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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Main Authors: Berman, Peter, Pallas, Sarah, Smith, Amy L., Curry, Leslie, Bradley, Elizabeth H.
Format: Working Paper
Language:English
en_US
Published: World Bank, Washington, DC 2013
Subjects:
Online Access:http://documents.worldbank.org/curated/en/2011/05/15543481/improving-delivery-health-services-guide-choosing-strategies
http://hdl.handle.net/10986/13594
id okr-10986-13594
recordtype oai_dc
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language 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