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Budgeting practices to improve health system performance: An OECD survey of countries from the Latin American and Caribbean region

Author

Listed:
  • Chris James
  • Ivor Beazley
  • Luciana Rosato
  • Caroline Penn

Abstract

This article presents the main findings of two OECD Surveys of Senior Budget and Health Officials conducted in the Latin American and Caribbean region. The surveys help to understand the approaches to budgeting, and take account of the prominent role of agents in the health system across the region, including social health insurance agencies and subnational governments. The focus, however, is on the application of performance-orientated reforms to budgeting, and the extent to which countries in the region have adopted such reforms to improve the efficiency of health expenditure to achieve universal health coverage. The findings point to the use of performance and results-based budgeting in the region, along with new models of provider payment systems integrating performance measures.

Suggested Citation

  • Chris James & Ivor Beazley & Luciana Rosato & Caroline Penn, 2019. "Budgeting practices to improve health system performance: An OECD survey of countries from the Latin American and Caribbean region," OECD Journal on Budgeting, OECD Publishing, vol. 19(3).
  • Handle: RePEc:oec:govkaa:2fc826dd
    DOI: 10.1787/2fc826dd-en
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    Cited by:

    1. Maonei Gladys Mangwanya, 2022. "The performance based budgeting as a catalyst for effective delivery of primary health care," International Journal of Research in Business and Social Science (2147-4478), Center for the Strategic Studies in Business and Finance, vol. 11(1), pages 170-177, January.

    More about this item

    Keywords

    Budgeting; performance; health sector; Latin America and Caribbean;
    All these keywords.

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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