Improving the Delivery of Health Services : A Guide to Choosing Strategies
Sufficient funding and efficacious technology may be necessary conditions for achieving health gains, but experience in many countries confirms that they are not sufficient. Effective and efficient service delivery is the point at which the potenti...
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Format: | Working Paper |
Language: | English en_US |
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World Bank, Washington, DC
2013
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Online Access: | http://documents.worldbank.org/curated/en/2011/05/15543481/improving-delivery-health-services-guide-choosing-strategies http://hdl.handle.net/10986/13594 |
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oai_dc |
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Digital Repository |
institution_category |
Foreign Institution |
institution |
Digital Repositories |
building |
World Bank Open Knowledge Repository |
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World Bank |
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English en_US |
topic |
ACCOUNTABILITY ACCOUNTING ALLOCATIVE EFFICIENCY ANTENATAL CARE ANTENATAL VISITS ANTICORRUPTION BEST PRACTICES CHILD MORTALITY CHILD SURVIVAL CHRONIC DISEASE CIVIL SERVANTS CLINICAL GUIDELINES CLINICS COMMUNITIES COMMUNITY HEALTH COMMUNITY HOSPITALS CORRUPT CORRUPT PRACTICES CORRUPTION DECISION MAKING DEVELOPING COUNTRIES DEVELOPMENT ASSISTANCE DISABILITY DISADVANTAGED GROUPS DISCRETION DISEASES DISTRICTS DOCTORS EFFECTIVE ACTION EPIDEMIC EPIDEMICS EPIDEMIOLOGICAL TRANSITION ESSENTIAL DRUGS ETHNIC GROUP FAMILIES FAMILY PLANNING FAMILY PLANNING SERVICES GENDER GLOBAL HEALTH GOVERNMENT CAPACITY GOVERNMENT OFFICIALS HEALTH CARE HEALTH CARE DELIVERY HEALTH CARE ORGANIZATIONS HEALTH CARE WORKERS HEALTH CAREDELIVERY HEALTH CENTERS HEALTH DELIVERY HEALTH EDUCATION HEALTH FACILITIES HEALTH FINANCING HEALTH INFORMATION HEALTH INFORMATION SYSTEMS HEALTH MANAGEMENT HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH POLICY HEALTH PROFESSIONALS HEALTH PROGRAMS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SERVICE DELIVERY HEALTH SERVICEDELIVERY HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HEALTH SYSTEM STRENGTHENING HEALTH SYSTEMS HEALTH WORKERS HEALTH WORKFORCE HIV/AIDS HOME VISITS HOSPITAL HOSPITAL MANAGEMENT HOSPITAL PATIENTS HOSPITALS HOUSEHOLD SURVEYS HUMAN DEVELOPMENT HUMAN RESOURCE MANAGEMENT HUMAN RESOURCES HUMAN SOCIETIES IMMUNIZATION IMMUNIZATIONS IMPACT ON HEALTH IMPROVEMENT OF HEALTH IMPROVING HEALTH CARE INCOME INDIVIDUAL HEALTH INFANT INFORMATION TECHNOLOGIES INFORMED DECISIONS INITIATIVE INSURANCE INTERVENTION INTERVENTIONS INVESTIGATION LACK OF KNOWLEDGE LEADERSHIP LIVING STANDARDS MALARIA MATERIAL RESOURCES MEDICAL RECORDS MEDICAL SUPPLIES MEDICAL TECHNOLOGY MILLENNIUM DEVELOPMENT GOAL MILLENNIUM DEVELOPMENT GOALS MINISTRIES OF HEALTH MORTALITY NATIONAL GOVERNMENT NATIONAL LEVEL NEEDS ASSESSMENT NEWBORN NURSE NURSES NURSING NUTRITION OCCUPANCY OCCUPANCY RATES OCCUPATIONS ORAL REHYDRATION SOLUTION PATIENT PATIENT SATISFACTION PATIENTS PEER PRESSURE PERSONAL HEALTH PHARMACIES PLAN OF ACTION PLANS OF ACTION POLICY MAKERS POLITICAL PARTY POLITICAL POWER POLITICAL SUPPORT POPULATION STRATEGY PRACTITIONERS PREFERENTIAL PREGNANT WOMEN PRIMARY HEALTH CLINIC PROCUREMENT PROGRESS PROVIDER PAYMENT PSYCHOLOGY PUBLIC HEALTH PUBLIC HEALTH PROGRAMS PUBLIC SERVICE QUALITY IMPROVEMENT QUALITY OF CARE REGULATORY FRAMEWORKS REMEDY RURAL AREA RURAL AREAS RURAL COMMUNITIES RURAL COMMUNITY RURAL HOSPITALS RURAL POPULATION SAFETY SANCTION SCARCE RESOURCES SERVICE PROVIDERS SERVICE PROVISION SERVICEDELIVERY SYSTEMS SHOPS SOCIAL CLASS SOCIAL NORMS SOCIAL SCIENCE SOCIAL SERVICES SOCIAL SYSTEMS SOCIETAL LEVEL SPILLOVER TRAINING OPPORTUNITIES TRANSPORTATION USER FEES VACCINATION VILLAGES WORKERS WORKING CONDITIONS WORLD HEALTH ORGANIZATION YOUNG CHILD YOUNG CHILDREN |
