Management of health facilities: Hospitals
Country experiences
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Hospital Governance in Latin America:
Results from a Four Nation Survey
pdf, 579kb
Richard J. Boguea Claude H. Hall, Jr.b Gerard M. La Forgiac, 2007, The World Bank
Freeing hospitals from institutional and governmental control, referred to as facility-based management, seems to be associated with better hospital performance. The values underlying facility independence, however, must exist simultaneously with other socially or politically defined priorities and accountabilities.
(78 pages, pdf 579kb) -
The Impact of Accreditation on the Quality of Hospital Care: KwaZulu-Natal, South Africa
J. Warren Salmon, John Heavens, Carl Lombard, and Paula Tavrow, 2003, Quality Assurance Project, USAID
About two years after accreditation began, the study found that intervention hospitals significantly improved their average compliance with accreditation standards from 38 percent to 76 percent, while no appreciable increase was observed in the control hospitals.
(56 pages, pdf 367kb) -
Egyptian Hospital Accreditation Program Standards
pdf, 372kb
2005, Partners for Health Reform, USAID
A total of 716 standards in 3 categories: (69) critical standards, (322) core standards, and (325) non-core standards. To become accredited, a hospital must meet all the critical standards and reach a cumulative score of 85 percent on the core standards. The noncore standards constitute a more ambitious target that hospitals are encouraged to work toward; current accreditation requires hospitals to reach a cumulative score of 40 percent on the non-core standards. The standards are expected to serve as a catalyst for change and improvement in both the culture and practice of health care in Egypt.
(71 pages, pdf 363kb) -
Payment for Performance (P4P): International experience and a cautionary proposal for Estonia
Alan Maynard, 2008, WHO Regional Office for Europe
Some health systems in Europe use financial incentives for hospitals and specialist physicians linked to process and outcome indicators of performance in an attempt to improve health gain. This is called paying for performance. This report advises caution with P4P but says that it can offer good value for taxpayers and the users of health services.
(34 pages, pdf 459kb) -
Hospitals in a Changing Europe
Martin McKee and Judith Healy (ed.), 2002, WHO Regional Office for Europe
Evolution of hospital systems, pressures for change, role and functions, significance of size, organisational structure, payment methods, improving performance
(314 pages, pdf 910kb)