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Governance in health care delivery : raising performance

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  • Lewis, Maureen
  • Pettersson, Gunilla

Abstract

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.

Suggested Citation

  • Lewis, Maureen & Pettersson, Gunilla, 2009. "Governance in health care delivery : raising performance," Policy Research Working Paper Series 5074, The World Bank.
  • Handle: RePEc:wbk:wbrwps:5074
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    References listed on IDEAS

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    Cited by:

    1. Giannozzi, Sara & Khan, Asmeen, 2011. "Strengthening governance of social safety nets in East Asia," Social Protection and Labor Policy and Technical Notes 63930, The World Bank.
    2. Jonathan Rose & Tracey M. Lane & Tashmina Rahman, 2014. "Bangladesh Governance in the Health Sector," World Bank Other Operational Studies 21661, The World Bank.
    3. Barr, Abigail & Packard, Truman & Serra, Danila, 2014. "Participatory accountability and collective action: Experimental evidence from Albania," European Economic Review, Elsevier, vol. 68(C), pages 250-269.
    4. La Forgia, Gerard & Raha, Shomikho & Shaik, Shabbeer & Maheshwari, Sunil Kumar & Ali, Rabia, 2014. "Parallel systems and human resource management in India's public health services : a view from the front lines," Policy Research Working Paper Series 6953, The World Bank.
    5. 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.
    6. Ciccone, Dana Karen & Vian, Taryn & Maurer, Lydia & Bradley, Elizabeth H., 2014. "Linking governance mechanisms to health outcomes: A review of the literature in low- and middle-income countries," Social Science & Medicine, Elsevier, vol. 117(C), pages 86-95.
    7. 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.
    8. Barbazza, Erica & Langins, Margrieta & Kluge, Hans & Tello, Juan, 2015. "Health workforce governance: Processes, tools and actors towards a competent workforce for integrated health services delivery," Health Policy, Elsevier, vol. 119(12), pages 1645-1654.
    9. 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.
    10. Rubio, Gloria M., 2011. "Measuring governance and service delivery in safety net programs," Social Protection and Labor Policy and Technical Notes 64633, The World Bank.
    11. Maryanne Sharp & Ioana Kruse, 2011. "Health, Nutrition, and Population in Madagascar 2000-09," World Bank Publications, The World Bank, number 5957, July.
    12. Bienvenido Ortega & Antonio Casquero & Jesús Sanjuán, 2016. "Corruption and Convergence in Human Development: Evidence from 69 Countries During 1990–2012," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 127(2), pages 691-719, June.
    13. 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.
    14. 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).

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    Keywords

    Health Monitoring&Evaluation; Health Systems Development&Reform; Public Sector Expenditure Policy; Health Economics&Finance; Health Law;

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