A Tale of Excessive Hospital Autonomy? An Evaluation of the Hospital Reform in Senegal
This report evaluates the hospital reform that took place in Senegal in 1998. The reform was successful in granting hospitals considerable autonomy in all management areas, yet resulted in many hospitals closing to bankruptcy. After the reforms the...
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| Language: | English |
| Published: |
World Bank, Washington, DC
2012
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| Online Access: | http://documents.worldbank.org/curated/en/2012/05/16279763/senegal-tale-excessive-hospital-autonomy-evaluation-hospital-reform-senegal http://hdl.handle.net/10986/11880 |
| Summary: | This report evaluates the hospital
reform that took place in Senegal in 1998. The reform was
successful in granting hospitals considerable autonomy in
all management areas, yet resulted in many hospitals closing
to bankruptcy. After the reforms the population continued to
regard hospital care as unaffordable and of inadequate
quality. The very mixed results of the hospital reform are
due to a lack of efficiency and built-in accountability. The
report concludes that it might have been possible to avoid
the current situation if in addition to empowering
hospitals, an accountability mechanism had been implemented.
The priorities will be to restore some government control
over hospitals, restore the efficiency of hospitals, and
create some progress on equity of access to hospital care. |
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