Publication:
Improve Accreditation, Regulation, and Quality Standards: For Equitable Care Amidst Rapid Growth and Urbanization

Loading...
Thumbnail Image
Files in English
English PDF (346.27 KB)
179 downloads
English Text (26.59 KB)
27 downloads
Date
2018-10
ISSN
Published
2018-10
Editor(s)
Abstract
Urbanizing countries can struggle to ensure uniform minimum standards of care quality particularly when the private sector grows quickly but unevenly, with limited government capacity for robust oversight and regulation and limited consumer ability to differentiate between high-and low-quality care. Accreditation and reaccreditation standards in the public sector sometimes do not extend to the private sector, while private sector accreditation bodies can be of mixed quality and subject to abuse. The lack of evidence-based care protocols can also lead to overtreatment, particularly in the context of rising incomes and parallel increases in health-seeking behavior. New approaches are needed to create and apply more universal quality standards while enabling patients to make educated choices about where to seek care.
Link to Data Set
Citation
World Bank Group. 2018. Improve Accreditation, Regulation, and Quality Standards: For Equitable Care Amidst Rapid Growth and Urbanization. FLF Evidence Brief Series;. © World Bank. http://hdl.handle.net/10986/31858 License: CC BY 3.0 IGO.
Associated URLs
Associated content
Report Series
Other publications in this report series
Journal
Journal Volume
Journal Issue

Related items

Showing items related by metadata.

