Health Planning for Effective Management

Front Cover
William A. Reinke
Oxford University Press, Apr 14, 1988 - Medical - 304 pages
Emphasizing practical considerations in designing and carrying out primary health care programs, this is a superb introductory text for public health students. It will be of particular interest to those working with rural populations in developing countries with limited resources. Part I covers policy issues and the conceptual framework for planning, management and evaluation. Part II reviews essential methods for effective implementation, considering the economic, political, epidemiologic, demographic and other components that contribute to the assessment of health needs and resource allocation. Part III discusses specific tools and techniques in program management related to decision analysis, network analysis, survey techniques, cost-effectiveness appraisal, and much more. Comprehensive and informative, this highly practical work is the result of many years of experience in teaching and working with health care planners from around the world.
 

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Contents

The Process Structure and Functions of Planning
5
Planning as an Education Process
10
Stages of the Planning Process
11
Management Analysis
21
Specific Management Issues
23
Health Systems Research in Relation to Planning
31
Scope and Features of Research
32
Illustrative Research Issues
33
Focus on Implementation
152
Summary
154
Financial Analysis
156
Organizational Implications
159
Financing Mechanisms
162
Timing of Program Expeditures
165
Community Involvement
172
Justifications for New Concepts of Community Involvement
174

Approaches and Methodology
35
Institutionalization of Research
39
Health Services Program Evaluation
42
Main Features of Management Decision Making
43
Capturing the Dynamics of Evaluation
45
Evaluation Measures
47
Evaluation Principles and Practice
50
The Planning Process Concepts Methods and Strategies
55
An Overview of the Planning Process
57
The Essence of Planning
66
The Information Base
71
Political Aspects of Planning
75
Consequent Difficulties in Planning
76
Implications of Political Issues for Planning
78
Summary
84
Economic Aspects of Health Planning
86
Microeconomic Considerations
87
Macroeconomic Considerations
93
Health Care Financing
96
Some Concluding Observations
99
The Demographic Base for Health Planning
102
Sources of Demographic Data
107
Errors in Demographic Data
110
Specific Demographic Data Needed for Health Planning
113
Epidemiologic Base for Health Planning
117
Epidemiologic Measures
119
Indicators
123
Obtaining the Information
125
Concluding Observations
128
Health Personnel Planning
131
Supply Analysis
132
Demand Analysis
138
Productivity
141
Will Supply Match Demand? Recommendations to Effect a Balance
142
Planning Health Facilities
147
Needs Assessment
148
Cost Analysis and Accounting
149
The Major Components of Community Involvement
176
Practical Process of Implementation
181
Organizational Structure and Process
187
Structural Considerations
188
Communications Networks
191
The Decision Process
194
Summary
198
Toward Plan Implementation Analytic Techniques and Tactical Considerations
201
Tools for Improving the Process of Planning
203
Logical Framework for Planning and Evaluation
206
Network Analysis
208
Sample Surveys
215
Methods and Timing of Data Collection
217
Considerations of Sample Size
219
Surveys for Comparative Analysis
222
Population Estimates and Projections
225
Changing Population Characteristics
229
Aggregated Effects of Changing Population Characteristics
232
Measurement of Health Needs and Services Utilization
237
Economic Costs of Illness
238
Decisions on Screening
239
Analysis of Services Utilization
241
ProviderInitiated Services
244
Personnel Analysis
248
Microanalysis
257
Macro and Microanalysis in Perspective
259
CostBenefit and CostEffectiveness Analysis of Health Programs
261
Special Considerations
263
Methodologic Issues
266
CostBenefit Analysis Family Planning
269
CostEffectiveness Analysis
270
Summary
273
Synthesis of Health Needs and Resources
276
Translating Facts into Priorities
277
Compatibility Among Priorities and Objectives
278
Index
285
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