Strategic Contracting for Health Systems and Services

Until the start of the new century, efforts to strengthen health systems focused solely on the public sector and health programs overseen by public bodies. The private sector was sidelined in certain countries and even banned in others. At the same time, some private-sector stakeholders readily adapted themselves to this special situation so as to avoid becoming part of a structured health system.This volume notes profound changes in health care around the world in two areas. The stakeholders involved in the health sector are increasing in number and diversifying as a result of the development of the private sector. They are also responding to a process of democratization and decentralization. These developments have been paralleled by greater functional differentiation. Various stakeholders are increasingly specializing in particular areas of the health system: service delivery, procurement, management, financing, and regulation.The interdependence of health stakeholders becomes more evident along with the increased complexity of delivery systems as these respond to changing demand. There is a compelling need to forge relationships. Such relationships are in fact emerging in developed countries and, more recently, in developing countries. They may be informal, but are increasingly organized and structured.

Jean Perrot (Author) ,  Eric de Roodenbeke (Author)

INTRODUCTION PART I CHAPTER 1: EMERGENCE OF CONTRACTING IN THE HEALTH SECTOR CHAPTER2: CONTRACTING AND CONTRACT: CONCEPTS AND NEW DEVELOPMENTS CHAPTER 3: TYPOLOGY OF CONTRACTUAL RELATIONS PART II CHAPTER 1: THE DIFFERENT FORMS OF PUBLIC-PRIVATE PARTNERSHIP FOR BUILDING AND MANAGING HEALTH FACILITIE CHAPTER 2: HOSPITALS AND CONTRACTING CHAPTER 3: CONTRACTING WITH PRIVATE SECTOR NETWORKS: FRANCHISING REPRODUCTIVE HEALTH CARE CHAPTER 4: HEALTH INSURANCE COVERAGE AND CONTRACTING IN DEVELOPING COUNTRIES CHAPTER 5: LOCAL AUTHORITIES CHAPTER 6: THE BEST USE OF SUB-CONTRACTING AND OUTSOURCING CHAPTER 7: CONTRACTING HEALTH PERSONNEL PART III CHAPTER 1: PERFORMANCE INCENTIVES FOR HEALTH CARE PROVIDERS, PART IV CHAPTER 1: HOW TO BUILD AND MANAGE A CONTRACTUAL RELATION? PART V CHAPTER 1: TOOLS FOR REGULATION CHAPTER 2: THE ROLE OF THE GOVERNMENT CHAPTER 3: THE ROLE OF OTHER ACTORS: COMMUNITIES, LABOUR UNIONS, POLITICAL PARTIES, CHURCHES AND PRIVATE ENTERPRISES, CHAPTER 4: ELEMENTS FOR DEVELOPING A NATIONAL POLICY ON CONTRACTING, PART VI CHAPTER 1: EVALUATION OF CONTRACTING, CONCLUSION