LEADER 06071nam 2200709Ia 450 001 9910961500603321 005 20251116150314.0 010 $a1-280-08532-0 010 $a9786610085323 010 $a1-4175-5469-X 024 7 $a10.1596/0-8213-5855-3 035 $a(CKB)1000000000024249 035 $a(EBL)3050745 035 $a(OCoLC)469633477 035 $a(SSID)ssj0000087238 035 $a(PQKBManifestationID)11110895 035 $a(PQKBTitleCode)TC0000087238 035 $a(PQKBWorkID)10054718 035 $a(PQKB)11452415 035 $a(MiAaPQ)EBC3050745 035 $a(Au-PeEL)EBL3050745 035 $a(CaPaEBR)ebr10068575 035 $a(CaONFJC)MIL8532 035 $a(The World Bank)2004050363 035 $a(US-djbf)13577182 035 $a(BIP)46120374 035 $a(BIP)10503705 035 $a(EXLCZ)991000000000024249 100 $a20040429d2004 uy 0 101 0 $aeng 135 $aurcn||||||||| 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 02$aA guide to competitive vouchers in health 205 $a1st ed. 210 $aWashington, DC $cWorld Bank$d2004 215 $axi, 112 pages $cillustrations ;$d23 cm 300 $aDescription based upon print version of record. 311 08$a0-8213-5855-3 320 $aIncludes bibliographical references and index. 327 $aTABLE OF CONTENTS; Foreword; Preface; PART I WHAT ARE HEALTH CARE VOUCHERS AND HOW DO THEY WORK?; Chapter 1 Delivering Public Subsidies in Health Care; Why Do Government Subsidies Do So Little to Help the Poor?; When Are Subsidies for Health Services Justified?; Demand-Side versus Supply-Side Subsidies; Other Factors Influencing the Effectiveness of Subsidies; Chapter 2 Benefits of Competitive Voucher Schemes for Health; How Does a Voucher Scheme Work?; What Are the Advantages of Health Vouchers?; PART II INTRODUCING A VOUCHER SCHEME; Chapter 3 Conducting Prefeasibility Studies 327 $aIdentifying the Health Sector Problem and the Aims of the Voucher SchemeJustifying the Use of a Voucher Scheme; Funding the Scheme; Understanding the Context in Which Subsidies Will Be Introduced; Building Partnerships; Checklist for Prefeasibility Assessment; Chapter 4 Conducting a Feasibility Assessment; Identifying Potential Impediments; Identifying Potential Advantages; Determining Whether a Voucher Scheme Is Financially Feasible; Weighing the Potential Benefits and Obstacles of a Voucher System; Checklist for Feasibility Assessment; Chapter 5 Designing a Voucher Scheme 327 $aChoosing a Voucher AgencyEstablishing Recipient Policies; Determining Benefit Policies; Determining Price Policies; Determining Provider Policies; Determining Reimbursement Value Policies; Designing the Vouchers and Other Materials; Transport and Communications; Distributing the Vouchers; Payment of Service Providers; Developing Information Systems; Checklist for Voucher Design; Chapter 6 Implementing a Voucher Scheme; Tendering for Service Providers; Negotiating Contracts; Contracting; Training; Piloting; Institutionalizing; Scaling Up; Chapter 7 Monitoring and Evaluating a Voucher Program 327 $aMonitoring Service QualityMonitoring Competition among Providers; Monitoring to Detect Abuse of the Voucher Scheme; Monitoring the Characteristics of Voucher Recipients and Redeemers; Monitoring and Evaluating Health Outcomes; Monitoring and Evaluating the Impact on Equity and Poverty Reduction; Monitoring and Evaluating Cost-Effectiveness; References; Index; Boxes; Box 2-1 Varying the Service Package According to the Needs of the Patient in Nicaragua; Box 3-1 Prefeasibility Work on a Voucher Scheme for Cervical Cancer Screening 327 $aBox 4-1 Political Impediments to Voucher Schemes in El Salvador and HondurasBox 4-2 Are Vouchers Stigmatizing?; Box 4-3 Assessing the Feasibility of a Tuberculosis Voucher Scheme for Private Practitioners; Box 5-1 Who Runs the Voucher Program?; Box 5-2 How Can Vouchers Be Made Nontransferable?; Box 5-3 Benefit Policies: The Importance of Stating the Limits; Box 5-4 Price Policies Used by Different Voucher Schemes; Box 5-5 Choosing Service Providers that Meet Program Needs; Box 5-6 Designing the Voucher; Box 5-7 Facing the Challenges of Transport and Communications 327 $aBox 5-8 Using Village Leaders to Distribute Vouchers 330 $aA Guide to Competitive Vouchers in Health provides a broad outline of the problems health systems face, the rationale behind government intervention particularly in the form of subsidies, and the different ways that governments and donors subsidize health care. The toolkit provides readers with an understanding of the concept of competitive voucher schemes in health; the advantages competitive voucher schemes might offer as an instrument to delivery subsidies; circumstances where competitive voucher schemes are better suited than other instruments to deliver subsidies; and steps to follow when designing, implementing, monitoring and evaluating a competitive voucher scheme. Aimed at raising awareness among policymakers about voucher schemes, the toolkit helps identify situations where vouchers may better achieve health objectives and provides guidance on the choices available and the decisions to be made. It highlights some of the pitfalls that voucher schemes have experienced to date, as well as the wide variation in format that a voucher scheme can take depending upon the health problems being addressed and the objectives that the policy-maker wishes to achieve. 410 0$aWorld Bank e-Library. 606 $aMedical care, Cost of$zUnited States 606 $aMedical care$zUnited States$xFinance 615 0$aMedical care, Cost of 615 0$aMedical care$xFinance. 676 $a338.4/33621/0973 712 02$aWorld Bank. 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910961500603321 996 $aA guide to competitive vouchers in health$94475563 997 $aUNINA