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Book contents
- Making Health Systems Work in Low and Middle Income Countries
- Reviews
- Making Health Systems Work in Low and Middle Income Countries
- Copyright page
- Dedication
- Contents
- About the Editors
- Contributors
- Preface
- Section 1 Analyzing Health Systems: Concepts, Components, Performance
- Section 2 Transforming Health Systems: Confronting Challenges, Seizing Opportunities
- Chapter 15 Universal Health Coverage and Beyond
- Chapter 16 Pro-Poor Expansion of Universal Health Coverage
- Chapter 17 Health Insurance for Advancing Universal Health Coverage
- Chapter 18 From Passive to Strategic Purchasing in Low and Middle Income Countries
- Chapter 19 Good Governance and Leadership for Better Health Systems
- Chapter 20 Developing a Balanced Health Workforce
- Chapter 21 Enhancing Equitable Access to Essential Medicines and Health Technologies
- Chapter 22 Health Information and Information Technology
- Chapter 23 Using Health Research for Evidence-Informed Decisions in Health Systems in L&MICs
- Chapter 24 Integrated People-Centered Health Care
- Chapter 25 Strengthening Hospital Governance and Management to Become High-Performing Organizations
- Chapter 26 Improving the Quality and Safety of Health Care in Low and Middle Income Countries
- Chapter 27 Harnessing the Contribution of the Private Health Care Sector toward Public Health Goals
- Chapter 28 Public–Private Partnership in Health Care Services
- Chapter 29 Embedding People’s Voice and Ensuring Participatory Governance
- Chapter 30 Achieving Health-Related Sustainable Development Goals
- Chapter 31 The Determinants of Health Systems
- Chapter 32 Integrating Essential Public Health Functions in Health Systems
- Chapter 33 Engaging in a Health Care Recovery Process
- Chapter 34 Health System Response to the COVID-19 Pandemic
- Chapter 35 Understanding the Global Health Architecture
- Chapter 36 Political Economy of Health Reforms in Low and Middle Income Countries
- Chapter 37 Better Health Systems for Better Outcomes
- Index
- References
Chapter 25 - Strengthening Hospital Governance and Management to Become High-Performing Organizations
from Section 2 - Transforming Health Systems: Confronting Challenges, Seizing Opportunities
Published online by Cambridge University Press: 08 December 2022
- Making Health Systems Work in Low and Middle Income Countries
- Reviews
- Making Health Systems Work in Low and Middle Income Countries
- Copyright page
- Dedication
- Contents
- About the Editors
- Contributors
- Preface
- Section 1 Analyzing Health Systems: Concepts, Components, Performance
- Section 2 Transforming Health Systems: Confronting Challenges, Seizing Opportunities
- Chapter 15 Universal Health Coverage and Beyond
- Chapter 16 Pro-Poor Expansion of Universal Health Coverage
- Chapter 17 Health Insurance for Advancing Universal Health Coverage
- Chapter 18 From Passive to Strategic Purchasing in Low and Middle Income Countries
- Chapter 19 Good Governance and Leadership for Better Health Systems
- Chapter 20 Developing a Balanced Health Workforce
- Chapter 21 Enhancing Equitable Access to Essential Medicines and Health Technologies
- Chapter 22 Health Information and Information Technology
- Chapter 23 Using Health Research for Evidence-Informed Decisions in Health Systems in L&MICs
- Chapter 24 Integrated People-Centered Health Care
- Chapter 25 Strengthening Hospital Governance and Management to Become High-Performing Organizations
- Chapter 26 Improving the Quality and Safety of Health Care in Low and Middle Income Countries
- Chapter 27 Harnessing the Contribution of the Private Health Care Sector toward Public Health Goals
- Chapter 28 Public–Private Partnership in Health Care Services
- Chapter 29 Embedding People’s Voice and Ensuring Participatory Governance
- Chapter 30 Achieving Health-Related Sustainable Development Goals
- Chapter 31 The Determinants of Health Systems
- Chapter 32 Integrating Essential Public Health Functions in Health Systems
- Chapter 33 Engaging in a Health Care Recovery Process
- Chapter 34 Health System Response to the COVID-19 Pandemic
- Chapter 35 Understanding the Global Health Architecture
- Chapter 36 Political Economy of Health Reforms in Low and Middle Income Countries
- Chapter 37 Better Health Systems for Better Outcomes
- Index
- References
Summary
Performance of hospitals is central to health system strengthening efforts, yet hospitals often fail to meet the needs of the communities they serve. Globally, 40% countries have fewer than 18 hospital beds for every 10,000 people, the estimated minimum number needed to achieve Sustainable Development Goal 3. Beyond insufficient numbers, priority should be given to improving internal operations of hospitals and their contribution to health systems. Implementing a national vision of the role of hospitals and their contribution to Universal Health Coverage requires a set of policy and operational levers that focus on system design, autonomy, accountability, regulation and people’s participation; efficient provider payment methods with monitoring and feedback mechanisms to reward hospitals that perform better; and ensure availability of adequate resources. The Chapters proposes three strategic approaches for improving hospital performance: (i) ensuring that hospital managers have the required competencies; (ii) having governance and operational frameworks; and (iii) monitoring and rewarding individual and collective practices.
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- Making Health Systems Work in Low and Middle Income CountriesTextbook for Public Health Practitioners, pp. 385 - 400Publisher: Cambridge University PressPrint publication year: 2022