Production of healthcare - contestability and measurability, Biology

Production of Healthcare - Contestability and Measurability

Contestability and measurability of goods and services are influenced strongly by the elements of systemic environment. The environment itself is directly affected by the policies of the government. Consequently, the structure of the market to which organisations are exposed bears a critical influence on the behaviour of healthcare goods and service producers. The environment therefore directly determines the strategies to be adopted for the generation of increased revenue. Some of the major policy initiatives which contribute to increasing the contestability of firms in the market are:

(i) Unbundling large bureaucratic structures (i.e. modification in governance);

(ii) Outsourcing certain functions to specialised providers (i.e. modification in payment system);

(iii) Exposing the public and private actors to the same potential benefits and losses attributable to market exposure;

(iv) Decreasing barriers to entry caused by political interference or unwarranted trust in public production (i.e. modification in market structure); 

(v) Explicitly separating  contestable commercial functions and non-commercial social objectives.

Likewise, measurability can be enhanced by:

(i) Relying on quantifiable results (i.e. output or outcome indicators) for accountability and performance targets rather than emphasising on inputs and procedures;

(ii) Shifting from difficult-to-define long-term relationships (e.g. employment or service arrangements) to shorter-term but more specific contractual arrangements;

(iii) Using quantifiable monetary incentives rather than non-monetary incentives like consideration of ethics/ethos/status which are more difficult to measure; 

(iv) Tightening the reporting, monitoring and accountability mechanisms.

Thus, when reforms to organisations such as hospitals entail a shift to earning revenue through the delivery of services in a market, the nature of the emerging market is crucial. In order to derive maximum gains from reforms (that expose the public sector to competition with the private sector) adequate steps should be taken to ensure neutrality. This requires:

(i) Monetisation of social functions (e.g. explicit subsidies that adequately cover costs plus a reasonable margin in the delivery of services to non-paying or non-insured patients; and

(ii) Achieving standardisation in the fee structure and cost of capital for both the public sector and private sector.

Transition from an environment of inefficient public sector to a system of buying services from the private or non-governmental providers needs to be effected in phases. The process should be accompanied by capacity-building in areas such as contracting, regulation and the coordination of non-governmental providers.

Posted Date: 12/17/2012 1:17:58 AM | Location : United States







Related Discussions:- Production of healthcare - contestability and measurability, Assignment Help, Ask Question on Production of healthcare - contestability and measurability, Get Answer, Expert's Help, Production of healthcare - contestability and measurability Discussions

Write discussion on Production of healthcare - contestability and measurability
Your posts are moderated
Related Questions
Subdivisions of Ecology Ecology was earlier divided into plant and animal ecology. However, modem ecology does not make any such distinction since plants and animals are intima

Biological catalysts à speed up chemical reactions in the body without being consumed in the process Reduce the activation energy needed for reactants to reach the transit

What is the basic morphology of a protozoan cell? Protozoans are eukaryotic cells so they have organelles and structures common to this part of cell: endoplasmic reticula, Gol

B u f fa l o- p o x The disease is caused by an orthopox virus, closely related to the vaccinia virus. It is not clear whether it should be considered

An experiment supported by NASA calculated the heights of 6 men rapidly before going to bed, and then again after 3 days of bed rest. The data were as follows: What is the 95% con

A carbohydrate   is composed   of carbon (carbo-), and hydrogen   and oxygen (-hydrate).  The  easiest  carbohydrates  are  the  monosaccharides that  have  the common  formula  (C

Mas s Extinction - Since beginning many species evolved and got extinct (in fact only 1 % is living). Sometimes it occured suddenly at large scale, (most recently dinosa

All the cells present in the body contain genes and an approach targeted to modulate the expression of genes is known as gene therapy. This novel approach has emerged by the end of

Cells regulate their level of activity by regulating the amount of proteins present in the cell at any given time, so an up regulation of enzymes would be expected to A. increase t

The chemicals responsible for imparting the sweetness, classic salt taste and bitter and sour taste are summarized herewith.  A. Sweet Taste Sweetness is one of the most importa