[EQ] Productive Management Methodology for Health Services - Introduction

Productive Management Methodology for Health Services
Introduction

The Pan American Health Organization PAHO/WHO, 2010
English Version: PDF [43p.] available online at: http://bit.ly/eH25YW

Metodología de Gestión Productiva de los Servicios de Salud – Introducción
Spanish version PDF [44p.] URL: http://bit.ly/hYKtsD

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“………As a contribution to the task of building and strengthening managerial capacity in health systems and services, improving the use of information and evidence for decision-making and action, PAHO provides the Productive Management Methodology for Health Services (PMMHS) and its support tools as an option for health services managers. The PMMHS is presented as an alternative that provides information for analyzing the relevance, efficiency and quality of healthcare provision, negotiation of management agreements (contracts) and costing and financing of health care services.

“…………health systems face two major challenges that affect progress toward health systems based on PHC, namely segmentation of health systems and the resulting fragmentation of the services. Segmentation is defined as the coexistence of independently operating subsystems with varying financing mechanisms that cover various segments of the population usually in accordance with ability to pay (3).

Fragmentation is defined as the “coexistence of several units or facilities with no integration within the healthcare network” (4).

 

The predominant health system model in the Region Americas segments populations based on employment status and ability to pay. In organisational terms, segmented models are characterized by the existence of multiple financing and insurance schemes in which one or more public subsystems (central or local government financing and social security systems represented by one or more entities) coexist with private financing/insurance entities, all competing within the health sector. These various financing mechanisms in turn, create fragmented healthcare delivery services that operate without coordination, and provide health services to the segmented populations as defined by the financing entities.

 

Fragmentation is a major cause of low performance levels by health systems and services and it has been identified as one of the main obstacles to the achievement of health goals, including the Millennium Development Goals. This fragmentation can have myriad causes and effects on both the population and health systems……..

 

Content

CONCEPTUAL FRAMEWORK AND PAHO’s STRATEGIC MANDATES

 

What is the Productive Management Methodology for Health Services  PMMHS?

STRUCTURAL ELEMENTS OF PMMHS

FUNCTIONS OF THE PMMHS AND PRODUCTS OF THE PERC TOOL

PMMHS: BASIC CONCEPTS

KEY CONCEPTS IN PMMHS

1. FUNDAMENTAL ELEMENTS OF THE PMMHS

2. PRODUCT

3. PRODUCTION

4. EFFICIENCY

5. RESOURCES

6. COSTS

METHODOLOGICAL CHARACTERISTICS OF THE PMMHS

PMMHS AND PAHO’S TECHNICAL COOPERATION

REFERENCES

Dr. Reynaldo Holder Regional Advisor – Health Services

Health Systems and Services Area OPS/OMS – PAHO/WHO

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