USAID DEC
Improving hospital performance through policies to increase hospital autonomy : implementation guidelines
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Improving hospital performance through policies to increase hospital autonomy : implementation guidelines
While some developing countries have taken the important step of granting their public hospitals more autonomy in order to improve cost-effectiveness, recent case studies in Ghana, Kenya, Zimbabwe, India, and Indonesia show that granting autonomy to public hospitals has not yielded many of the hoped-for benefits in terms of efficiency, quality of care, and public accountability.
Chawla, Mukesh; Govindaraj, Ramesh · 1996
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Abstract
What seem to be missing are improved conceptual and implementation protocols to guide the process. The guidelines contained in this report are a step in that direction. They show ministry officials and hospital directors how to: (1) evaluate a public hospital"s structure and management; (2) assess its decision making capacities; (3) create enabling conditions needed to implement the decision to grant a public hospital more autonomy; (4) design the structure of an autonomous public hospital; and (5) assess the areas that will require change when the decision is made to grant greater autonomy to a public hospital: governing authority and administration, finance, human resources, procurement, and hospital information systems. Includes references.
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