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- W2227262804 abstract "In 2010, the Government of Maldives (GoM) initiated a policy of corporatization of the public health delivery system. This note considers the potential for this reform strategy to contribute to the aims of universal health coverage based upon an initial review by the World Bank. A conclusion is that these corporations do not appear ready to contribute effectively to the aims of a universal health insurance scheme, and represent the weakest link in the overall reform effort. Policymakers and planners may need to direct much more attention to the service delivery components of the scheme than has been the case to date. In practice, the corporations continue to behave similarly to public budgetary organizations, as budgetary grants, largely unlinked to performance, continue to form the bulk of their resources. The corporations collect the same routine data mandated by the Ministry of Health and Family (MOHF) for all health facilities prior to corporatization, but do not appear to analyze the information; basic data on quality and patient satisfaction are apparently absent. However, the authors conclude that the Health Service Corporations (HSCs) have the potential to reorganize service delivery to provide high quality care efficiently, however they will need considerable technical support to build capacity to manage the facilities and improve performance. A performance monitoring system within the government that would monitor the HSCs on a regular basis is lacking. There is clearly a need to establish coordinated lines of accountability with the corporations to monitor and improve their performance. There is also an urgent need to define and strengthen primary care so as to improve its gate keeper role and to reduce the hospital centric nature of the Maldivian health service system. The policy brief proposes some recommendations and areas for further analysis in order to better ensure that the corporatization contributes to the GOM's objectives for the health sector." @default.
- W2227262804 created "2016-06-24" @default.
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- W2227262804 date "2011-09-01" @default.
- W2227262804 modified "2023-09-26" @default.
- W2227262804 title "Preliminary policy note on assessment of health service delivery system in light of proposed universal health insurance scheme" @default.
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