spellingShingle |
ACCOUNTABILITY ACCOUNTING ALLOCATIVE EFFICIENCY ANTENATAL CARE ANTENATAL VISITS ANTICORRUPTION BEST PRACTICES CHILD MORTALITY CHILD SURVIVAL CHRONIC DISEASE CIVIL SERVANTS CLINICAL GUIDELINES CLINICS COMMUNITIES COMMUNITY HEALTH COMMUNITY HOSPITALS CORRUPT CORRUPT PRACTICES CORRUPTION DECISION MAKING DEVELOPING COUNTRIES DEVELOPMENT ASSISTANCE DISABILITY DISADVANTAGED GROUPS DISCRETION DISEASES DISTRICTS DOCTORS EFFECTIVE ACTION EPIDEMIC EPIDEMICS EPIDEMIOLOGICAL TRANSITION ESSENTIAL DRUGS ETHNIC GROUP FAMILIES FAMILY PLANNING FAMILY PLANNING SERVICES GENDER GLOBAL HEALTH GOVERNMENT CAPACITY GOVERNMENT OFFICIALS HEALTH CARE HEALTH CARE DELIVERY HEALTH CARE ORGANIZATIONS HEALTH CARE WORKERS HEALTH CAREDELIVERY HEALTH CENTERS HEALTH DELIVERY HEALTH EDUCATION HEALTH FACILITIES HEALTH FINANCING HEALTH INFORMATION HEALTH INFORMATION SYSTEMS HEALTH MANAGEMENT HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH POLICY HEALTH PROFESSIONALS HEALTH PROGRAMS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SERVICE DELIVERY HEALTH SERVICEDELIVERY HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HEALTH SYSTEM STRENGTHENING HEALTH SYSTEMS HEALTH WORKERS HEALTH WORKFORCE HIV/AIDS HOME VISITS HOSPITAL HOSPITAL MANAGEMENT HOSPITAL PATIENTS HOSPITALS HOUSEHOLD SURVEYS HUMAN DEVELOPMENT HUMAN RESOURCE MANAGEMENT HUMAN RESOURCES HUMAN SOCIETIES IMMUNIZATION IMMUNIZATIONS IMPACT ON HEALTH IMPROVEMENT OF HEALTH IMPROVING HEALTH CARE INCOME INDIVIDUAL HEALTH INFANT INFORMATION TECHNOLOGIES INFORMED DECISIONS INITIATIVE INSURANCE INTERVENTION INTERVENTIONS INVESTIGATION LACK OF KNOWLEDGE LEADERSHIP LIVING STANDARDS MALARIA MATERIAL RESOURCES MEDICAL RECORDS MEDICAL SUPPLIES MEDICAL TECHNOLOGY MILLENNIUM DEVELOPMENT GOAL MILLENNIUM DEVELOPMENT GOALS MINISTRIES OF HEALTH MORTALITY NATIONAL GOVERNMENT NATIONAL LEVEL NEEDS ASSESSMENT NEWBORN NURSE NURSES NURSING NUTRITION OCCUPANCY OCCUPANCY RATES OCCUPATIONS ORAL REHYDRATION SOLUTION PATIENT PATIENT SATISFACTION PATIENTS PEER PRESSURE PERSONAL HEALTH PHARMACIES PLAN OF ACTION PLANS OF ACTION POLICY MAKERS POLITICAL PARTY POLITICAL POWER POLITICAL SUPPORT POPULATION STRATEGY PRACTITIONERS PREFERENTIAL PREGNANT WOMEN PRIMARY HEALTH CLINIC PROCUREMENT PROGRESS PROVIDER PAYMENT PSYCHOLOGY PUBLIC HEALTH PUBLIC HEALTH PROGRAMS PUBLIC SERVICE QUALITY IMPROVEMENT QUALITY OF CARE REGULATORY FRAMEWORKS REMEDY RURAL AREA RURAL AREAS RURAL COMMUNITIES RURAL COMMUNITY RURAL HOSPITALS RURAL POPULATION SAFETY SANCTION SCARCE RESOURCES SERVICE PROVIDERS SERVICE PROVISION SERVICEDELIVERY SYSTEMS SHOPS SOCIAL CLASS SOCIAL NORMS SOCIAL SCIENCE SOCIAL SERVICES SOCIAL SYSTEMS SOCIETAL LEVEL SPILLOVER TRAINING OPPORTUNITIES TRANSPORTATION USER FEES VACCINATION VILLAGES WORKERS WORKING CONDITIONS WORLD HEALTH ORGANIZATION YOUNG CHILD YOUNG CHILDREN Berman, Peter Pallas, Sarah Smith, Amy L. Curry, Leslie Bradley, Elizabeth H. Improving the Delivery of Health Services : A Guide to Choosing Strategies |
relation |
Health, Nutrition, and Population (HNP)
discussion paper; |
description |
Sufficient funding and efficacious
technology may be necessary conditions for achieving health
gains, but experience in many countries confirms that they
are not sufficient. Effective and efficient service delivery
is the point at which the potential of the health system to
improve lives meets the opportunity to realize health gains.