  • Publication
    Improve Accreditation, Regulation, and Quality Standards
    (World Bank, Washington, DC, 2018-10) World Bank Group
    Accreditation and re-accreditation requirements differ in existence, scope, and use across and within countries. These differences affect facilities and cadres of workers at all levels. Estimates approximate that less than sixty percent of developing countries require medical school graduates to pass national certification exams, a figure that drops below forty percent for Africa and Southeast Asia. Even where minimum standards exist, they can have low uptake due to a perceived or real absence of incentives (regulatory or financial) to pursue accreditation. Different capacities to pay for and devote resources to accreditation may result in gaps along the urban-rural divide in terms of the number of accredited facilities and services offered.
  • Publication
    Improve Accreditation, Regulation, and Quality Standards
    (World Bank, Washington, DC, 2018-10)
    In mature health systems, emerging health innovations require an adaptive and robust regulatory regime, alongside accreditation standards that are useful to consumers, to scale effectively. New health care modalities, including mobile apps and telehealth, can help countries expand high-quality patient-centered care while responding to demographic changes. However, despite the potential usefulness of these innovative tools, most remain outside the scope of regulatory bodies, are not subject to quality or safety standards, and vary widely in their compliance with best practice. Inappropriate or misaligned regulatory regimes can also create unnecessary constraints to both cost-effective provision options such as telehealth, and also labor force mobility across sub-national and national borders.
  • Publication
    Croatia Program-for-Results : Improving Quality and Efficiency of Health Services
    (Washington, DC, 2014-01-04) World Bank
    This technical assessment has been carried out as part of the preparation of the Health Program-for-Results (PforR) operation in Croatia. The primary focus of the assessment is on the Government's Program, and the National Health Care Strategy 2012-2020, and serves as the policy framework for this operation. The needs that Croatia's health system must address have changed as a consequence of the demographic and epidemiological transition in the country. The disease burden in Croatia has shifted from being dominated by maternal and child health and communicable diseases to being dominated by chronic and non-communicable conditions. The Government of Croatia's National Health Care Strategy sets out development directions for the health sector and is the framework for making policy and operational decisions, including the distribution of budgetary resources. The development of emergency medical services and investment planning project supported technical assistance to develop a hospital rationalization master plan, and this will enable the Ministry of Health to develop specific proposals for funding that can be submitted to European Union (EU) structural funds. The hospital rationalization plan will be completed only in December 2013. In the interim, however, the Ministry of Finance has expressed its commitment to support the Ministry of Health to meet interim funding needs.
  • Publication
    Improving the Quality of Public Expenditure in the Dominican Republic
    (Washington, DC, 2012) World Bank
    This book addresses the achievements, challenges, and opportunities to improve the quality of public spending. Steps to make such changes have come through monitoring and evaluation approaches that can be replicated or expanded; sectoral efforts to improve the performance of priority programs; Congress's use of information on the results of public spending; the implementation of performance budgeting at subnational levels; and the harmonization of accounting between the three levels of the federal government. All these aspects are key elements of comprehensive reform. Currently, as the book states, accountability focuses on achieving results rather than on centering attention on mere compliance with rules and procedures. In this context, based on a new legal framework, the government of Mexico has decisively promoted results-based management and budgeting. The Performance Evaluation System (SED) was finally established in 2008 with the institution of the principles, concepts, methodologies, guidelines, procedures, and systems that support its operation. Its adoption as a common practice in the Federal Public Administration (APF) process will require a gradual, progressive, systematic learning and continuous improvement that should allow performance evaluation to take root in the APF. This calls for consolidating the Results-Based Budgeting (RBB)-SED in all agencies, expanding its use and improving the quality of the information that feeds it. However, not just the APF benefit will from the implementation of the RBB-SED. As the publication suggests, the approach to an expenditure budget based on performance information offers Congress great opportunities to enhance its regulatory and supervisory functions. The improvement in the quality of Matrices de Indicadores para Resultados (MIRs), program evaluations, and their integration into the budgetary programming cycle also contributes to this purpose.
  • Publication
    Zambia Health Sector Public : Accounting for Resources to Improve Effective Service Coverage
    (Washington, DC: World Bank, 2009) Picazo, Oscar F.; Zhao, Feng
    Over the past few years, three nagging problems have bedeviled Zambia's health sector: the country is falling off-track from reaching the Millennium Development Goals (MDGs), it is facing severe financing constraints on the government front, and the health and HIV/AIDS sector is increasingly being fragmented by the reemergence of global disease initiatives. This health sector pubic expenditure review (PER) seeks to assist the Government of the Republic of Zambia (GRZ) and its development partners take stock of the resources in the health sector and how these resources can be better used to produce better health services. The results of the PER are expected to be the used for a variety of purposes, including the preparation of the health sector strategic plan, and succeeding rounds of the global fund request for proposals. Policy dialogue between the Bank and GRZ, both at the macro and sector levels, can also be enriched by the PER. The PER also provides critical inputs into the Medium-Term Expenditure Framework (MTEF) process, and in the assessment of the Poverty Reduction Strategy Paper (PRSP). Likewise, the PER can provide inputs to fine-tune the process of the pooled basket funding mechanism under the sector-wide approach (SWAp).

