.subjectPAYMENTS ARRANGEMENTS
dc.subjectPENSIONS
dc.subjectPHYSICIANS
dc.subjectPOLICY ENVIRONMENT
dc.subjectPOLICY FRAMEWORK
dc.subjectPOLICY MAKERS
dc.subjectPOLICY OPTIONS
dc.subjectPRIMARY CARE
dc.subjectPRIVATE SECTOR
dc.subjectPRIVATIZATION
dc.subjectPRODUCTIVITY
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HOSPITALS
dc.subjectPUBLIC SECTOR
dc.subjectPUBLIC SERVICES
dc.subjectPUBLIC SYSTEMS
dc.subjectPUBLIC UTILITIES
dc.subjectSECTOR POLICY
dc.subjectSERVICE DELIVERY
dc.subjectSERVICE PROVIDERS
dc.subjectSERVICE PROVISION
dc.subjectSOCIAL DEVELOPMENT
dc.subjectSOCIAL INSURANCE
dc.subjectSOCIAL PROTECTION
dc.subjectSOCIAL SECTORS
dc.subjectSOCIAL SERVICES
dc.subjectSTATE- OWNED ENTERPRISES
dc.subjectSTRUCTURAL REFORMS
dc.subjectTRANSACTION COSTS
dc.subjectURBAN AREAS
dc.subjectWORKERS
dc.titleThe Corporatization of Public Hospitalsen
dspace.entity.typePublication
okr.date.doiregistration2025-05-05T12:40:26.325995Z
okr.doctypePublications & Research::Working Paper
okr.doctypePublications & Research
okr.docurlhttp://documents.worldbank.org/curated/en/2000/09/3522470/corporatization-public-hospitals
okr.globalpracticePoverty
okr.guid905371468780563628
okr.identifier.externaldocumentum000265513_20040518172036
okr.identifier.internaldocumentum3522470
okr.identifier.report28877
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2004/05/18/000265513_20040518172036/Rendered/PDF/288770Harding11Organizational1whole.pdfen
okr.topicHealth Monitoring and Evaluation
okr.topicHealth Systems Development and Reform
okr.topicBanks and Banking Reform
okr.topicHealth Economics and Finance
okr.topicPoverty Reduction::Poverty Assessment
okr.unitHealth, Nutrition & Popultn Team (HDNHE)
okr.volume1 of 1
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