Health service delivery performance means access and use by
those in need; adequate quality of care to produce health
benefits; efficient use of scarce resources; and
organizations that can learn, adapt, and improve for the
future. All too often, potential benefits are not realized
because service delivery underperforms. Organizations must
combine financial, physical, and human resources to deliver
health services. However, organizations can be complex, and
this complexity must be considered in developing strategies
for change. This guide will help planners and policy makers
navigate the complexity and make better decisions to improve
health services. Users of this Guide will find practical
advice about what performance means in service delivery as
well as how to measure the performance of service delivery
organizations. The Guide discusses reforms to service
delivery organizations at the system level and at the
individual facility level. It emphasizes the internal
workings of the organization as well as the external
environment in which an organization functions, and
discusses its capacity to develop and manage change. A
diverse set of theories and concepts explaining organization
performance are brought together and compared. Guidance is
given on how to identify the root causes of poor
performance, the most plausible explanations underlying
these causes, and the right strategies to address and
improve performance. |
format |
Publications & Research :: Working Paper |
author |
Berman, Peter Pallas, Sarah Smith, Amy L. Curry, Leslie Bradley, Elizabeth H. |
author_facet |
Berman, Peter Pallas, Sarah Smith, Amy L. Curry, Leslie Bradley, Elizabeth H. |
author_sort |
Berman, Peter |
title |
Improving the Delivery of Health Services : A Guide to Choosing Strategies |
title_short |
Improving the Delivery of Health Services : A Guide to Choosing Strategies |
title_full |
Improving the Delivery of Health Services : A Guide to Choosing Strategies |
title_fullStr |
Improving the Delivery of Health Services : A Guide to Choosing Strategies |
title_full_unstemmed |
Improving the Delivery of Health Services : A Guide to Choosing Strategies |
title_sort |
improving the delivery of health services : a guide to choosing strategies |
publisher |
World Bank, Washington, DC |
publishDate |
2013 |
url |
http://documents.worldbank.org/curated/en/2011/05/15543481/improving-delivery-health-services-guide-choosing-strategies http://hdl.handle.net/10986/13594 |
_version_ |
1764423853530939392 |
spelling |
okr-10986-135942021-04-23T14:03:08Z Improving the Delivery of Health Services : A Guide to Choosing Strategies Berman, Peter Pallas, Sarah Smith, Amy L. Curry, Leslie Bradley, Elizabeth H. ACCOUNTABILITY ACCOUNTING ALLOCATIVE EFFICIENCY ANTENATAL CARE ANTENATAL VISITS ANTICORRUPTION BEST PRACTICES CHILD MORTALITY CHILD SURVIVAL CHRONIC DISEASE CIVIL SERVANTS CLINICAL GUIDELINES CLINICS COMMUNITIES COMMUNITY HEALTH COMMUNITY HOSPITALS CORRUPT CORRUPT PRACTICES CORRUPTION DECISION MAKING DEVELOPING COUNTRIES DEVELOPMENT ASSISTANCE DISABILITY DISADVANTAGED GROUPS DISCRETION DISEASES DISTRICTS DOCTORS EFFECTIVE ACTION EPIDEMIC EPIDEMICS EPIDEMIOLOGICAL TRANSITION ESSENTIAL DRUGS ETHNIC GROUP FAMILIES FAMILY PLANNING FAMILY PLANNING SERVICES GENDER GLOBAL HEALTH GOVERNMENT CAPACITY GOVERNMENT OFFICIALS HEALTH CARE HEALTH CARE DELIVERY HEALTH CARE ORGANIZATIONS HEALTH CARE WORKERS HEALTH CAREDELIVERY HEALTH CENTERS HEALTH DELIVERY HEALTH EDUCATION HEALTH FACILITIES HEALTH FINANCING HEALTH INFORMATION HEALTH INFORMATION SYSTEMS HEALTH MANAGEMENT HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH POLICY HEALTH PROFESSIONALS HEALTH PROGRAMS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SERVICE DELIVERY HEALTH SERVICEDELIVERY HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HEALTH