The role of contractual arrangements in improving health sector ...

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Lebanon ﺔﻌﺒﻄﻟا ،نﺎﻨﺒﻟ ،توﺮﻴﺑ . ﻲﺑﺮﻌﻟا ﺮﻜﻔﻟا راد . ﺔﻴﺤﺼﻟا ﺔﺳﺎﻴﺴﻟا رﺎﺴﻤﻟ ﺢﻴﺤﺼﺗ و ﻲﺤﺼﻟا قﺎﻔﻧﻹا ﺪﻴﺷﺮﺗ ﻮﺤﻧ . لﻮﻠﺣ و ﻊﻗاو : ﺔﺤﺼﻟا . ﺪﻴﺑﺮﻋ ﺞﻴﻬﺑ . د 2000 ﻰﻟوﻷا Tabbarah R. The health sector in Lebanon. MADMA, Beirut, 2000 Ammar W. Health system and reform in Lebanon. Beirut, World Health Organization, 2003 Peer–reviewed literature concerning health sector performance and reform in Lebanon Kronfol NM, Bashshur R. Lebanon’s health care policy: a case study in the evolution of a health system under stress. J Public Health Policy 1989; 10(3): 377–96 Van Lerberghe W et al. Reform follows failure: I. unregulated private care in Lebanon. Health Policy and Planning 1997; 12 (4): 296–311 Van Lerberghe W et al. (1997). Reform follows failure: II. pressure for change in the Lebanese health sector. Health Policy and Planning 1997, 12(4): 312–319 Ammar W, Mechbal AH, Awar M. Organisation des services de soins, système de couverture et contribution du ministère de la santé publique. Leb Med. J 1998; 46: 43–46 Ammar W, Jokhadar A, Awar M. Health sector reform in Lebanon. Lebanese Medical Journal. 1999; 46(6); 328–334 Ammar W, Awar M. What does the World Health Report 2000 bring to Lebanon? J Med Liban. 2001, 49(3):123–5 Ammar W, Kasparian R. What is fair in financing fairness? J Med Liban. 2001 May-Jun; 49(3): 126–8 Reports of major surveys on health and health care in Lebanon Deeb M, ed. Beirut: A health profile 1984–1994. American University of Beirut, Beirut 1997 Ministry of Social Affairs. Population and Household Survey, 1996 Central Administration of Statistics. Household living conditions, 1997 Ministry of Social Affairs. National Household Health Expenditure and Utilization Survey, 1999 Major reports and documents concerning health sector performance and reform in Lebanon 176 . 2
Lebanon Sabri B et al. Health sector reform in Lebanon. Report of a WHO preparatory mission. World Health Organization, Eastern Mediterranean Regional Office, June 1996. The World Bank, Human Development Group, Middle East and North Africa. Health sector in Lebanon: Issues and prospects. MNSHD Discussion Paper Series No.4. 2000 Ministry of Public Health, Office of the Director General. Annual Report, 2000 Kronfol NM. The Lebanese Health Care System. Options for Reform. Ministry of Public Health, 2000 Kronfol NM. The Rebuilding of the Lebanese Healthcare System: Successes and Failures. December 2002 Hajjar H. Evaluation of the agreement between the Ministry of Public Health and the NGOs related to primary heath care services. December 2003. Selected papers from Regional Social Protection in an Insecure Era: A South-South Exchange on Alternative Social Policies Responses to Globalization. Inter-Regional Workshop, February 27th–March 1st, 2001, Beirut Background/general papers on contractual arrangements Lavoie JG. Governed by contracts: The development of indigenous primary health services in Canada, Australia and New Zealand. Journal of Aboriginal Health January 2004, 6–24. Barr D et al. Research protocols to evaluate the effectiveness of public/private partnerships in enhancing health and welfare systems development. Center for Health Policy, Institute for International Studies, Stanford University, February 2004. Papers provided by EMRO concerning contracting arrangements. 177
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Morocco Draft The role of contractu
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CONTENTS FOREWORD..................
