Challenges and Opportunities for Purchasing High-Quality Health Care: Lessons from Armenia

doi:10.1080/23288604.2021.1898186

Publication:
Challenges and Opportunities for Purchasing High-Quality Health Care: Lessons from Armenia

dc.contributor.author	Lylozian, Hratchia
dc.contributor.author	Chukwuma, Adanna
dc.contributor.author	Gong, Estelle
dc.date.accessioned	2021-05-12T18:19:51Z
dc.date.available	2021-05-12T18:19:51Z
dc.date.issued	2021-04-29
dc.description.abstract	This paper examines how purchasing decisions in Armenia may contribute to barriers in using high-quality health care, particularly for non-communicable diseases, drawing on a review of the literature and key informant interviews. The paper adapts the strategic health purchasing progress framework, to examine how characteristics of purchasing, the health system, and the political, administrative, and macro-fiscal environment may have facilitated or hindered the attainment of service delivery goals. We conclude with six lessons for reforms aimed at improving the coverage and quality of health care in Armenia. First, increasing the political priority of access to quality of health care is a pre-requisite to advancing reforms to address these issues. Second, improved purchasing governance in Armenia will require a purchaser that can make decisions without political interference, with appropriate accountability mechanisms, improvements in technical capacity, and the routine use of data systems. Third, there is a need for the regulatory framework to ensure that revisions of the benefits package contribute to reducing the disease burden and improving access to care. Fourth, regulations governing quality-related criteria for provider selection should be enforced and include considerations for process quality. Fifth, payment incentives should be revised to encourage an increase in the supply of primary health care, reduce bypassing for hospital care, and improve the quality of services. Sixth, the potential of purchasing to improve service delivery will be dependent on increased pre-paid and pooled funds and better governance of the quality of care.	en
dc.identifier.citation	Health Systems and Reform
dc.identifier.doi	10.1596/35558
dc.identifier.uri	https://hdl.handle.net/10986/35558
dc.publisher	Taylor and Francis
dc.rights	CC BY 4.0
dc.rights.holder	World Bank
dc.rights.uri	http://creativecommons.org/licenses/by/4.0
dc.subject	PRIMARY HEALTH CARE
dc.subject	STRATEGIC PURCHASING
dc.subject	UNIVERSAL HEALTH COVERAGE
dc.subject	NONCOMMUNICABLE DISEASE
dc.subject	ACCESS TO HEALTH SERVICES
dc.title	Challenges and Opportunities for Purchasing High-Quality Health Care	en
dc.title.subtitle	Lessons from Armenia	en
dc.type	Journal Article	en
dc.type	Article de journal	fr
dc.type	Artículo de revista	es
dspace.entity.type	Publication
okr.associatedcontent	https://www.tandfonline.com/doi/full/10.1080/23288604.2021.1898186 Journal website (version of record)	en
okr.date.disclosure	2021-05-12
okr.date.doiregistration	2025-05-06T10:57:25.472528Z
okr.doctype	Publications & Research::Journal Article
okr.doctype	Publications & Research
okr.externalcontent	External Content
okr.guid	709271626075588582
okr.identifier.doi	10.1080/23288604.2021.1898186
okr.identifier.report	161485
okr.journal.nbpages	e1898186
okr.language.supported	en
okr.peerreview	Academic Peer Review
okr.region.administrative	Europe and Central Asia
okr.region.country	Armenia
okr.topic	Health, Nutrition and Population::Health Economics & Finance
okr.topic	Health, Nutrition and Population::Health Insurance
okr.topic	Health, Nutrition and Population::Health Service Management and Delivery
okr.topic	Health, Nutrition and Population::Health Systems Development & Reform
okr.unit	Health, Nutrition and Population Global Practice
okr.volume	7(1)
relation.isAuthorOfPublication	41aa479e-8677-5046-8dc0-ceca0dc1aa7f
relation.isAuthorOfPublication.latestForDiscovery	41aa479e-8677-5046-8dc0-ceca0dc1aa7f