LEADER 05354nam 22006374a 450 001 9910453910403321 005 20200520144314.0 010 $a0-8213-7359-5 035 $a(CKB)1000000000537661 035 $a(EBL)459555 035 $a(OCoLC)317596718 035 $a(SSID)ssj0000087369 035 $a(PQKBManifestationID)11126364 035 $a(PQKBTitleCode)TC0000087369 035 $a(PQKBWorkID)10054548 035 $a(PQKB)11420686 035 $a(MiAaPQ)EBC459555 035 $a(Au-PeEL)EBL459555 035 $a(CaPaEBR)ebr10237214 035 $a(EXLCZ)991000000000537661 100 $a20071005d2008 uf 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 10$aHospital performance in Brazil$b[electronic resource] $ethe search for excellence /$fGerard M. La Forgia, Bernard F. Couttolenc 210 $aWashington, D.C. $cWorld Bank$dc2008 215 $a1 online resource (462 p.) 300 $aDescription based upon print version of record. 311 $a0-8213-7358-7 320 $aIncludes bibliographical references (p. 375-393) and index. 327 $aContents; Foreword; Acknowledgments; About the Authors; Policy Summary; Acronyms and Abbreviations; 1 Introduction; Figure 1.1 Conceptual Framework for Hospital Performance; 2 The Brazilian Hospital Sector: Structure, Financing, Spending, and Outcomes; Table 2.1 Demographic and Health Trends; Table 2.2 Financial and Economic Costs Related to the NCD Burden of Disease, 2005-9; Table 2.3 International Comparison of Health Expenditure, 2002; Table 2.4 International Comparison of Health Spending and Outcomes, 2002; Figure 2.1 Main Players and Fund Flows in the Brazilian Hospital Sector 327 $aFigure 2.2 Distribution of National Health Expenditure, by Source, 2004Figure 2.3 Trends in SUS Financing, by Source, 1985-2004; Figure 2.4 Payment and Transfer Flows for SUS Hospitals; Table 2.5 Hospital Ownership, 2002; Figure 2.5 Hospitals, by Size and Ownership, 2002; Figure 2.6 Long-Term Trends in Bed Supply, 1976-2002; Box 2.1 A Brief History of Hospitals in Brazil; Figure 2.7 Privately Financed and SUS-Financed Patients, 2002; Figure 2.8 Inpatient Care, by Clientele and Hospital Ownership, 2000-3; Figure 2.9 Sources of Hospital Care Financing, 2002 327 $aTable 2.6 Disparities in Health Indicators in the Municipality of Sa?o Paulo, 2002-3Figure 2.10 Hospital Spending, by Facility Ownership, 2002; Figure 2.11 Hospital Spending, by Line Item, 2002; Figure 2.12 SUS Hospital Spending, by Type of Care, 2002; Table 2.7 SUS Hospital Expenditure, by Care Level, 2002; Table 2.8 Brazilian and International Patterns of Hospital Resource Allocation, 2000-2; Table 2B.1 Health Facilities, by Region; Table 2B.2 Geographic Distribution of Hospital Infrastructure; Table 2B.3 Regional Variation in Socioeconomic Indicators, 1998-2002 327 $aTable 2B.4 Hospital Financing, by Source, 2002Table 2B.5 Hospital Expenditure, by Financing Source, 2002; Figure 2B.1 Total Hospital Costs, United States, by Type of Expense, Fiscal 2003; Table 2B.6 SUS Expenditure, by Facility Ownership, 2002; 3 Comparative Analysis of Costs and Efficiency; Box 3.1 Types of Efficiency; Figure 3.1 Distribution of Cases and Costs, by Case-Mix Index Range, 2001; Figure 3.2 Distribution of Procedures, by Cost Intervals, 2001; Figure 3.3 Costs by Hospital Type, Unadjusted and Adjusted for Case Mix, 2001 327 $aFigure 3.4 Main Sources of Variation in Hospital Costs, 2001Figure 3.5 Coefficient of Variation for Surgical and Clinical Cases, 2001; Table 3.1 Total and Intrahospital Cost Variation and Ranges for Procedures with Low and High CVs, Unadjusted for CMI, 2001; Figure 3.6 Composition of Procedure Costs, by AIH Category, 2001; Table 3.2 Composition of Hospital Costs, by Ownership and Line Item, 2002; Box 3.2 Hospital Cost Structures in Brazil and Canada; Table 3.3 Mean Costs in the Private Sector, 2002-4; Box 3.3 Advantages and Limitations of Data Envelopment Analysis 327 $aBox 3.4 International Experience in Health System Evaluation and Benchmarking 330 $aDrawing on an eclectic array of research and evaluative studies culled from a mix of sources, this volume analyzes Brazilian hospital performance along several policy dimensions including resource allocation and use within hospitals, hospital payment mechanisms, organizational and governance arrangements, management practices, and regulation and quality. An agenda for hospital reform is proposed which synthesizes priorities that are integral to improving hospital performance-and which should be considered for implementation in the near and medium term. 606 $aHospitals$xStandards$zBrazil 606 $aHospital care$zBrazil$xEvaluation 606 $aHospital care$zBrazil$xQuality control 608 $aElectronic books. 615 0$aHospitals$xStandards 615 0$aHospital care$xEvaluation. 615 0$aHospital care$xQuality control. 676 $a362.110981 700 $aLa Forgia$b Gerard M$g(Gerard Martin)$0969921 701 $aCouttolenc$b Bernard$0969922 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910453910403321 996 $aHospital performance in Brazil$92204770 997 $aUNINA