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The role of contractual arrangement
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Islamic Republic of Iran care (incr
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Afghanistan AFGHANISTAN 37
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Current health services delivery Af
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Afghanistan with the staff of the M
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Afghanistan 3) Greater emphasis cou
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Afghanistan Table 2. Implementation
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Provider Strengths Afghanistan •
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Bahrain BAHRAIN
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Bahrain services to be contracted-o
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Bahrain claiming under them respect
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Financing Bahrain There is a clear
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Bahrain receipt of the invoice. The
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Bahrain RESULTS AND DISCUSSION: CAS
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Bahrain The competitive bidding pro
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Bahrain 11. SMC Cleaning Services C
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INTRODUCTION Egypt The health secto
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Egypt are governed by their own set
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Egypt One of the key objectives of
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Egypt Is the legal framework robust
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Egypt The opportunity for the HSRP
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Egypt The Research Unit includes Fa
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Egypt How was the nongovernmental o
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Egypt How did the approved list of
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Egypt districts, where private and
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Egypt Annex 1 Contract copy between
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Egypt deposit the fees of opening n
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Islamic Republic of Iran ISLAMIC RE
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INTRODUCTION Islamic Republic of Ir
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Islamic Republic of Iran OVERVIEW O
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Delivery Facility Health House Sour
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Islamic Republic of Iran PBSC invol
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Islamic Republic of Iran authoritie
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Islamic Republic of Iran From an ad
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Islamic Republic of Iran 6. Shieber
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Medical Sciences University Islamic
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Jordan JORDAN
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INTRODUCTION Jordan This study docu
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Jordan hospital beds in Jordan. In
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Jordan health education programmes.
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Jordan Benefits by health subsystem
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Jordan Table 2. Summary of health e
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Jordan ASSESSMENT OF OVERALL CAPACI
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Jordan attract foreign investment,
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Jordan businesses efficiently. The
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Expected risks and incentives Minis
Page 125 and 126: Jordan Table 4. Profile of contract
Page 127 and 128: Fee-for-service contracts Royal Med
Page 129 and 130: Jordan King Abdullah Hospital (KAH)
Page 131 and 132: Strengths Jordan • Provides acces
Page 133 and 134: Jordan • The minimum charge scale
Page 135 and 136: Jordan The main reasons behind the
Page 137 and 138: Jordan • Interviews with the Mini
Page 139 and 140: Jordan • This type of contracting
Page 141 and 142: Jordan CONCLUSIONS AND RECOMMENDATI
Page 143 and 144: Jordan 3. Prospective payment mecha
Page 145 and 146: Jordan Annex 1 CONTRACT/AGREEMENT A
Page 147 and 148: Lebanon LEBANON
Page 149 and 150: Lebanon at their disposal for regul
Page 151 and 152: Research methods and data sources L
Page 153 and 154: Lebanon and local municipalities. E
Page 155 and 156: Lebanon Table 1. Contractual arrang
Page 157 and 158: Lebanon Table 3. Costs of contractu
Page 159 and 160: Lebanon performance or mechanisms f
Page 161 and 162: Lebanon Overall, the contracts allo
Page 163 and 164: Lebanon belong to the Ministry of S
Page 165 and 166: Lebanon Perhaps the more obvious di
Page 167 and 168: Lebanon quality of care in the cont
Page 169 and 170: Lebanon Correcting this imbalance b
Page 171 and 172: Lebanon could be a first step towar
Page 173 and 174: Lebanon Table 5. Scorecard of contr
Page 175: Lebanon support for wide reform and
Page 179 and 180: INTRODUCTION Morocco During the pas
Page 181 and 182: Morocco A contractual arrangement i
Page 183 and 184: Morocco services, as the administra
Page 185 and 186: Morocco The programme budget is lik
Page 187 and 188: Morocco According to his Act, each
Page 189 and 190: Morocco The number of patients curr
Page 191 and 192: Morocco facilities and the technica
Page 193 and 194: Morocco Evaluation of the subcontra
Page 195 and 196: Morocco Annex 2 EVALUATION OF THE E
Page 197 and 198: Chefchaouen Reassignment of agents,
Page 199 and 200: Ain Seb. Hay Moh. S. B. Zenata El F
Page 201 and 202: Pakistan PAKISTAN
Page 203 and 204: Pakistan To improve the health stat
Page 205 and 206: Pakistan the government grants a co
Page 207 and 208: Pakistan The relevant documents wer
Page 209 and 210: Pakistan Table 1. Examples of contr
Page 211 and 212: Pakistan Each contract generally sp
Page 213 and 214: Pakistan services. The specialized
Page 215 and 216: Pakistan Case study: contractual ar
Page 217 and 218: Pakistan used in the project to col
Page 219 and 220: Pakistan GFATM support, and a Natio
Page 221 and 222: RECOMMENDATIONS Pakistan 1. Conduct
Page 223 and 224: Pakistan Annex 1 GUIDELINES FOR DIS
Page 225 and 226: Pakistan Question Discussion points
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INTRODUCTION Tunisia The health ins
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Tunisia hospital facilities may be
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Tunisia the regulations of the mutu
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Tunisia pocket household expenditur
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Tunisia The Tunisian health strateg
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Table 2. Distribution of agreements
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Tunisia Coverage of MRI procedures
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under the agreements, 1995-2004 Tun
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Tunisia Table 5. Beneficiaries (BEN
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Tunisia The National Pension and So
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Tunisia Table 8 shows an increase i
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Tunisia to the private sector. The
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CONCLUSIONS Tunisia Three closely i
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