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Innovations in Health Service Delivery : The Corporatization of Public Hospitals

Author

Listed:
  • Alexander S. Preker
  • April Harding

Abstract

The question of how best to run our hospitals has been a subject of intense interest for decades with a strong focus over the past 15 years. Hospital care is the largest expenditure category in the health systems of both industrialized and developing countries. Although hospitals play a critical role in ensuring delivery of health services, less is known about how to improve the efficiency and quality of care provided. This book, a well-documented collection of case studies, is an attempt to examine the design, implementation and impact of reforms that introduced market forces in the public hospital sector; and tries to answer three questions: a) what problems did this type of reform try to address; b) what are the core elements of their design, implementation, and evaluation; and c) is there any evidence that this type of reform is successful in addressing problems for which they were intended?. It also provides some insights about recent trends in the reform of public hospitals, with an emphasis on organizational changes such as increased management autonomy, corporatization, and privatization.

Suggested Citation

  • Alexander S. Preker & April Harding, 2003. "Innovations in Health Service Delivery : The Corporatization of Public Hospitals," World Bank Publications - Books, The World Bank Group, number 15145, December.
    • Handle: RePEc:wbk:wbpubs:15145
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    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
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    Cited by:

    1. Martine Audibert & Xiao Xian Huang & Jacky Mathonnat & Aurore Pelissier & Anning Ma, 2012. "Health Insurance Reform and Efficiency of Township Hospitals in Rural China: An Analysis from Survey Data," CERDI Working papers halshs-00587799, HAL.
    2. Florence Eid, 2003. "Designing Institutions and Incentives in Hospitals: An Organization Economics Methodology," Working Papers 0339, Economic Research Forum, revised Dec 2003.
    3. Jinsong Geng & Hao Yu & Yingyao Chen, 2016. "Preparing for the introduction of hospital autonomy in Laos: an assessment of current situation and suggestions for policy-making," International Journal of Health Planning and Management, Wiley Blackwell, vol. 31(2), pages 148-166, April.
    4. Joint Learning Network & Mongolia Ministry of Health & World Bank & World Health Organization, 2015. "Assessment of Systems for Paying Health Care Providers in Mongolia," World Bank Publications - Reports 22812, The World Bank Group.
    5. Minh Thị Hải Võ & Karl Löfgren, 2019. "An institutional analysis of the fiscal autonomy of public hospitals in Vietnam," Asia and the Pacific Policy Studies, Wiley Blackwell, vol. 6(1), pages 90-107, January.
    6. Audibert, Martine & Mathonnat, Jacky & Pelissier, Aurore & Huang, Xiao Xian & Ma, Anning, 2013. "Health insurance reform and efficiency of township hospitals in rural China: An analysis from survey data," China Economic Review, Elsevier, vol. 27(C), pages 326-338.
    7. Gökçe MANAVGAT & Ayhan DEMİRCİ, 2020. "Decentralization Matter of Healthcare and Effect on Regional Healthcare Efficiency: Evidence from Turkey," Sosyoekonomi Journal, Sosyoekonomi Society, issue 28(44).
    8. World Bank, 2015. "Understanding and Monitoring Service Delivery in a Decentralizing Environment in Mongolia," World Bank Publications - Reports 24055, The World Bank Group.
    9. Owen Smith & Son Nam Nguyen, 2013. "Getting Better : Improving Health System Outcomes in Europe and Central Asia," World Bank Publications - Books, The World Bank Group, number 13832, December.
    10. Domin, Jean-Paul, 2015. "Réformer l’hôpital comme une entreprise. Les errements de trente ans de politique hospitalière (1983-2013)," Revue de la Régulation - Capitalisme, institutions, pouvoirs, Association Recherche et Régulation, vol. 17.
    11. Wagstaff, Adam & Bales, Sarah, 2012. "The impacts of public hospital autonomization : evidence from a quasi-natural experiment," Policy Research Working Paper Series 6137, The World Bank.
    12. McDonald, David A., 2016. "To corporatize or not to corporatize (and if so, how?)," Utilities Policy, Elsevier, vol. 40(C), pages 107-114.
    13. Edwine W Barasa & Anthony M Manyara & Sassy Molyneux & Benjamin Tsofa, 2017. "Recentralization within decentralization: County hospital autonomy under devolution in Kenya," PLOS ONE, Public Library of Science, vol. 12(8), pages 1-18, August.
    14. Herberholz, Chantal & Supakankunti, Siripen, 2015. "Contracting private hospitals: Experiences from Southeast and East Asia," Health Policy, Elsevier, vol. 119(3), pages 274-286.
    15. Betty Alvarado & Eduardo Morón, 2008. "The route of expenditures and decision making in the Health Sector in Peru," Working Papers 08-10, Centro de Investigación, Universidad del Pacífico.
    16. repec:wbk:wbpubs:12334 is not listed on IDEAS
    17. Fidler, Armin H. & Haslinger, Reinhard R. & Hofmarcher, Maria M. & Jesse, Maris & Palu, Toomas, 2007. "Incorporation of public hospitals: A "Silver Bullet" against overcapacity, managerial bottlenecks and resource constraints?: Case studies from Austria and Estonia," Health Policy, Elsevier, vol. 81(2-3), pages 328-338, May.
    18. Enkelejda Avdi, 2013. "Autonomy and Financial Sources, Key Factors in the Performance of Health Insurance Scheme: Case of Albania," Romanian Economic Journal, Department of International Business and Economics from the Academy of Economic Studies Bucharest, vol. 16(50), pages 133-156, December.
    19. Peivand Bastani & Leila Doshmangir & Mahnaz Samadbeik & Rassoul Dinarvand, 2017. "Requirements and Incentives for Implementation of Pharmaceutical Strategic Purchasing in Iranian Health System: A Qualitative Study," Global Journal of Health Science, Canadian Center of Science and Education, vol. 9(1), pages 163-163, January.
    20. Yu Xie & Di Liang & Jiayan Huang & Jiajie Jin, 2019. "Hospital Ownership and Hospital Institutional Change: A Qualitative Study in Guizhou Province, China," IJERPH, MDPI, vol. 16(8), pages 1-14, April.
    21. London, Jonathan D., 2013. "The promises and perils of hospital autonomy," Social Science & Medicine, Elsevier, vol. 96(C), pages 232-240.

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