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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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The San Miguel Arcángel Hospital
Bitrán, Ricardo; Vergara, Carles; Má C.; Sánchez, Loppacher J.Case P-1045-EService and Operations ManagementThe case describes a Panamanian public hospital's efforts to overcome two of the most important weaknesses of the health system in Panama: the lack of investment coordination between the ministry of health and social security hospitals, and the divorce between budget and performance. The approach involves sharing hospital financing between the ministry of health and the social security, and linking the hospital budget to the quantity and quality ...Starting at €8.20
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A New Hospital for Heredia. A Public-Private Partnership for Health Care
Cercone J.; Rosenmöller, MagdaCase P-1003-EService and Operations ManagementTogether with a senior official from the CCSS, the Costa Rican Social Security organization, the principal of a regional hospital in Costa Rica draws up a new model for public-private cooperation in health care, given the stringent limitations on public investment. The case follows the project's progress, presents the various problems encountered, and shows how it has succeeded in gaining the support of the various stakeholders involved. The CCSS...Starting at €8.20
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AIN-C Integrated Childcare: Improving Health and Nutrition at the Community Level
McGuire, Judit; Villalobos, Celia; Rosenmöller, MagdaCase P-1007-EService and Operations ManagementThe case describes a community health promotion program, AIN-C (Integrated Child Care) that has been very successful in reducing child malnutrition, which is the main factor behind high infant mortality in Honduras. The program's success is attributable to its simple, well thought-out operational design and the strong motivation of volunteers at community level. The ministry of health wants to extend the AIN-C program throughout the country and i...Starting at €8.20
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CFWshops
Friedman, Jared; Mungai, Edward; Rosenmöller, MagdaCase P-1104-EService and Operations ManagementCFWshops is a network of pharmacy franchises in Kenya, managed by the Sustainable Healthcare Foundation (SHF). The parent company of SHF is the Healthstore Foundation based in Minnesota, US. The non-profit HealthStore Foundation (HS) (formerly Sustainable Healthcare Enterprise Foundation) was founded in 1997 by Scott Hillstrom to ¿prevent needless death and illness by improving access to essential medicines in a sustainable way¿. Based on the bas...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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Introducing DRGs as an Instrument for Clinical Management
Cercone J.; Márquez G.; García Prat, AntoniCase P-1048-EService and Operations ManagementThe case focuses on the use of DRGs in Costa Rica from the original motivation to use them, the implementation steps, the difficulties found and how they were addressed. The case describes the changes that occurred as a result of DRG introduction, and how the ?perverse incentives? were managed. The emphasis is on the lessons learnt in order to define the following implementation steps. The DRG system can be a useful tool to better organizing medi...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