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The Health System Knowledge Base is a new service brought to you by the International Hospital Federation. Click on the links below to research the Knowledge Base by Country/Region or by Topic.

Please also search through the Health Information Technology Section to find tools and resources on electronic health records, health information technology, standards and other ehealth topics.

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The Health Information Technology Section

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Brought to you by the International Hospital Federation (IHF) in partnership with the Healthcare Information and Management Systems Society (HIMSS), the Health Information Technology Section contains tools, resources and educational sessions that address electronic health records, standards and other ehealth topics.

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Hospital Partnership

Twinning for Health. AIHA Twinning Partnership Tool

THET. Partnerships for Global Health

Diversity and equality of opportunity. Fundamentals for effective action in the microcosm of the health institution

Healthcare Delivery and Management

The future of global healthcare delivery and management The future of global healthcare delivery and management

Managing Demand for Acute Care Managing Demand for Acute Care

AHHA Issues Paper 2009 - Multi-purpose Services AHHA Issues Paper 2009 - Multi-purpose Services

Patient Satisfaction

Patients organization London 2012 Patients organization London 2012

Accreditation & Quality in hospitals

Planetree Designation Criteria Public Comment Invitation Planetree Designation Criteria Public Comment Invitation

Egyptian hospital accreditation program: standards Egyptian hospital accreditation program: standards

Comparison of quality of care for patients in the veterans health administration and patients in a national sample

Quality assurance project: the impact of accreditation on the quality of hospital care : Kwazulu-Natal province, Republic of South Africa

Quality of obstetric care observed in 14 hospitals in Benin, Ecuador, Jamaica and Rwanda

Health care quality indicators: Project conceptual framework paper

Health care quality indicators project 2006: Data collection update report

Developing and implementing an accreditation program in Egypt

Licensure, Accreditation, and Certification: approaches to health services quality

Standards for health promotion in hospitals

What is important in evaluating healthcare quality? An international comparison of user view

Contracting and Public - Private Partnerships

Providing skilled birth attendants and emergency obstetric care to the poor through partnership with private sector obstetricians in Gujarat, India

Spanish health district tests a new public-private mix

Public and/or private health care: Tuberculosis patients' perspectives in Myanmar

Contracting private sector providers for public sector health services in Jalisco, Mexico: perspectives of system actors

Contracting between faith-based and public health sector in Sub-Saharan Africa: an ongoing crisis?

Public hospitals: Options for reform through Public-Private Partnerships

Purchasing inpatient and outpatient care through hospitals

Experiences of contracting with the private sector. A selective review Experiences of contracting with the private sector. A selective review

Trends and opportunities in Public Private Partnerships (PPP) to improve health services in Africa

Renewing primary health care in the Americas Renewing primary health care in the Americas

District Hospital System

Implementation of a structured paediatric admission record for district hospitals in Kenya: results of a pilot study

Tools for assessing the operationality of district health systems

Healthcare Access and Utilization

Mortality, violence and access to care in two districts of Port-au-Prince, Haiti

Optimization of preventive health care facility locations

Seasonal variation and hospital utilization for tuberculosis in Russia: hospitals as social care institutions

The influence of insurance status on waiting times in German acute care hospitals: an empirical analysis of new data

Temporal and geographic heterogeneity of the association between socioeconomic position and hospitalisation in Italy: An incomebased indicator

Social heterogeneity in self-reported health status and measurement of inequalities in health

The prisoner as patient - a health services satisfaction survey

Innovative service models to improve quality and access

Health inequities in the South East Asia region: selected country case study

Three methods to monitor utilization of healthcare services by the poor

Achieving progress in maternal and neonatal health through integrated and comprehensive healthcare services. Experiences from a program in northern Tanzania

Community perception and factors influencing utilization of health services in Uganda

Self-assessed health of immigrants in France

Globalization and social determinants of health: analytic and strategic review paper

Developing and implementing equity-promoting health care policies in China

The economic burden of illness for households in developing countries: a review of studies focusing on malaria, tuberculosis and HIV/AIDS

Measuring disparities in health status and in access and use of health care in OECD countries

Closing the gap in a generation: Health equity through action on the social determinants of health

Household-to-hospital continuum of maternal and newborn care

Equity, access to healthcare services and expenditures on health in Nicaragua (Angel-Urdinola et al)

Bangladesh: Inequalities in utilization of maternal services, Evidence from MATLAB (Anwar et al)

Reducing hospital beds: What are the lessons to be learned?