SYSTEM STRENGTHENING HEALTH SYSTEMS HEALTH WORKERS HEALTH WORKFORCE HIV/AIDS HOME VISITS HOSPITAL HOSPITAL MANAGEMENT HOSPITAL PATIENTS HOSPITALS HOUSEHOLD SURVEYS HUMAN DEVELOPMENT HUMAN RESOURCE MANAGEMENT HUMAN RESOURCES HUMAN SOCIETIES IMMUNIZATION IMMUNIZATIONS IMPACT ON HEALTH IMPROVEMENT OF HEALTH IMPROVING HEALTH CARE INCOME INDIVIDUAL HEALTH INFANT INFORMATION TECHNOLOGIES INFORMED DECISIONS INITIATIVE INSURANCE INTERVENTION INTERVENTIONS INVESTIGATION LACK OF KNOWLEDGE LEADERSHIP LIVING STANDARDS MALARIA MATERIAL RESOURCES MEDICAL RECORDS MEDICAL SUPPLIES MEDICAL TECHNOLOGY MILLENNIUM DEVELOPMENT GOAL MILLENNIUM DEVELOPMENT GOALS MINISTRIES OF HEALTH MORTALITY NATIONAL GOVERNMENT NATIONAL LEVEL NEEDS ASSESSMENT NEWBORN NURSE NURSES NURSING NUTRITION OCCUPANCY OCCUPANCY RATES OCCUPATIONS ORAL REHYDRATION SOLUTION PATIENT PATIENT SATISFACTION PATIENTS PEER PRESSURE PERSONAL HEALTH PHARMACIES PLAN OF ACTION PLANS OF ACTION POLICY MAKERS POLITICAL PARTY POLITICAL POWER POLITICAL SUPPORT POPULATION STRATEGY PRACTITIONERS PREFERENTIAL PREGNANT WOMEN PRIMARY HEALTH CLINIC PROCUREMENT PROGRESS PROVIDER PAYMENT PSYCHOLOGY PUBLIC HEALTH PUBLIC HEALTH PROGRAMS PUBLIC SERVICE QUALITY IMPROVEMENT QUALITY OF CARE REGULATORY FRAMEWORKS REMEDY RURAL AREA RURAL AREAS RURAL COMMUNITIES RURAL COMMUNITY RURAL HOSPITALS RURAL POPULATION SAFETY SANCTION SCARCE RESOURCES SERVICE PROVIDERS SERVICE PROVISION SERVICEDELIVERY SYSTEMS SHOPS SOCIAL CLASS SOCIAL NORMS SOCIAL SCIENCE SOCIAL SERVICES SOCIAL SYSTEMS SOCIETAL LEVEL SPILLOVER TRAINING OPPORTUNITIES TRANSPORTATION USER FEES VACCINATION VILLAGES WORKERS WORKING CONDITIONS WORLD HEALTH ORGANIZATION YOUNG CHILD YOUNG CHILDREN Sufficient funding and efficacious technology may be necessary conditions for achieving health gains, but experience in many countries confirms that they are not sufficient. Effective and efficient service delivery is the point at which the potential of the health system to improve lives meets the opportunity to realize health gains. Health service delivery performance means access and use by those in need; adequate quality of care to produce health benefits; efficient use of scarce resources; and organizations that can learn, adapt, and improve for the future. All too often, potential benefits are not realized because service delivery underperforms. Organizations must combine financial, physical, and human resources to deliver health services. However, organizations can be complex, and this complexity must be considered in developing strategies for change. This guide will help planners and policy makers navigate the complexity and make better decisions to improve health services. Users of this Guide will find practical advice about what performance means in service delivery as well as how to measure the performance of service delivery organizations. The Guide discusses reforms to service delivery organizations at the system level and at the individual facility level. It emphasizes the internal workings of the organization as well as the external environment in which an organization functions, and discusses its capacity to develop and manage change. A diverse set of theories and concepts explaining organization performance are brought together and compared. Guidance is given on how to identify the root causes of poor performance, the most plausible explanations underlying these causes, and the right strategies to address and improve performance. 2013-05-28T22:13:07Z 2013-05-28T22:13:07Z 2011-05 http://documents.worldbank.org/curated/en/2011/05/15543481/improving-delivery-health-services-guide-choosing-strategies http://hdl.handle.net/10986/13594 English en_US Health, Nutrition, and Population (HNP) discussion paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research |