Governance in Health Care Delivery : Raising Performance

Lewis, Maureen; Pettersson, Gunilla

dc.creator	Lewis, Maureen
dc.creator	Pettersson, Gunilla
dc.date	2012-03-19T19:12:55Z
dc.date	2012-03-19T19:12:55Z
dc.date	2009-10-01
dc.date.accessioned	2023-02-18T19:37:45Z
dc.date.available	2023-02-18T19:37:45Z
dc.identifier	http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20091013151915
dc.identifier	http://hdl.handle.net/10986/4266
dc.identifier.uri	http://localhost:8080/xmlui/handle/CUHPOERS/249766
dc.description	The impacts of health care investments in developing and transition countries are typically measured by inputs and general health outcomes. Missing from the health agenda are measures of performance that reflect whether health systems are meeting their objectives; public resources are being used appropriately; and the priorities of governments are being implemented. This paper suggests that good governance is central to raising performance in health care delivery. Crucial to high performance are standards, information, incentives and accountability. This paper provides a definition of good governance in health and a framework for thinking about governance issues as a way of improving performance in the health sector. Performance indicators that offer the potential for tracking relative health performance are proposed, and provide the context for the discussion of good governance in health service delivery in the areas of budget and resource management, individual provider performance, health facility performance, informal payments, and corruption perceptions. What we do and do not know about effective solutions to advance good governance and performance in health is presented for each area, drawing on existing research and documented experiences.
dc.language	English
dc.relation	Policy Research working paper ; no. WPS 5074
dc.rights	CC BY 3.0 IGO
dc.rights	http://creativecommons.org/licenses/by/3.0/igo/
dc.rights	World Bank
dc.subject	ABSENTEEISM
dc.subject	ACCOUNTABILITY
dc.subject	ACCOUNTABILITY FOR PERFORMANCE
dc.subject	ACCOUNTABILITY MECHANISMS
dc.subject	ACCOUNTING
dc.subject	AGGREGATE EXPENDITURE
dc.subject	AGGREGATE EXPENDITURES
dc.subject	ANNUAL BUDGET
dc.subject	ANNUAL BUDGET PROCESS
dc.subject	AUDIT FINDINGS
dc.subject	AUDITORS
dc.subject	AUTHORIZED BUDGET
dc.subject	AUXILIARY NURSES
dc.subject	BANDAGES
dc.subject	BASIC SERVICES
dc.subject	BENEFICIARIES
dc.subject	BUDGET ACCOUNTS
dc.subject	BUDGET ALLOCATION
dc.subject	BUDGET ALLOCATIONS
dc.subject	BUDGET COMPREHENSIVENESS
dc.subject	BUDGET CREDIBILITY
dc.subject	BUDGET CYCLE
dc.subject	BUDGET EXECUTION
dc.subject	BUDGET MANAGEMENT
dc.subject	BUDGET PROCESS
dc.subject	BUDGET RECORDS
dc.subject	BUDGET RULES
dc.subject	CAPITAL EXPENDITURES
dc.subject	CASH BALANCES
dc.subject	CENTRAL GOVERNMENT
dc.subject	CERTIFICATION
dc.subject	CLINICS
dc.subject	COMMUNITY PARTICIPATION
dc.subject	CORRUPTION DATA
dc.subject	DATA COLLECTION
dc.subject	DATA ENTRY
dc.subject	DATA ON PERFORMANCE
dc.subject	DEATHS
dc.subject	DEBT
dc.subject	DELIVERY OF HEALTH SERVICES
dc.subject	DOCTORS
dc.subject	EDUCATION PROGRAMS
dc.subject	EFFECTIVENESS OF SERVICE DELIVERY
dc.subject	EFFICIENCY OF PUBLIC SPENDING
dc.subject	EMPLOYMENT
dc.subject	ESSENTIAL DRUGS
dc.subject	EXPENDITURE AREAS
dc.subject	EXPENDITURE CATEGORIES
dc.subject	EXPENDITURE CONTROLS
dc.subject	EXPENDITURE PROGRAM
dc.subject	EXPENDITURE TRACKING SURVEYS
dc.subject	EXTERNAL ACCOUNTABILITY
dc.subject	EXTERNAL AUDIT
dc.subject	EXTERNAL AUDITS
dc.subject	FINANCE MANAGEMENT
dc.subject	FINANCE MINISTRIES
dc.subject	FINANCIAL ACCOUNTABILITY
dc.subject	FINANCIAL INFORMATION
dc.subject	FINANCIAL MANAGEMENT
dc.subject	FINANCIAL MANAGEMENT SYSTEMS
dc.subject	FINANCIAL REPORTS
dc.subject	FINANCIAL RESOURCES
dc.subject	FINANCING ARRANGEMENTS
dc.subject	GOVERNMENT BUDGETS
dc.subject	GOVERNMENT POLICIES
dc.subject	HEALTH CARE
dc.subject	HEALTH CARE DELIVERY
dc.subject	HEALTH CARE FACILITIES
