1.

Record Nr.

UNINA9910450384903321

Titolo

Spending wisely [[electronic resource] ] : buying health services for the poor / / Alexander S. Preker, John Langenbruner

Pubbl/distr/stampa

Washington, DC, : World Bank, 2004

ISBN

1-280-15670-8

9786610156702

0-8213-5919-3

Descrizione fisica

1 online resource (434 p.)

Altri autori (Persone)

LangenbrunnerJack

PrekerAlexander S. <1951->

Disciplina

338.4/33621

Soggetti

Poor - Medical care - Economic aspects

Poor - Medical care - Finance

Electronic books.

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Note generali

Description based upon print version of record.

Nota di bibliografia

Includes bibliographical references and index.

Nota di contenuto

Contents; Acknowledgments; Acronyms and Abbreviations; Introduction; Part I: The Conceptual Framework; Part II: Making Strategic Purchasing Pro-Poor; Part III: Purchasing Health Services; Part IV: Purchasing Inputs; Part V: Supply, Demand, And Markets; Part VI: Legal And Regulatory Issues; PART I. THE CONCEPTUAL FRAMEWORK; 1. Managing Scarcity through Strategic Purchasing of Health Care; The Evolution of Health Systems and Collective Financing of Health Care; Reform Trends in Public Spending on Health Care; Continued Need for Strong Public Policy in Managing Scarce Resources

The Purchaser-Provider SplitGetting Value for Public Money Spent on Health Care; Forthcoming Books on Resource Allocation and Purchasing in the Health Sector; References; 2. For Whom to Buy? Are Free Government Health Services the Best Way to Reach the Poor?; The Beneficiaries of Government Health Service Expenditures; Focusing Government Services on the Poor; Encouraging the Better-Off to Pay for Their Own Services; Conclusions; Notes; References; 3. What to Buy? Revisiting Priority Setting in Health Care; Some Approaches to Priority Setting; Economic Evaluation; Equity Issues



Practical ConstraintsConclusions; References; 4. From Whom to Buy? Selecting Providers; Defining and Identifying Eligible Providers and Matching the Intervention; Can the Purchaser Buy the Desired Intervention from the Eligible Providers?; References; 5. How to Pay? Understanding and Using Payment Incentives; Payment System Types and a Conceptual Framework for Incentives; Which Payment System Should Be Chosen?; Discussion; Notes; References; 6. At What Price? Affordable and Realistic Fees; Overview of Provider Payment Methods; Calculating Costs-Methods and Information Available

Characteristics of Purchasers and ProvidersConclusions; Notes; References; PART II. MAKING STRATEGIC PURCHASING PRO-POOR; 7. The Equity Dimensions of Purchasing; The Evidence; What Does An "Equitable Distribution of Health and Health Benefits" Mean?; Defining Variables: Resource Allocation and Purchasing Reforms; Conclusions and Recommendations; Notes; References; 8. Reversing the Law of Inverse Care; The Inverse Care Law At Work in Rich and Poor Countries; The Infrastructure of Inequity; Methodological Issues: How to Construct Resource Allocation for Equity in Access; References

9. Risk Pooling and PurchasingApproaches to Risk Pooling; Practical Issues; Conclusions; Note; References; PART III. PURCHASING HEALTH SERVICES; 10. Paying for Public Health Services: Financing and Utilization; Who Should Pay for Public Health Services?; How Should Providers Be Paid?; Toward Better Financing and Payment Policies; References; 11. Buying Results: Contracting for Primary Health Care Delivery; Why Contract-Ideology or Pragmatism?; Approaches to Contracting; Study Methodology; Results: Contracting Can Quickly Improve Service Delivery; Methodological Limitations of This Review

Is Contracting a Sustainable Approach?