The Introduction of Market Forces in the Public Hospital Sector : From New Public Sector Management to Organizational Reform

Show simple item record

collection.link.221
https://openknowledge.worldbank.org/handle/10986/12995
collection.name.221
Health, Nutrition and Population (HNP) Discussion Papers
dc.contributor.author
Jakab, Melitta
dc.contributor.author
Preker, Alexander
dc.contributor.author
Harding, April
dc.contributor.author
Hawkins, Loraine
dc.date.accessioned
2013-05-30T18:16:05Z
dc.date.available
2013-05-30T18:16:05Z
dc.date.issued
2002-06
dc.date.lastModified
2021-04-23T14:03:09Z
dc.description.abstract
This Discussion Paper was prepared as a background document for the Hospital Reform Module of the Joint Harvard/World Bank Institute Flagship Course on Health Sector Reform and Sustainable Financing. The Flagship course provides a practical review and update of current issues in health systems reform and financing for senior policy makers from developing countries. Since its inception, the Flagship course has reached more than 3,000 participants from over 50 countries. Heavy 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. This Discussion Paper provides insights into recent hospital reforms undertaken throughout the world, with an emphasis on organizational changes such as increased management autonomy, corporatization, and privatization. It provides 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 material presented tries to answer three questions: (a) what problems did this type of reform try to address; (b) what are the core elements of their design, implementation and evaluation; and, (c) is there any evidence that this type of reform is successful in addressing problems for which they were intended? 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.identifier
http://documents.worldbank.org/curated/en/2002/06/3542175/introduction-market-forces-public-hospital-sector-new-public-sector-management-organizational-reform
dc.identifier.uri
http://hdl.handle.net/10986/13703
dc.language
English
dc.language.iso
en_US
dc.publisher
World Bank, Washington, DC
dc.relation.ispartofseries
HNP discussion paper series;
dc.rights
CC BY 3.0 IGO
dc.rights.holder
World Bank
dc.rights.uri
http://creativecommons.org/licenses/by/3.0/igo/
dc.subject
ACCOUNTABILITY
dc.subject
ALLOCATIVE EFFICIENCY
dc.subject
BUREAUCRACIES
dc.subject
BUREAUCRACY
dc.subject
BUREAUCRATS
dc.subject
BUSINESS MANAGEMENT
dc.subject
CLINICS
dc.subject
COMMUNICABLE DISEASES
dc.subject
COMMUNITIES
dc.subject
CORRUPTION
dc.subject
DECENTRALIZATION
dc.subject
DECISIONMAKING
dc.subject
DELIVERY SYSTEMS
dc.subject
DOCTORS
dc.subject
DRUGS
dc.subject
EMPLOYMENT
dc.subject
FAMILIES
dc.subject
FINANCIAL MANAGEMENT
dc.subject
FIXED COSTS
dc.subject
FRAUD
dc.subject
HEALTH CARE
dc.subject
HEALTH CARE WORKERS
dc.subject
HEALTH FACILITIES
dc.subject
HEALTH FINANCING
dc.subject
HEALTH POLICY
dc.subject
HEALTH SECTOR
dc.subject
HEALTH SERVICES
dc.subject
HEALTH SYSTEM
dc.subject
HEALTH SYSTEMS
dc.subject
HOSPITAL BEDS
dc.subject
HOSPITAL CARE
dc.subject
HOSPITAL SERVICES
dc.subject
HOSPITALS
dc.subject
LABORATORIES
dc.subject
MANAGEMENT STRATEGY
dc.subject
MANAGEMENT TECHNIQUES
dc.subject
MANAGERS
dc.subject
MARKETING
dc.subject
MINISTRIES OF HEALTH
dc.subject
MOTIVATION
dc.subject
NUTRITION
dc.subject
OCCUPANCY
dc.subject
OCCUPANCY RATES
dc.subject
ORGANIZATIONAL REFORM
dc.subject
ORGANIZATIONAL STRUCTURE
dc.subject
PATIENTS
dc.subject
PHYSICIANS
dc.subject
PRIMARY CARE
dc.subject
PRIVATE SECTOR
dc.subject
PROCUREMENT
dc.subject
PUBLIC HEALTH
dc.subject
PUBLIC HOSPITALS
dc.subject
PUBLIC SECTOR
dc.subject
PURCHASING
dc.subject
REFORMS
dc.subject
RESOURCE MANAGEMENT
dc.subject
RETIREMENT
dc.subject
SERVICE DELIVERY
dc.subject
SERVICE PROVIDERS
dc.subject
SOCIAL SERVICES
dc.subject
STRATEGIC MANAGEMENT
dc.subject
TELECOMMUNICATIONS
dc.subject
USER FEES
dc.subject
WASTE
dc.subject
WORKERS HEALTH CARE
dc.subject
HEALTH ECONOMICS
dc.subject
HEALTH FINANCE
dc.subject
HEALTH FINANCING
dc.subject
HOSPITAL REFORM
dc.subject
PUBLIC HOSPITALS
dc.subject
PRIVATIZATION
dc.subject
HEALTH CARE QUALITY
dc.title
The Introduction of Market Forces in the Public Hospital Sector : From New Public Sector Management to Organizational Reform
en
okr.doctype
Publications & Research :: Working Paper
okr.doctype
Publications & Research
okr.docurl
http://documents.worldbank.org/curated/en/2002/06/3542175/introduction-market-forces-public-hospital-sector-new-public-sector-management-organizational-reform
okr.googlescholar.linkpresent
yes
okr.identifier.externaldocumentum
000265513_20040519121025
okr.identifier.internaldocumentum
3542175
okr.identifier.report
28883
okr.language.supported
en
okr.pdfurl
http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2004/05/19/000265513_20040519121025/Rendered/PDF/288830Jakab1The0Introduction0of1whole.pdf
en
okr.topic
Health Monitoring and Evaluation
okr.topic
Health Systems Development and Reform
okr.topic
Pharmaceuticals and Pharmacoeconomics
okr.topic
Housing and Human Habitats
okr.topic
Enterprise Development and Reform
okr.unit
Health, Nutrition and Population
okr.volume
1 of 1

Show simple item record



This item appears in the following Collection(s)