The role of contractual arrangements in improving health sector ...
The role of contractual arrangements in improving health sector ...
The role of contractual arrangements in improving health sector ...
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<strong>The</strong> <strong>role</strong> <strong>of</strong> <strong>contractual</strong> <strong>arrangements</strong> <strong>in</strong> improv<strong>in</strong>g <strong>health</strong> <strong>sector</strong> performance<br />
Country Project/programme Purchaser Provider Contract<br />
Population Payment methods Performance<br />
selected<br />
Intervention covered<br />
<strong>in</strong>dicators<br />
for un<strong>in</strong>sured Lebanese basis<br />
Pakistan Contract<strong>in</strong>g out <strong>of</strong> PHC<br />
services <strong>in</strong> Rahim Yar<br />
Khan district, Punjab<br />
Hospital services<br />
Jordan Contract<strong>in</strong>g with Royal<br />
Medical Services<br />
Contract<strong>in</strong>g with<br />
Jordan University and<br />
K<strong>in</strong>g Abdullah<br />
hospitals<br />
Lebanon Contract<strong>in</strong>g for<br />
hospitalization <strong>of</strong><br />
un<strong>in</strong>sured Lebanese<br />
Tunisia Contract<strong>in</strong>g out <strong>of</strong><br />
hospital services<br />
District<br />
government<br />
MOH<br />
Punjab Rural<br />
Support<br />
Programme<br />
Royal Medical<br />
Services<br />
Autonomous<br />
hospitals<br />
MOH 103 private<br />
hospitals<br />
National<br />
Pension and<br />
Social Security<br />
Fund<br />
(CNRPS)<br />
Private<br />
hospitals<br />
Provision <strong>of</strong><br />
services through<br />
104 PHC centres<br />
Emergency and<br />
hospital care<br />
Emergency<br />
referrals and<br />
tertiary care<br />
Hospital care to<br />
un<strong>in</strong>sured<br />
population<br />
Provision <strong>of</strong><br />
haemodialysis<br />
services<br />
27<br />
≈3 million –<br />
district’s rural<br />
population<br />
Not specified<br />
Annual budget<br />
Block payment<br />
Fee-for-service<br />
Annual balanc<strong>in</strong>g<br />
<strong>of</strong> accounts<br />
Fee-for-service<br />
50% eligible Reimbursement on<br />
fee-for-service<br />
basis<br />
Chronic renal<br />
failure patients<br />
Health facility<br />
utilization<br />
Not well def<strong>in</strong>ed<br />
None specified<br />
Fee-for-service Not well def<strong>in</strong>ed
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