Hospital Global Budgeting
This paper is a practitioners guide to the introduction of a global budget into a hospital setting based on real World Bank projects in emerging, former soviet countries and in the UK NHS. It traces the steps from a centrally allocated, line item t...
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| Format: | Working Paper |
| Language: | English en_US |
| Published: |
World Bank, Washington, DC
2013
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| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/2004/09/5619920/hospital-global-budgeting http://hdl.handle.net/10986/13645 |
| Summary: | This paper is a practitioners guide to
the introduction of a global budget into a hospital setting
based on real World Bank projects in emerging, former soviet
countries and in the UK NHS. It traces the steps from a
centrally allocated, line item type allocated budget to one
that is set on predetermined objective and measurable
factors. These are based, where possible, on the health
needs of the population served by the hospital. It considers
how a global budget can be established and managed to
generate local ownership and commitment to its delivery. It
deals with incentives for both efficiency and performance.
Examples of different contracting regimes, and how they fit
into a global budget framework are given. Mechanisms for the
periodic revision of the budget for issues such as inflation
are given. There are separate notes on how a global budget
can fit into a policy regime, how to cost services, and how
to arrange contract for individual services. There are also
suggestions on how to fund special payments that may vary
from year to year, such as capital, research and development
and Training and Education. |
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