Making Health Systems Work in Low and Middle Income Countries Textbook for Public Health Practitioners
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 18 - From Passive to Strategic Purchasing in Low and Middle Income Countries
The What and How of Getting the Most from Limited Resources
from Section 2 - Transforming Health Systems: Confronting Challenges, Seizing Opportunities
Published online by Cambridge University Press: 08 December 2022
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
Summary
This chapter discusses the concept, design, implementation challenges and emerging models of successful strategic purchasing (SP) in low- and middle-income countries (L&MICs). The purchasing function is concerned with allocation and use of funds to ensure more value for the existing money by setting the right financial incentives to providers and ensuring that all individuals have access to needed health services. There is a marked difference across countries in terms of how they purchase health care. Passive purchasing implies following a predetermined budget or simply paying bills when presented. In contrast, SP involves a continuous search for the best ways to maximize health system performance by proactively answering questions such as – for whom to buy, what to buy, from whom to buy, how to pay and what impact. There are enablers and choke points for implementation of provider payment systems that need consideration. For L&MICs to do SP effectively, calls for building technical capacity in provider payment, greater policy coherence, institutional relationship between government and purchasers, and a step-by-step approach allowing countries to move towards SP.
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- Making Health Systems Work in Low and Middle Income CountriesTextbook for Public Health Practitioners, pp. 277 - 293Publisher: Cambridge University PressPrint publication year: 2022
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