This article looks at the application of performance measurement systems in the health sector across OECD countries. The data comes from the 2017 OECD Survey on Performance Measurement Systems in the Health Sector and Responsibilities across Levels of Government. The results show that the...

Measuring health care productivity is important as health is a large sector of the economy and with the majority of funding coming from public sources, the outlook for productivity growth is a critical factor in the debate about fiscal sustainability. The UK has over 20 years’ experience of...

In light of the many discussions advocating the use of pay-for-performance and performance budgeting, this paper argues that discouraging experience with both approaches should temper expectations that performance measurement can be a reform that will make health care systems more "sustainable"...

We use a randomized community development programme in rural Pakistan to assess the impact of citizen engagement on public service delivery and maternal and child health outcomes. The programme had a strong focus on ensuring the participation of women. Women in the study villages had also...

This work is a compilation of studies produced at the Social Studies Department - Disoc/Ipea to support the elaboration of the document "Brazil: the state of the Union - 2007". Health outcomes in the last decades, health policies after 1988 and the role of the government in health care are...

The development of institutions of self-governance in India, and specifically the 2005 reform - the National Rural Health Mission that introduced village health and sanitation committees - provide a unique opportunity to study the effects of the strengthening of the political agency on...

This paper analyses the dramatic spread of education and healthcare in Asia and also the large variations in that spread across and within countries over 50 years. Apart from differences in initial conditions and income levels, the nature of the state has also been an important determinant of...

We evaluate the efficiency of expenditure in health care provision by comparing various output measures (life expectancy; infant survival rate; years of life recovered from diseases; population; area) from the health system of Brazilian and OECD countries with an expenditure measure (health...

Different conceptions about distribution criteria in health services are discussed based on the notion of fairness, and in the assumption that health requirements are simultaneously social security needs. Issues of equity and limits in distribution of health services are highlighted as they are...

The World Bank's health sector projects in Timor-Leste - the Health Sector Rehabilitation and Development Project and the Second Health Sector Rehabilitation and Development Project - have been among the few successful operations it has funded in that country. This paper examines the factors...