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Financing Health Care in East Asia and the Pacific
East Asian and Pacific countries are growing rapidly. They need high quality, well-funded health systems to underpin their population growth and assure continued productivity and economic growth. But countries will need to spend wisely, using modern techniques of insurance and strategic contracting with providers.
Spending Wisely
This publication examines how public spending on health care can be made more efficient and equitable in developing countries, focusing on strategic purchasing and contracting of services from non-governmental providers. It is divided into six sections under the headings of: the conceptual framework; how to make strategic purchasing pro-poor; purchasing health services; purchasing inputs; supply, demand and markets; legal and regulatory issues.
Designing and Implementing Health Care Provider Payment Systems
Strategic purchasing of health services involves a continuous search for the best ways to maximize health system performance by deciding which interventions should be purchased, from whom these should be purchased, and how to pay for them. In such an arrangement, the passive cashier is replaced by an intelligent purchaser that can focus scarce resources on existing and emerging priorities rather than continuing entrenched historical spending patterns.Having experimented with different ways of paying providers of health care services, countries increasingly want to know not only what to do when paying providers, but also how to do it, particularly how to design, manage, and implement the tran...
Understanding Health Services
No single discipline can provide a full account of why health care is the way it is. Introducing an accessible overview of health services and drawing on medicine, sociology, economics, history and epidemiology, this book provides a series of conceptual frameworks which help to clarify some of the complexity that confronts the inexperienced observer. Helping to determine what influences and shapes health services, it also examines some of the key processes involved in providing healthcare, considering three levels: individual patients, health care organizations such as hospitals, and regional or national institutions such as governments. This second edition has been updated to include recent...
Attacking Poverty
At the start of each decade the World Development Report focuses on poverty reduction. The World Development Report, now in its twenty-third edition, proposes an empowerment-security-opportunity framework of action to reduce poverty in the first decades of the twenty-first century. It views poverty as a multidimensional phenonmenon arising out of complex interactions between assets, markets, and institutions. This Report shows how the experience of poverty reduction in the last fifteen years has been remarkably diverse and how this experience has provided useful lessons as well as warnings against simplistic universal policies and interventions. It shows how current global trends present extraordinary opportunities for poverty reduction but also cause extraordinary risks, including growing inequality, marginalization, and social explosions. The World Development Report 2000/2001 explores the challenge of managing these risks in order to make the most of the opportunities for poverty reduction.
A Survey of Health Reform in Central Asia
World Bank Technical Paper No. 352. Six years into the transition from planned to market economies in Central and Eastern Europe, high unemployment rates, including a growing proportion of the long-term unemployed, represent a serious challenge to social welfare systems and policymakers. This paper analyzes labor market development in nine transition countries of the region by focusing on the dynamics of labor force behavior, employment, and unemployment. The countries include Bulgaria, Croatia, the Czech Republic, the Former Yugoslav Republic of Macedonia, Hungary, Poland, Romania, the Slovak Republic, and Slovenia.
Transforming Post-Communist Political Economies
This ground-breaking new volume focuses on the interaction between political, social, and economic change in Central and Eastern Europe and the New Independent States. It includes a wide selection of analytic papers, thought-provoking essays by leading scholars in diverse fields, and an agenda for future research. It integrates work on the micro and macro levels of the economy and provides a broad overview of the transition process. This volume broadens the current intellectual and policy debate concerning the historic transition now taking place from a narrow concern with purely economic factors to the dynamics of political and social change. It questions the assumption that the post-communist economies are all following the same path and that they will inevitably develop into replicas of economies in the advanced industrial West. It challenges accepted thinking and promotes the utilization of new methods and perspectives.
Fixing Medical Prices
Introduction: The house of medicine and medical prices -- The enduring influence of the house of medicine over prices -- The science of work and payment reform -- How doctors get paid -- Conflicts of interest and problems of evidence -- Complexity, agency capture, and the game of codes -- Fixing medical prices
