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Health system innovations in Central America: lessons and impact of new approaches (English)

Health Systems Innovations in Central America reports on how these experiences fared -- a hospital in Panama, a nutrition program in Honduras, primary care extension in Guatemala, a subset of hospitals and primary care units in Costa Rica and a social security-managed health care program in Nicaragua. The studies report on the performance of the innovations, the policy environment in which they were developed as well as nuts-and-bolts features and processes incorporated into their design and implementation.

Details

  • Author

    La Forgia, Gerard M. [editor]

  • Document Date

    2005/05/01

  • Document Type

    Publication

  • Report Number

    33004

  • Volume No

    1

  • Total Volume(s)

    1

  • Country

    Central America,

  • Region

    Latin America & Caribbean,

  • Disclosure Date

    2010/07/01

  • Disclosure Status

    Disclosed

  • Doc Name

    Health system innovations in Central America: lessons and impact of new approaches

  • Keywords

    integrated health care;Infant and Maternal Mortality Rates;integrated management of childhood illness;Health Service;health systems;rural area;access to primary care;provision of health service;health system performance;social security health insurance;average per capita income;measure of health status;life expectancy at birth;legal and regulatory framework;primary health care services;financing of health care;public contract law;average length of stay;health care delivery system;reproductive health service;maternal and child;direct contracting;service delivery system;infant mortality rate;acute respiratory infection;health services administrators;delivery of service;contract management;non-governmental organization;live birth;indigenous population;public health expenditure;child mortality rate;comprehensive health insurance;per capita cost;local government institution;population at large;supply of service;extent of competition;cost of administration;total fertility rate;standard of living;volume of services;access to water;improvements in health;gross national income;service delivery performance;performance of contract;measurement of performance;achievement of population;lack of communication;human resource management;civil service system;allocation of resource;lack of incentive;health care system;social insurance coverage;per capita expenditure;ministries of health;inequality in health;Health Service Delivery;mortality of child;service delivery arrangement;limits of contract;success and failure;service delivery models;demand for service;performance and productivity;social development indicator;economically active population;panel data set;performance of private;public health care;centrally planned economy;preventive health care;high birth rate;oral rehydration solution;requests for proposal;skilled health personnel;process of reform;public sector provision;divestiture of state;market to competition;accessibility of information;health service use;efficiency and quality;service contract;basic package;health coverage;contract model;nutrition program;private provider;financial protection;health outcome;remote area;catchment area;indigenous group;public-private partnership;organizational arrangement;civil strife;transportation cost;governance function;political context;curative care;low-income group;private administration;Death rates;political compromise;administrative staff;institutional strengthening;administrative expense;cost escalation;supportive legal;institutional infrastructure;reform actions;financial resource;finance management;reform process;contract design;high performance;payment system;incentive problem;market economy;performance contract;ruling party;political mandate;pilot program;Contracting Out;geographic area;hospital service;cost-effective intervention;child malnutrition;external agencies;procurement system;government personnel;supply-side constraints;targeted population;national life;political cycle;community demand;rural highland;health condition;indigenous community;indigenous communities;preventive care;care provision;rural population;state finance;Public Spending;health improvement;health reform;nosocomial infection;Public Facilities;local population;governmental institutions;Prenatal Care;contract provision;non-profit organization;market force;payment method;government control;public support;political consequence;external pressure;government decision;diarrhea prevalence;southern coast;income quintile;health indicator;essential services;health finance;patient satisfaction;cost containment;hidden subsidy;community participation;institutional condition;public authority;innovative way;ambulatory care;open university;distinct phase;household survey;poor health;epidemiological changes;competitive bidding;historical development;rural residence;chronic malnutrition;health problem;health needs;population group;financial consequence;ill health;institutional environment;low-income population;managed care

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Citation

La Forgia, Gerard M. [editor]

Health system innovations in Central America: lessons and impact of new approaches (English). World Bank working paper series ; no. 57,World Bank working paper series ; no. 60 (Spanish version) Washington, D.C. : World Bank Group. http://documents.worldbank.org/curated/en/321731468016794835/Health-system-innovations-in-Central-America-lessons-and-impact-of-new-approaches