Hospital Global Budgeting
This paper is a practitioners guide to
the introduction of a global budget into a hospital setting
based on real World Bank projects in emerging, former soviet
countries and in the UK NHS. It traces the steps from a
centrally allocated, line item type allocated budget to one
that is set on predetermined objective and measurable
factors. These are based, where possible, on the health
needs of the population served by the hospital. It considers
how a global budget can be established and managed to
generate local ownership and commitment to its delivery. It
deals with incentives for both efficiency and performance.
Examples of different contracting regimes, and how they fit
into a global budget framework are given. Mechanisms for the
periodic revision of the budget for issues such as inflation
are given. There are separate notes on how a global budget
can fit into a policy regime, how to cost services, and how
to arrange contract for individual services. There are also
suggestions on how to fund special payments that may vary
from year to year, such as capital, research and development
and Training and Education.
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Bibliographic Details
| Main Author: |
Dredge, Robert |
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| Format: | Working Paper
biblioteca
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| Language: | English
en_US |
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| Published: |
World Bank, Washington, DC
2004-09
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| Subjects: | ACCOUNT,
ACCOUNTABILITY,
BUDGETING,
CAPITATION,
CLINICAL INTERVENTIONS,
COST CONTAINMENT,
COST EFFECTIVENESS,
COST EFFICIENCY,
DECENTRALIZATION,
DEPRECIATION,
DOCTORS,
EMPLOYMENT,
EXPENDITURE,
FEE FOR SERVICE,
FIXED COSTS,
GLOBAL BUDGETS,
HEALTH CARE,
HEALTH CARE FINANCING,
HEALTH CARE PROVISION,
HEALTH INSURANCE,
HEALTH NEEDS,
HEALTH PLANNING,
HEALTH POLICY,
HEALTH SECTOR,
HEALTH SERVICES,
HEALTH STATUS,
HEALTH SYSTEM,
HEALTH SYSTEM GOALS,
HEALTHCARE RESOURCES,
HOSPITAL SERVICES,
HOSPITALS,
HUMAN DEVELOPMENT,
HUMAN RESOURCES,
INCOME,
INFORMATION NEEDS,
INTEGRATION,
LAWS,
LESSONS LEARNED,
MANAGEMENT CAPACITY,
MANAGERS,
MEDICAL EQUIPMENT,
NURSING,
NURSING HOMES,
NUTRITION,
OPERATING BUDGETS,
OPERATING COSTS,
PATIENT CARE,
PATIENTS,
PERFORMANCE INCENTIVES,
PROBABILITY,
PROMOTING HEALTH,
PUBLIC SECTOR,
PUBLIC SPENDING,
PURCHASING,
QUALITY OF HEALTH CARE,
QUALITY OF SERVICE,
QUALITY STANDARDS,
REFORM PROCESS,
REFORMS,
RESOURCE ALLOCATION,
SCREENING,
SERVICE DELIVERY,
SERVICE PROVISION,
TRANSPARENCY,
UNIT COSTS, |
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| Online Access: | http://documents.worldbank.org/curated/en/2004/09/5619920/hospital-global-budgeting
http://hdl.handle.net/10986/13645
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