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Contratación gubernamental de ONGs a gran escala para extender los servicios básicos de salud a las poblaciones pobres de Guatemala
Nieves I.; La Forgia G. M.; Ribera, Jaume; Rosenmöller, MagdaCase P-1006Service and Operations ManagementEl caso presenta la situación del Programa de Extensión de Cobertura de Servicios Básicos - PECSB en Guatemala a principios del 2000. En sus tres años de existencia el programa ha demostrado su éxito al atraer un gran número de ONGs para colaborar con el Gobierno en la extensión de la cobertura de servicios de salud a poblaciones pobres e indígenas que habitan en áreas rurales. El nuevo gobierno se cuestiona la necesidad de transformar los «conve...Starting at €8.20
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Vacunación en Bogotá ante la descentralización y reforma del sistema de salud en Colombia (A)
Gallardo H. M.; Camacho M.; Tono T.; Pancorvo J.; Ribera, JaumeCase P-1028Service and Operations ManagementLa descentralización dentro de la reforma del sector salud ha tenido un gran impacto en los resultados de la salud pública. El caso muestra las dificultades encontradas a nivel regional y las decisiones que se han tomado para lograr los objetivos trazados. El caso presenta una descripción general de algunas intervenciones públicas en el contexto de la reforma de salud en Colombia, y se concentra en el análisis descriptivo de la evolución, decisio...Starting at €8.20
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Vaccination in Bogotá before the decentralisation and reform of the Health System in Colombia (A)
Gallardo H. M.; Camacho M.; Tono T.; Pancorvo J.; Ribera, JaumeCase P-1028-EService and Operations ManagementDecentralization as part of the reform of the health system has had a significant impact on the effectiveness of the public health system. The case shows the difficulties encountered in regional management and the decisions that have been made to achieve the goals that have been set. The case provides a general description of certain government initiatives in the context of the reform of the health system in Colombia, subsequently focusing on the...Starting at €8.20
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Large-Scale Government Contracting of NGOs to Extend Basic Health Services to Poor Populations in Guatemala
Nieves I.; La Forgia G. M.; Ribera, Jaume; Rosenmöller, MagdaCase P-1006-EService and Operations ManagementThe case discusses the situation of the Basic Services Coverage Extension Program (PECSB) in Guatemala at the beginning of 2000. During its three years of existence, the program has proven to be successful in persuading a large number of NGOs to work with the government in extending health services coverage to poor native populations living in rural areas. The new government is wondering whether the existing "agreements" should be upgraded to con...Starting at €8.20
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El Instituto Mexicano del Seguro Social hacia la desconcentración de sus proveedores de servicios de salud
Jané E.; Ribera, JaumeCase P-1044Service and Operations ManagementEl Instituto Mexicano del Seguro Social (IMSS), una organización altamente centralizada y jerárquica, comenzó hace tres años un proceso de devolución de sus unidades de servicio, agrupadas en Areas Médicas de Gestión Desconcentrada (AMGD). El proceso era lento hasta que se diseñó un proyecto para crear las herramientas necesarias para administrarlo bajo las nuevas condiciones de autonomía. El Dr. Martín es el jefe de una de estas AMGD. El y sus ...Starting at €8.20
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Ampliación y desarrollo de servicios de salud en áreas con alta marginación y sin cobertura
Lee, Gabriel Manuel; Ribera, Jaume; Rosenmöller, MagdaCase P-1008Service and Operations ManagementEl caso describe el desarrollo del PAC - Programa de Ampliación de Cobertura, desde su inicio en 1994 hasta principios del 2000. El PAC ha conseguido alcanzar una cobertura casi universal de la población que habita pequeñas comunidades rurales remotas. El caso describe la situación en 1994, las alternativas disponibles al Ministerio, y las características del programa diseñado. También presenta su desarrollo operativo, repasa las acciones emprend...Starting at €8.20
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Strategic Purchasing in Haiti to Improve Health: Why pay for inputs when you can pay for results
Eichler R.; Savedoff B.; Ribera, JaumeCase P-1043-EService and Operations ManagementHolding health institutions accountable for achieving explicitly defined results by linking payment to results can be a powerful strategy to improve health system performance. The Director of a USAID supported project that funds nongovernmental organizations in Haiti to provide basic health services used strategic purchasing to improve the effectiveness of primary health care by paying providers for results. These providers had been operating und...Starting at €8.20
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The Mexican Social Security Institute - Towards deconcentration of health service providers
Jané E.; Ribera, JaumeCase P-1044-EService and Operations ManagementThree years ago, the Mexican Social Security Institute (IMSS), a highly centralized and hierarchical organization, started to devolve powers to its service units, grouped in decentrally managed medical areas (AMGDs). It was a slow process until a project was set up to create the necessary tools to administer the new decentralized system. Dr. Martín is the head of one of the new medical areas. He and his bosses have made the necessary changes to ...Starting at €8.20
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Growing pains: the Nicaraguan social insurance health model in transition
La Forgia G. M.; Ribera, Jaume; Rosenmöller, MagdaCase P-1009-EService and Operations ManagementA consultant who has been contracted to draw up a report examining the feasibility of applying a model similar to that of the MSP (provisional health model, already operating within the INSS - Nicaraguan Institute of Social Security) to poor populations not covered by the INSS, reaches the conclusion that the model is not yet transferable as it may require urgent large-scale improvements. The case describes the MSP's progress: a 160% growth in th...Starting at €8.20
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Health Service Expansion and Development among the Uninsured Poor Population
Lee, Gabriel Manuel; Ribera, Jaume; Rosenmöller, MagdaCase P-1008-EService and Operations ManagementThis case describes the development of the PAC - Coverage Extension Program, from its creation in 1994 to the beginning of 2000. The PAC has managed to provide almost universal coverage for the population living in small, remote rural communities. The case describes the situation in 1994, the alternatives that were open to the ministry and the features of the program designed. It also discusses its operational development, reviews the actions tha...Starting at €8.20