Inequalities in health care use and expenditures: empirical data from 8 developing countries and countries in transition

Rapid methods for monitoring the utilization of healthcare facilities by the poor: findings from a pilot project in rural Bangladesh Rapid methods for monitoring the utilization of healthcare facilities by the poor: findings from a pilot project in rural Bangladesh

Health Human Resources

Challenges at work and financial rewards to stimulate longer workforce participation

Wanted: 2.4 million nurses, and that's just in India

Policy interventions that attract nurses to rural areas a multicountry discrete choice experiment

Evaluated strategies to increase attraction and retention of health workers in remote and rural areas

The role of nurses and midwives in polio eradication and measles control activities: a survey in Sudan and Zambia

Physicians' working conditions and job satisfaction: does hospital ownership in Germany make a difference?

Assessment of human resources management practices in Lebanese hospitals

How do general practitioners and specialists value their mutual communication? A survey

Hurdles at work: perceptions of hospital food handlers

A quantitative tool for workforce planning in healthcare: example simulation

Surgical task shifting in Sub Saharan Africa

Task shifting: the answer to the human resources crisis in Africa?

HIV and infant feeding counseling: challenges faced by nurse-counsellors in Northern Tanzania

Nurse staffing and quality of patient care Nurse staffing and quality of patient care

Information needs for health care workers in developing countries: a literature review with a focus on Africa

Idle Capacity in resource strapped government hospitals in Kerala: Size, distribution and determining factors Idle Capacity in resource strapped government hospitals in Kerala: Size, distribution and determining factors

An experience of virtual leadership development for human resource managers

Measuring the inequalities in the distribution of health workers: the case of Tanzania

Human resources for health at the district level in Indonesia: the smoke and mirrors of decentralization

Mid-level providers in emergency obstetric and newborn health care: factors affecting their performance and retention within the Malawian health system

Work satisfaction of professional nurses in South Africa : a comparative analysis of the public and private sectors

Nursing brain drain from India

Human Resources for Health policies: A critical component in health policies (Dussault G et al)

Health Information Systems

Integrated health information systems in Tanzania : Experience and challenges

Health Insurance

Financial protection in health in rural China, 1978-2005. Trends and current status. Financial protection in health in rural China, 1978-2005. Trends and current status.

Step-wedge cluster-randomized community-based trials: an application to the study of the impact of community health insurance

Impact of SEWA's medical insurance fund on hospital utilization and expenditures. A household survey

Efficiency of Thai provincial public hospitals after the introduction of national health insurance program

Health System Financing

Role of cash in conditional cash transfer programmes for child health, growth, and development an analysis of Mexico's Oportunidades

When the patient falls out of bed, who pays?

What can be learned from data for financing of global health

Dynamic estimation of health expenditure: a new approach for simulating individual expenditure

Protecting pro-poor health services during financial crisis lessons from experience

Which health policies are pro-poor? Which health policies are pro-poor?

Can microcredit help improve the health of poor women? Some findings from a cross-sectional study in Kerala

Conditional cash transfers

Social health insurance versus tax-financed health systems Evidence from the OECD

Health Systems in East Asia What Can Developing Countries learn from Japan and the Asian Tigers

Health Service Delivery in China A Literature Review

Hospital governance and incentive design the case of corporatized public hospitals in Lebanon

Purchasing inpatient and outpatient care through hospital

Review of Health Care Provider Payment Reforms in China

Health financing in Thailand final integrated report

Health System Organisation

Clinical Handover: system change, leadership and principles Clinical Handover: system change, leadership and principles

The Chalmers Oration 2009 The Chalmers Oration 2009

Fixing the Public Hospital System in China Fixing the Public Hospital System in China

Provision of secondary care in fragile state contexts

A systematic review of the evidence on integration of targeted health interventions into health systems

Can economic evaluation in telemedicine be trusted A systematic review of the literature

Private sector health care in Indonesia

Making health markets work better for poor people improving provider performance

Strengthening health systems to promote security

The preferred doctor scheme a political reading of a French experiment of gate keeping

Impact of health care system on socioeconomic inequalities in doctor use

The Long-Term Care workforce: overview and strategies to adapt supply to a growing demand

Brazil Enhancing performance in Brazil's health sector Lessons from innovation in the state of Sao Paulo and the city of Curitiba

Service availability mapping in Uganda Service availability mapping in Uganda

The role of the hospital in a changing environment

Health Technologies

"We noticed that suddenly the country has become full of MRI". Policy makers' views on diffusion and use of health technologies in Iran

Provider performance and information and communication technologies

Telemedicine support for the developing word Telemedicine support for the developing word

Theory versus Practice: Discussing the governance of health technology assessment system

Hospital Autonomy

Monitoring and evaluating hospital autonomization and its effects on priority health services

