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The Evaluation of National Health Systems

Autor George E. Cumper
en Limba Engleză Hardback – 21 feb 1991
As the demand for health care grows faster than the finance available, many developing countries (and some developed ones) are forced to evaluate their health systems, and even reorganize them. This needs more than an endorsement of international health policies and the accumulation of evaluations of individual projects. It needs the use of all available data on health system performance and a comparison with the standards the system is meant to meet: these standards relate not only to biomedical matters, but to administration, resource use and public demand. This requires a good understanding of the structure and working of the system, and of how the evaluator's results may be applied. This book is based particularly on experience in the Caribbean and the countries of south east Asia.
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Specificații

ISBN-13: 9780192618030
ISBN-10: 0192618032
Pagini: 232
Ilustrații: line illustrations, tables
Dimensiuni: 163 x 238 x 19 mm
Greutate: 0.51 kg
Editura: OUP OXFORD
Colecția OUP Oxford
Locul publicării:Oxford, United Kingdom

Cuprins

INTRODUCTION: The need for national health system evaluation; Is programme and project enough?; National evaluation and national and district planning; Basis for study; MICRO-EVALUATION: WHO NEEDS IT?; STRATEGY FOR EVALUATING A NATIONAL HEALTH SYSTEM: Evaluation: comparing performance with standards; Evaluation at national level: opening the black box; Choosing standards: trace conditions and tracer problems; BASIC INFORMATION ON HEALTH SYSTEM PERFORMANCE: Waste not, want not: making the most of the data; Sources of information on health care events; Sources of information on health care resources; Sources of information on organization and management; STANDARDS FOR HEALTH SYSTEM EVALUATION: Norms and standards: some basic problems; Technical standards and the quality of care; Input norms; Financial and administrative standards; The policy-planning - budgeting system - hero or villain?; Standards based on consumer demand; EVALUATION: PROCESS, PRIORITIES TECHNIQUES: Making the evaluation process work; Developing system-level understanding: some techniques; The limits of intuition; THE RESULTS OF EVALUATION: Who wants evaluation, and for what?; Communicating the results of evaluation; Strengthening arrangements for further evaluation; Evaluation and the negotiation of change; THE FUTURE OF NATIONAL HEALTH SYSTEM EVALUATION: References; Appendix; Index.

Recenzii

`... it is clearly set out, well written in a lively informative style, and interspersed with interesting case studies. `... this is an interesting and informative book' `Cumper has done an excellent job in producing such an authoritative exposition of evaluation, that anyone connected with health care systems must read.' Health Services Management Research
`Well written in a lively informative style, and interspersed wtih interesting case studies.' Health Services Management Research