Governance in health care delivery : raising performance
AbstractThe 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.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
Bibliographic InfoPaper provided by The World Bank in its series Policy Research Working Paper Series with number 5074.
Date of creation: 01 Oct 2009
Date of revision:
Health Monitoring&Evaluation; Health Systems Development&Reform; Public Sector Expenditure Policy; Health Economics&Finance; Health Law;
This paper has been announced in the following NEP Reports:
- NEP-ALL-2009-10-24 (All new papers)
- NEP-DEV-2009-10-24 (Development)
- NEP-HEA-2009-10-24 (Health Economics)
- NEP-PBE-2009-10-24 (Public Economics)
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Das, Jishnu & Hammer, Jeffrey, 2005.
"Money for nothing : the dire straits of medical practice in Delhi, India,"
Policy Research Working Paper Series
3669, The World Bank.
- Das, Jishnu & Hammer, Jeffrey, 2007. "Money for nothing: The dire straits of medical practice in Delhi, India," Journal of Development Economics, Elsevier, vol. 83(1), pages 1-36, May.
- Gilbert,Christopher L. & Vines,David (ed.), 2000. "The World Bank," Cambridge Books, Cambridge University Press, number 9780521790956, November.
- Salman Zaidi & Asad Alam & Pradeep Mitra & Ramya Sundaram, 2009. "Satisfaction with Life and Service Delivery in Eastern Europe and the Former Soviet Union : Some Insights from the 2006 Life in Transition Survey," World Bank Publications, The World Bank, number 5955, January.
- Magnus Lindelow & Pieter Serneels & Teigist Lemma, 2005.
"The Performance of Health Workers in Ethiopia Results from Qualitative Research,"
CSAE Working Paper Series
2005-06, Centre for the Study of African Economies, University of Oxford.
- Lindelow, Magnus & Serneels, Pieter, 2006. "The performance of health workers in Ethiopia: Results from qualitative research," Social Science & Medicine, Elsevier, vol. 62(9), pages 2225-2235, May.
- Pieter Serneels, 2005. "The Performance of Health Workers in Ethiopia,Results from Qualitative Research," Economics Series Working Papers WPS/2005-06, University of Oxford, Department of Economics.
- Lindelow, Magnus & Serneels, Pieter & Lemma, Teigist, 2005. "The performance of health workers in Ethiopia - results from qualitative research," Policy Research Working Paper Series 3558, The World Bank.
- Kathleen J. Mullen & Richard G. Frank & Meredith B. Rosenthal, 2010.
"Can you get what you pay for? Pay-for-performance and the quality of healthcare providers,"
RAND Journal of Economics,
RAND Corporation, vol. 41(1), pages 64-91.
- Kathleen J. Mullen & Richard G. Frank & Meredith B. Rosenthal, 2009. "Can You Get What You Pay For? Pay-For-Performance and the Quality of Healthcare Providers," NBER Working Papers 14886, National Bureau of Economic Research, Inc.
- Kathleen J. Mullen & Richard G. Frank & Meredith B. Rosenthal, 2009. "Can You Get What You Pay For? Pay-For-Performance and the Quality of Healthcare Providers," Working Papers 680, RAND Corporation Publications Department.
- Reinikka, Ritva & Svensson, Jakob, 2004. "Working for God?," CEPR Discussion Papers 4214, C.E.P.R. Discussion Papers.
- Marko Vujicic & Kelechi Ohiri & Susan Sparkes, 2009. "Working in Health : Financing and Managing the Public Sector Health Workforce," World Bank Publications, The World Bank, number 2621, January.
- Maureen Lewis, 2006. "Governance and Corruption in Public Health Care Systems," Working Papers 78, Center for Global Development.
- William D. Savedoff & Pablo Gottret, 2008. "Governing Mandatory Health Insurance : Learning from Experience," World Bank Publications, The World Bank, number 6526, January.
- Gauthier, Bernard & Wane, Waly, 2007.
"Leakage of public resources in the health sector : an empirical investigation of Chad,"
Policy Research Working Paper Series
4351, The World Bank.
- Bernard Gauthier & Waly Wane, 2008. "Leakage of Public Resources in the Health Sector: An Empirical Investigation of Chad," Discussion Papers 2_2008, D.E.S. (Department of Economic Studies), University of Naples "Parthenope", Italy.
- Benjamin Olken, 2006.
"Corruption perceptions vs. corruption reality,"
Natural Field Experiments
00318, The Field Experiments Website.
- Gauthier, Bernard & Wane, Waly, 2011.
"Bypassing health providers: The quest for better price and quality of health care in Chad,"
Social Science & Medicine,
Elsevier, vol. 73(4), pages 540-549, August.
- Gauthier, Bernard & Wane, Waly, 2008. "Bypassing health providers : the quest for better price and quality of health care in Chad," Policy Research Working Paper Series 4462, The World Bank.
- Leonard, Kenneth L. & Masatu, Melkiory C., 2005. "The use of direct clinician observation and vignettes for health services quality evaluation in developing countries," Social Science & Medicine, Elsevier, vol. 61(9), pages 1944-1951, November.
- Tendler, Judith & Freedheim, Sara, 1994. "Trust in a rent-seeking world: Health and government transformed in Northeast Brazil," World Development, Elsevier, vol. 22(12), pages 1771-1791, December.
