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Public hospitals in developing countries : resource use, cost, financing (Inglês)

Hospitals in developing countries absorb more resources than any other kind of recurrent government spending on health. But although hospitals are essential, other types of intervention are more cost-effective in providing some of the most needed services. In many countries, much health expenditure is wasted through misallocation and by technical and managerial inefficiency within hospitals. Improvements in the use of resources by hospitals could yield tremendous benefits. This book advocates drawing hospitals in developing countries into the policy dialogue on the use of public resources in the health sector. The authors focus on the broad issues of resource allocation, costs, and financing. They advocate using a combination of hospital cost data with service statistics to highlight areas in which waste can be reduced. Hospital costs and efficiency are examined through accounting based studies and analysis of statistical cost functions. The authors recommend principles for pricing hospital services and alternatives for hospital financing through user charges and health insurance. These recommendations draw on both economic theory and a review of country experience through case studies and summaries of country case examples. Finally, the book recommends coordination between hospital and nonhospital forms of treatment. It suggests that some hospital procedures could be equally well performed in other settings but at less cost.

Detalhes

  • Autor

    Barnum, Howard Kutzim, Joseph

  • Data do documento

    1993/04/30

  • TIpo de documento

    Publicação

  • No. do relatório

    11923

  • Nº do volume

    1

  • Total Volume(s)

    1

  • Data de divulgação

    2010/07/01

  • Nome do documento

    Public hospitals in developing countries : resource use, cost, financing

  • Palavras-chave

    Hospitals; User charges; Health insurance; Case studies; Financial management; Health services; Health expenditures; Hospital management; Allocation of resources

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