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Contents
Chapter 3
Chapter 4
Notes References
30 33
Results and Cross-Cutting Issues Population Coverage Enrolment and Beneficiaries Benefits Utilization Expenditures and Costs Rate Setting and Provider Payment Provider Networks, Quality, and Patient Satisfaction The Role of Public Hospitals Financial Benefits and Burdens on Patients Cost Containment Institutional Arrangements and Managerial Capacity The Political Economy of Demand- and Supply-Side Financing Conclusion: Successes and Challenges Annex 3A Statistical Annex Annex 3B Methods Used for Population-Coverage Projections Annex 3C Methods Used for Expenditure Projections Notes References
37 37 40 47 53 58 65
Addressing GSHIS Operational Challenges Promoting Governance and Coordination Strengthening Purchasing and Contracting Practices Reinforcing Cost Containment: (1) Provider Payment Systems Reinforcing Cost Containment: (2) Additional Measures Establishing Robust Monitoring and Data Use Fixing Targeting Mechanisms Introducing Quality-Based Purchasing
70 77 81 87 92 101 104 109 110 111 111 120 127 128 130 131 138 140 142 143