Hospital autonomy in Ghana: The experience of Korle Bu and Komfo Anokye teaching hospitals

Hospital autonomy in India: The experience of APVVP hospitals

Hospital autonomy in Indonesia Hospital autonomy in Indonesia

Hospital autonomy in Kenya The experience of Kenyatta national hospital

Hospital Autonomy in Zimbabwe

Autonomy of Apex hospitals in Uganda too little, too slow

Hospital Costs

Analysis of Hospital costs a manual for managers

Estimating average inpatient and outpatient costs and childhood pneumonia and diarrhoea treatment costs in an urban health centre in Zambia

Hospital Global Budgeting (Dredge R)

Hospital Cost Functions for developing countries

Improving hospital management skills in Eritrea: costing hospital services

Public hospital costs and quality in the Dominican Republic Public hospital costs and quality in the Dominican Republic

Hospital Management

Does type of ownership influence physicians' daily work schedules? An observational real-time study in German hospital department.

Lack of effective communication between communities and hospital in Uganda: a qualitative exploration of missing links

Improving imperfect data from health management information systems in Africa using space-time geostatistics

Configuring the hospital in the 21st century

An inquiry into good hospital governance: A New-Zealand-Czech comparison

Hospital management staffing and training issues

Economics and financial management: What do district managers need to know?

Strengthening management in Low income countries

Hospital governance in Latin America: Results from a four-nations survey

Hospital performance improvement: trends in quality and efficiency. A quantitative analysis of performance improvements in US hospitals

Analyse de la pertinence des hospitalisations dans la région de Monastir (Tunisie)

Improve health system performance through better care coordination

Hospital Performance

Does Competition Improve Public Hospitals’ Efficiency? Evidence from a Quasi-Experiment in the English National Health Service

Innovations to improve provider performance

How can hospital performance be measured and monitored?

Performance analyses of public hospital in the estate of Bahia with different organization models

The volume-outcome relationship in hospitals. Lessons from the literature

An international review of projects on hospital performance assessment

Better practices in performance improvement: cost and results analysis

How can hospitals performance be measured and monitored

Hospital performance in Brazil: The search for excellence

Hospital Reform

Health-Care systems: Lessons from the reform experiences

Health Sector reform: Improving hospital efficiency Health Sector reform: Improving hospital efficiency

Understanding organizational reforms - The corporatization of public hospitals (Harding SA et al)

Organizational reform in the Hungarian health sector: institutional analysis of Hungarian hospitals and the possibilities of corporatization (Rethelyi et al)

The introduction of market forces in the public health sector. From new public sector management to organizational reform

Implementation of hospital reform policies: Lessons of experience

Turkey: Reforming the health sector for improved access and efficiency

International Strategies

The health impacts of globalization: a conceptual framewor

Renewing primary health care in the Americas

An assessment of interactions between global health initiatives and country health systems

Working with the non-state sector to achieve health goals

Health in the developing world: achieving the MDG

Fiscal space and sustainability towards a solution for the health sector

Patient Safety

Healthcare Quality Indicators Project: Patient safety Indicators Report 2009

World Alliance for Patient safety. Forward Programme 2005

Patient Safety in American Hospitals

Selecting indicators for patient safety at the health systems level in OECD countries

Safe preparation, storage and handling of powdered infant formula - Guideline

Learning from large-scale community-based programmes to improve breastfeeding practices

Pay for Performance

Utilizing performance-based financing to achieve health goals

Pay for performance to improve maternal and child health in developing countries. Findings from an online survey

Paying for performance in health : a guide to develop blueprint

Pharmaceuticals

Cost-effectiveness of anti-retroviral therapy at a district hospital in Southern Ethiopia

Pharmaceuticals: Cost containment, Pricing, Reimbursement

Vaccines and drugs: characteristics of their use to meet public health goals

Local Production of pharmaceuticals: Industrial policy and access to medicines. An overview of key concepts, issues and opportunities for future research

Generic drug policies in Latin America

User Fees

Unofficial fees in Bangladesh: price, equity and institutional issues

Mobilizing resources for health: The case for user fees revisited Mobilizing resources for health: The case for user fees revisited

Waivers and exemptions for health services in developing countries Waivers and exemptions for health services in developing countries

Access to healthcare for all? User fees plus a health equity fund in Sotnikum, Cambodia Access to healthcare for all? User fees plus a health equity fund in Sotnikum, Cambodia

Waivers, exemption and implementation issues under user fees for healthcare. Equity funds and other waiver systems in Cambodia Waivers, exemption and implementation issues under user fees for healthcare. Equity funds and other waiver systems in Cambodia