The role of contractual arrangements in improving health sector ...
The role of contractual arrangements in improving health sector ...
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Jordan<br />
Table 4. Pr<strong>of</strong>ile <strong>of</strong> <strong>contractual</strong> <strong>arrangements</strong> between the M<strong>in</strong>istry <strong>of</strong> Health and other <strong>health</strong> care providers<br />
Provider Type <strong>of</strong><br />
provider<br />
Date <strong>of</strong><br />
contract<br />
Length<br />
<strong>of</strong><br />
contract<br />
RMS Public/military 1982 Open Tertiary/secondary<br />
levels<br />
JUH Public/university 1973 Open Tertiary/secondary<br />
levels<br />
Al-<br />
Husse<strong>in</strong><br />
Cancer<br />
Centre<br />
Philanthropy/notfor-pr<strong>of</strong>it<br />
2001 Annual Haematology and<br />
cancer cases<br />
KAH Public/university 2002 Annual Ma<strong>in</strong>ly tertiary<br />
level<br />
Al-<br />
Mowasah<br />
and Al-<br />
Hayah<br />
Hospitals<br />
Lozmila<br />
Hospital<br />
Red<br />
Crescent<br />
Hospital<br />
Other<br />
private<br />
hospitals<br />
Private/for pr<strong>of</strong>it July<br />
/2003<br />
Services covered Geographical<br />
scope <strong>of</strong><br />
contract<br />
Annual Ma<strong>in</strong>ly secondary<br />
(General<br />
medic<strong>in</strong>e+ General<br />
Surgery<br />
Private/for pr<strong>of</strong>it 2001 Annual Secondary care<br />
level<br />
Philanthropy/notfor-pr<strong>of</strong>it<br />
1999 Annual Secondary care<br />
level<br />
125<br />
Payment<br />
mechanism<br />
All regions Fee-for-service<br />
(30% discount)<br />
All regions Fee-for-service<br />
(25% discount)<br />
All regions Fee-for-service<br />
(25% discount)<br />
North regions Fee-for-service<br />
(25% discount)<br />
East Amman Bed leas<strong>in</strong>g (all<br />
services<br />
<strong>in</strong>cluded/MOH<br />
specialist<br />
physicians<br />
provide care for<br />
referred patients)<br />
Amman area Fee-for-service<br />
(25% discount)<br />
Amman area Fee-for-service<br />
(30% discount) +<br />
prospective (per<br />
case)<br />
Copayment<br />
Performance<br />
measures<br />
Management<br />
and f<strong>in</strong>ancial<br />
effort<br />
------- ------ High 5<br />
If selfreferred<br />
------ High 11<br />
----- ------ High 1.7<br />
If self<br />
referred<br />
------<br />
------ Direct<br />
supervision<br />
and monitor<strong>in</strong>g<br />
<strong>of</strong> M<strong>in</strong>istry <strong>of</strong><br />
Health<br />
physicians<br />
If self<br />
referred<br />
If self<br />
referred<br />
High 6<br />
Low 1.5<br />
------ High 0.5<br />
------ High 0.4<br />
Private/for pr<strong>of</strong>it ------ ------ Emergency cases All regions Fee-for-service ------ ------ Very High 6<br />
Annual<br />
cost/JD<br />
million