Users also downloaded

Showing related downloaded files

  • Publication
    Classroom Assessment to Support Foundational Literacy
    (Washington, DC: World Bank, 2025-03-21) Luna-Bazaldua, Diego; Levin, Victoria; Liberman, Julia; Gala, Priyal Mukesh
    This document focuses primarily on how classroom assessment activities can measure students’ literacy skills as they progress along a learning trajectory towards reading fluently and with comprehension by the end of primary school grades. The document addresses considerations regarding the design and implementation of early grade reading classroom assessment, provides examples of assessment activities from a variety of countries and contexts, and discusses the importance of incorporating classroom assessment practices into teacher training and professional development opportunities for teachers. The structure of the document is as follows. The first section presents definitions and addresses basic questions on classroom assessment. Section 2 covers the intersection between assessment and early grade reading by discussing how learning assessment can measure early grade reading skills following the reading learning trajectory. Section 3 compares some of the most common early grade literacy assessment tools with respect to the early grade reading skills and developmental phases. Section 4 of the document addresses teacher training considerations in developing, scoring, and using early grade reading assessment. Additional issues in assessing reading skills in the classroom and using assessment results to improve teaching and learning are reviewed in section 5. Throughout the document, country cases are presented to demonstrate how assessment activities can be implemented in the classroom in different contexts.
  • Publication
    Argentina Country Climate and Development Report
    (World Bank, Washington, DC, 2022-11) World Bank Group
    The Argentina Country Climate and Development Report (CCDR) explores opportunities and identifies trade-offs for aligning Argentina’s growth and poverty reduction policies with its commitments on, and its ability to withstand, climate change. It assesses how the country can: reduce its vulnerability to climate shocks through targeted public and private investments and adequation of social protection. The report also shows how Argentina can seize the benefits of a global decarbonization path to sustain a more robust economic growth through further development of Argentina’s potential for renewable energy, energy efficiency actions, the lithium value chain, as well as climate-smart agriculture (and land use) options. Given Argentina’s context, this CCDR focuses on win-win policies and investments, which have large co-benefits or can contribute to raising the country’s growth while helping to adapt the economy, also considering how human capital actions can accompany a just transition.
  • Publication
    World Development Indicators 2014
    (Washington, DC, 2014-05-09) World Bank
    World Development Indicators 2014 provides a compilation of relevant, high-quality, and internationally comparable statistics about global development and the fight against poverty. It is intended to help users of all kinds—policymakers, students, analysts, professors, program managers, and citizens—find and use data related to all aspects of development, including those that help monitor and understand progress toward the two goals. Six themes are used to organize indicators—world view, people, environment, economy, states and markets, and global links. As in past editions, World view reviews global progress toward the Millennium Development Goals (MDGs) and provides key indicators related to poverty. A complementary online data analysis tool is available this year to allow readers to further investigate global, regional, and country progress on the MDGs: http://data.worldbank.org/mdgs. Each of the remaining sections includes an introduction; six stories highlighting specific global, regional or country trends; and a table of the most relevant and popular indicators for that theme, together with a discussion of indicator compilation methodology.
  • Publication
    World Development Report 2006
    (Washington, DC, 2005) World Bank
    This year’s Word Development Report (WDR), the twenty-eighth, looks at the role of equity in the development process. It defines equity in terms of two basic principles. The first is equal opportunities: that a person’s chances in life should be determined by his or her talents and efforts, rather than by pre-determined circumstances such as race, gender, social or family background. The second principle is the avoidance of extreme deprivation in outcomes, particularly in health, education and consumption levels. This principle thus includes the objective of poverty reduction. The report’s main message is that, in the long run, the pursuit of equity and the pursuit of economic prosperity are complementary. In addition to detailed chapters exploring these and related issues, the Report contains selected data from the World Development Indicators 2005‹an appendix of economic and social data for over 200 countries. This Report offers practical insights for policymakers, executives, scholars, and all those with an interest in economic development.
  • Publication
    Lebanon Economic Monitor, Fall 2022
    (Washington, DC, 2022-11) World Bank
    The economy continues to contract, albeit at a somewhat slower pace. Public finances improved in 2021, but only because spending collapsed faster than revenue generation. Testament to the continued atrophy of Lebanon’s economy, the Lebanese Pound continues to depreciate sharply. The sharp deterioration in the currency continues to drive surging inflation, in triple digits since July 2020, impacting the poor and vulnerable the most. An unprecedented institutional vacuum will likely further delay any agreement on crisis resolution and much needed reforms; this includes prior actions as part of the April 2022 International Monetary Fund (IMF) staff-level agreement (SLA). Divergent views among key stakeholders on how to distribute the financial losses remains the main bottleneck for reaching an agreement on a comprehensive reform agenda. Lebanon needs to urgently adopt a domestic, equitable, and comprehensive solution that is predicated on: (i) addressing upfront the balance sheet impairments, (ii) restoring liquidity, and (iii) adhering to sound global practices of bail-in solutions based on a hierarchy of creditors (starting with banks’ shareholders) that protects small depositors.