Patients' Satisfaction in Healthcare Services


Book Description

This paper aims to compare the patients' satisfaction in healthcare services provided by the public and private hospitals in Bangladesh. A sample of 280 patients was selected to collect the primary data through SERVQUAL model to compare the patients' satisfaction in healthcare services. We have selected six (06) different hospitals comprising three public and three private hospitals. The questionnaire was based on SERVQUAL instrument consisting of 22 items representing five dimensions of service quality and considered as five different constructs which are Empathy (4 items), Tangibles (6 items), Assurance (6 items), Timeliness (3 items) and Responsiveness (3 items). In this study, service quality constructs has been developed based on patient perception about the service quality of the hospitals. Levene's Test for Equality of Variance (an independent t-test) is performed to compare the service quality provided by the hospitals. Equal variances were assumed for each item. This Test provides mean difference, t-value, degrees of freedom (df) and their significance (p-value). The finding of the study shows that the public hospitals are performing better in providing quality services compared to private hospitals.




The Path to Universal Health Coverage in Bangladesh


Book Description

Bangladesh is committed to achieving universal health coverage (UHC) by 2032; to this end, the government of Bangladesh is exploring policy options to increase fiscal space for health and expand coverage while improving service quality and availability. Despite Bangladesh’s impressive strides in improving its economic and social development outcomes, the government still confronts health financing and service delivery challenges. In its review of the health system, this study highlights the limited fiscal space for implementing UHC in Bangladesh, particularly given low public spending for health and high out-of-pocket expenditure. The crisis in the country’s human resources for health (HRH) compounds public health service delivery inefficiencies. As the government explores options to finance its UHC plan, it must recognize that reform of its service delivery system with particular focus on HRH has to be the centerpiece of any policy initiative.




Trade in Health Services in South Asia


Book Description

This book observes that an in-depth study exclusively focusing on health service trade not only strengthens the overall services trade capacity of the South Asian region, but also promotes global as well as regional trade. There is a dearth of analytical research on estimating barriers to trade in health services, particularly in the context of South Asia, and as such, this book assesses the potential benefits and economic costs of barriers to trade in health services in select South Asian economies. It also analyzes the impact of liberalization and regulatory reforms on economic welfare. It broadly addresses issues relating to trade in health services, the GATS (General Agreement on Trade in Services), such as: Why are the current levels of trade in health services low? How will the GATS legally affect a country’s health policy? What effect might liberalization have on national health systems? And what are the likely benefits of greater trade in health services? It also provides specific answers to the following questions: Does the substantial role of the government in health – as health service provider, financial supporter, regulator and promoter – have implications for the treatment of the sector under the GATS? What is the impact of liberalization of international trade in health services on the quality and availability of health services in developing SAARC countries? Given the importance of consumption abroad for trade in health services, and the gradual opening of health markets through Modes 1 and 3 (cross-border supply and commercial presence), how can problems associated with trade in these Modes be prevented? And are these problems sufficiently addressed by GATS disciplines? Answers to these questions will be of great use to researchers, policy makers as well as practitioners and NGOs of South Asia.




Healers or Predators?


Book Description

For every story of optimism about the growth of medical tourism to India, there are multiple others about medical neglect. Scratch the surface and you find a thick layer of corruption in this life-sustaining sector. This hard-hitting volume shows a mirror to society and, more specifically, to those associated with the health sector—on how healers, in many cases, are shifting shape to becoming predators. In the essays by contributors from within and outside the medical fraternity, we see the many faces, the many facets of corruption—from exorbitant billing by corporate hospitals to the non-merit-based selection in medical colleges to questionable motives playing strong in the area of organ transplantation. But Healers or Predators? is not only about the illness affecting the sector. It also offers solutions, and some stories of hope. The Foreword by Amartya Sen is an added bonus. ‘This splendid, if depressing, book will do a lot to remedy [the] momentous neglect [of healthcare]. We have excellent reasons to be grateful to the authors and editors of this important collection of investigative studies.’—Amartya Sen







Gost Doctors


Book Description

Unannounced visits were made to health clinics in Bangladesh to determine what proportion of medical professionals were at their assigned post. Averaged over all job categories and types of facility, the absentee rate was 35 percent. The absentee rate for physicians was 40 percent at the larger clinics and 74 percent at the smaller sub-centers with a single physician. Whether the medical provider lives near the health facility, the opportunity cost of the provider's time, road access, and rural electrification are highly correlated with the rate and pattern of absenteeism.




Health Economics and Financing


Book Description

The latest edition of the gold standard in the economics and financing of health care In the newly revised Sixth Edition of Health Economics and Financing, an expert team of authors delivers an authoritative discussion of key topics in the economic and finance issues relevant to health care. From cost-benefit and cost-effectiveness analyses to the economic considerations driving the choices of physicians, hospitals, and pharmaceutical companies, the book explores the influence of financial considerations – both public and private – that remain front-of-mind for modern health care decision makers.




Financing Health Services in Developing Countries


Book Description

This report discusses several different approaches that support reforming health care services in developing countries. For some time now, health care services have been supported by government funds. As demands for improving health care services continue to increase additional demands will be placed on governments to respond. This, however, will not be easy. Slow economic growth and record budget deficits in the 1980's have forced reductions in public spending. Alternative approaches to finance health care services are needed. Such possible changes could involve: decentralization of federal government involvement; the promotion of nongovernment involvement; the imposition of user fees; and, establishing health insurance. Finally, the role of the Bank in pursuing new financing strategies is discussed.