dc.subject	HEALTH CARE PROFESSIONALS
dc.subject	HEALTH CARE PROVIDERS
dc.subject	HEALTH CARE PROVISION
dc.subject	HEALTH CARE SERVICE DELIVERY
dc.subject	HEALTH CARE SYSTEM
dc.subject	HEALTH CARE SYSTEMS
dc.subject	HEALTH CLINIC
dc.subject	HEALTH CLINICS
dc.subject	HEALTH CONSEQUENCES
dc.subject	HEALTH DEPARTMENTS
dc.subject	HEALTH EXPENDITURE
dc.subject	HEALTH EXPENDITURES
dc.subject	HEALTH FACILITIES
dc.subject	HEALTH INSURANCE
dc.subject	HEALTH INVESTMENTS
dc.subject	HEALTH MINISTRIES
dc.subject	HEALTH OUTCOMES
dc.subject	HEALTH POLICIES
dc.subject	HEALTH POLICY
dc.subject	HEALTH PROJECTS
dc.subject	HEALTH PROVIDERS
dc.subject	HEALTH SECTOR
dc.subject	HEALTH SERVICE
dc.subject	HEALTH SERVICE DELIVERY
dc.subject	HEALTH SERVICE PROVIDERS
dc.subject	HEALTH SERVICE PROVISION
dc.subject	HEALTH SERVICES
dc.subject	HEALTH SPENDING
dc.subject	HEALTH STATUS
dc.subject	HEALTH SYSTEM
dc.subject	HEALTH SYSTEMS
dc.subject	HEALTH UNIT
dc.subject	HEALTH WORKFORCE
dc.subject	HIV/AIDS
dc.subject	HOSPITAL BEDS
dc.subject	HOSPITAL MANAGEMENT
dc.subject	HOSPITAL PATIENTS
dc.subject	HOSPITAL PERFORMANCE
dc.subject	HOSPITALS
dc.subject	HUMAN DEVELOPMENT
dc.subject	HUMAN RESOURCE MANAGEMENT
dc.subject	HUMAN RESOURCES
dc.subject	ILLNESS
dc.subject	IMMUNIZATION
dc.subject	INCOME
dc.subject	INFANT MORTALITY
dc.subject	INSTITUTIONALIZATION
dc.subject	INSURANCE
dc.subject	INTEGRATION
dc.subject	INTENDED BENEFICIARIES
dc.subject	INTERGOVERNMENTAL FISCAL RELATIONS
dc.subject	INTERMEDIARIES
dc.subject	INTERNAL AUDIT
dc.subject	INTERNAL CONTROL
dc.subject	INTERNAL CONTROLS
dc.subject	LAWS
dc.subject	LIFE EXPECTANCY
dc.subject	LINES OF ACCOUNTABILITY
dc.subject	LIVING CONDITIONS
dc.subject	MANAGEMENT CONTROL
dc.subject	MANAGEMENT CONTROLS
dc.subject	MEASURABLE OUTPUTS
dc.subject	MEDICAL CARE
dc.subject	MEDICAL EDUCATION
dc.subject	MEDICAL EQUIPMENT
dc.subject	MEDICAL SUPPLIES
dc.subject	MEDICINES
dc.subject	MIGRATION
dc.subject	MINISTRY OF FINANCE
dc.subject	MISMANAGEMENT
dc.subject	MORTALITY
dc.subject	NURSES
dc.subject	NURSING
dc.subject	OUTCOME INDICATORS
dc.subject	PATIENT
dc.subject	PATIENT SATISFACTION
dc.subject	PATIENTS
dc.subject	PAYMENT SYSTEM
dc.subject	PERFORMANCE DATA
dc.subject	PERFORMANCE INDICATORS
dc.subject	PERFORMANCE INFORMATION
dc.subject	PERFORMANCE ISSUES
dc.subject	PERFORMANCE MEASURES
dc.subject	PERFORMANCE MONITORING
dc.subject	PHARMACISTS
dc.subject	PHARMACY
dc.subject	PHYSICIAN
dc.subject	PHYSICIANS
dc.subject	POLITICIANS
dc.subject	PRIVATE MARKET
dc.subject	PRIVATE PHARMACIES
dc.subject	PRIVATE SECTOR
dc.subject	PROBABILITY
dc.subject	PROCUREMENT PROCESS
dc.subject	PROGRAM MANAGERS
dc.subject	PROGRAM OBJECTIVES
dc.subject	PROGRAMS
dc.subject	PROVIDER PAYMENT
dc.subject	PROVISION OF HEALTH SERVICES
dc.subject	PUBLIC EXPENDITURE
dc.subject	PUBLIC EXPENDITURE TRACKING
dc.subject	PUBLIC EXPENDITURES
dc.subject	PUBLIC FINANCE
dc.subject	PUBLIC FINANCIAL MANAGEMENT
dc.subject	PUBLIC FUNDS
dc.subject	PUBLIC HEALTH
dc.subject	PUBLIC HEALTH CARE
dc.subject	PUBLIC HEALTH CARE SERVICES
dc.subject	PUBLIC HEALTH SYSTEMS
dc.subject	PUBLIC HEALTH WORKERS
dc.subject	PUBLIC HOSPITALS
dc.subject	PUBLIC INVESTMENTS
dc.subject	PUBLIC OFFICIALS
dc.subject	PUBLIC PROCUREMENT
dc.subject	PUBLIC PROVISION
dc.subject	PUBLIC RESOURCES
dc.subject	PUBLIC SECTOR
dc.subject	PUBLIC SECTOR MANAGEMENT
dc.subject	PUBLIC SERVICE
dc.subject	QUALITY CONTROL
dc.subject	QUALITY OF HEALTH
dc.subject	QUALITY OF HEALTH CARE
dc.subject	QUANTITATIVE SERVICE DELIVERY
dc.subject	REGIONAL ADMINISTRATION
dc.subject	RESOURCE ALLOCATION
dc.subject	RESOURCE FLOWS
dc.subject	SECTOR POLICY
dc.subject	SERVICE QUALITY
dc.subject	TRANSPARENCY
dc.subject	UNINTENDED CONSEQUENCES
dc.subject	USE PERFORMANCE INFORMATION
dc.subject	WASTE
dc.subject	WORK ENVIRONMENT
dc.subject	WORKERS
dc.title	Governance in Health Care Delivery : Raising Performance
dc.type	Publications & Research :: Policy Research Working Paper
dc.coverage	The World Region