- Dasgupta, Basab & Narayan, Ambar & Skoufias, Emmanuel, 2009. "Measuring the quality of education and health services : the use of perception data from Indonesia," Policy Research Working Paper Series 5033, The World Bank.
- Rogers, F. Halsey & Vegas, Emiliana, 2009. "No more cutting class ? reducing teacher absence and providing incentives for performance," Policy Research Working Paper Series 4847, The World Bank.
- Deon Filmer & David Lindauer, 2001.
"Does Indonesia Have A 'Low Pay' Civil Service?,"
Bulletin of Indonesian Economic Studies,
Taylor & Francis Journals, vol. 37(2), pages 189-205.
- Hunt, Jennifer, 2007.
"Bribery in Health Care in Peru and Uganda,"
CEPR Discussion Papers
6274, C.E.P.R. Discussion Papers.
- Jennifer Hunt, 2007. "Bribery in Health Care in Peru and Uganda," NBER Working Papers 13034, National Bureau of Economic Research, Inc.
- Jennifer Hunt, 2007. "Bribery In Health Care In Peru And Uganda," Departmental Working Papers 2007-02, McGill University, Department of Economics.
- Hunt, Jennifer, 2007. "Bribery in Health Care in Peru and Uganda," IZA Discussion Papers 2757, Institute for the Study of Labor (IZA).
- Gerard M. La Forgia & Bernard F. Couttolenc, 2008. "Hospital Performance in Brazil : The Search For Excellence," World Bank Other Operational Studies 10284, The World Bank.
- Lewis, Maureen A. & La Forgia, Gerald M. & Sulvetta, Margaret B., 1996. "Measuring public hospital costs: Empirical evidence from the Dominican Republic," Social Science & Medicine, Elsevier, vol. 43(2), pages 221-234, July.
- Belli, Paolo & Gotsadze, George & Shahriari, Helen, 2004. "Out-of-pocket and informal payments in health sector: evidence from Georgia," Health Policy, Elsevier, vol. 70(1), pages 109-123, October.
- Gerard M. La Forgia & Bernard F. Couttolenc, 2008. "Hospital Performance in Brazil : The Search for Excellence," World Bank Publications, The World Bank, number 6516, January.
- Filmer, Deon & Pritchett, Lant, 1997. "Child mortality and public spending on health : how much does money matter?," Policy Research Working Paper Series 1864, The World Bank.
- Franco, Lynne Miller & Bennett, Sara & Kanfer, Ruth, 2002. "Health sector reform and public sector health worker motivation: a conceptual framework," Social Science & Medicine, Elsevier, vol. 54(8), pages 1255-1266, April.
- Franco, Lynne Miller & Bennett, Sara & Kanfer, Ruth & Stubblebine, Patrick, 2004. "Determinants and consequences of health worker motivation in hospitals in Jordan and Georgia," Social Science & Medicine, Elsevier, vol. 58(2), pages 343-355, January.
- Leonard, Kenneth L. & Masatu, Melkiory C., 2008. "Professionalism, Latent Professionalism and Organizational Demands for Health Care Quality in a Developing Country," Working Papers 42883, University of Maryland, Department of Agricultural and Resource Economics.
- Nazmul Chaudhury & Jeffrey Hammer & Michael Kremer & Karthik Muralidharan & F. Halsey Rogers, 2006. "Missing in Action: Teacher and Health Worker Absence in Developing Countries," Journal of Economic Perspectives, American Economic Association, vol. 20(1), pages 91-116, Winter.
- Giannozzi, Sara & Khan, Asmeen, 2011. "Strengthening governance of social safety nets in East Asia," Social Protection Discussion Papers 63930, The World Bank.
- Rubio, Gloria M., 2011. "Measuring governance and service delivery in safety net programs," Social Protection Discussion Papers 64633, The World Bank.
- Tomini, Sonila & Groot, Wim, 2012. "Paying informally for public health care in Albania: scarce resources or governance failure?," MERIT Working Papers 070, United Nations University - Maastricht Economic and Social Research Institute on Innovation and Technology (MERIT).
- Fiszbein, Ariel & Ringold, Dena & Rogers, F. Halsey, 2011. "Making services work : indicators, assessments, and benchmarking of the quality and governance of public service delivery in the human development sectors," Policy Research Working Paper Series 5690, The World Bank.
- Abigail Barr & Truman Packard & Danila Serra, 2013. "Participatory Accountability and Collective Action: Experimental Evidence from Albania," Discussion Papers 2013-08, The Centre for Decision Research and Experimental Economics, School of Economics, University of Nottingham.
- Maureen Lewis & Marijn Verhoeven, 2010. "Financial Crises and Social Spending : The Impact of the 2008-2009 Crisis," World Bank Other Operational Studies 12965, The World Bank.
- repec:dgr:unumer:2012070 is not listed on IDEAS
- Diagne, Mame Fatou & Ringold, Dena & Zaidi, Salman, 2012. "Governance and public service delivery in Europe and Central Asia : unofficial payments, utilization and satisfaction," Policy Research Working Paper Series 5994, The World Bank.
- Maryanne Sharp & Ioana Kruse, 2011. "Health, Nutrition, and Population in Madagascar 2000-09," World Bank Publications, The World Bank, number 5957, January.
- Barr, Abigail & Packard, Truman & Serra, Danila, 2012. "Participatory accountability and collective action : evidence from field experiments in Albanian schools," Policy Research Working Paper Series 6027, The World Bank.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Roula I. Yazigi).
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.