Resources for Chapter 13

Efficient Government Health Spending

What the chapter is about

This chapter deals with how Governments spend money on health care. It considers efficiency of spending, creating fiscal space for health, improving public sector management and decentralising healthcare

Listen to an AI-generated discussion about the contents of the chapter

The case studies from this chapter are from:

  • Belgium
  • Cambodia
  • Singapore

References with links to full text where available

Alatawi, A. D., Niessen, L. W., & Khan, J. A. (2020). Efficiency evaluation of public hospitals in Saudi Arabia: an application of data envelopment analysis. BMJ open, 10(1), e031924.

Alshehri, A., Balkhi, B., Gleeson, G., & Atassi, E. (2023). Efficiency and Resource Allocation in Government Hospitals in Saudi Arabi: A Casemix Index Approach. Healthcare (Basel, Switzerland), 11(18), 2513.     
https://doi.org/10.3390/healthcare11182513

Asamani, J. A., Kigozi, J., Sikapande, B., Christmals, C. D., Okoroafor, S. C., Ismaila, H., … & Mwinga, K. (2022). Investing in the health workforce: fiscal space analysis of 20 countries in East and Southern Africa, 2021–2026. BMJ Global Health, 7(Suppl 1), e008416.

Banzon, E., & Mailfert, M. (2018). Overcoming public sector inefficiencies toward universal healthcare, the case for national health insurance systems in Asia and the Pacific (ADB Sustainable Development Working Paper No. 53). Asian Development Bank.
https://www.adb.org/sites/default/files/publication/422596/sdwp-053-overcoming-public-sector-inefficiencies-health.pdf

Biggeri, M., Clark, D. A., Ferrannini, A., & Mauro, V. (2019). Tracking the SDGs in an ‘integrated’manner: A proposal for a new index to capture synergies and trade-offs between and within goals. World Development, 122, 628-647.

Bisaga, I., Parikh, P., Tomei, J., & To, L. S. (2021). Mapping synergies and trade-offs between energy and the sustainable development goals: A case study of off-grid solar energy in Rwanda. Energy Policy, 149, 112028.

Belle, S. V., Michielsen, J., Cornu, T., Martens, M., & Marchal, B. (2023). The Tale of Nine Belgian Health Ministers and a Multi-level Fragmented Governance System: Six Guiding Principles to Improve Integrated Care, Responsiveness, Resilience and Equity; A Response to the Recent Commentaries. International journal of health policy and management, 12, 7848. https://doi.org/10.34172/ijhpm.2022.7848

Cashin, C., Bloom, D., Sparkes, S., Barroy, H., Kutzin, J, & O’Dougherty, S. (2017). Aligning public financial management and health financing: Sustaining progress toward universal health coverage (Health Financing Working Paper No. 4). World Health Organisation.     
https://apps.who.int/iris/bitstream/handle/10665/254680/9789241512039-eng.pdf

Davies, N., Atkins, G., & Sodhi, S. (2021). Using targets to improve public services. Institute for Government, London.

Dubas-Jakóbczyk, K., Domagała, A., Zabdyr-Jamróz, M., Kowalska-Bobko, I., & Sowada, C. (2023). The 2021 plan for hospital care centralisation in Poland–When politics overwhelms the policy process. Health Policy, 129, 104707.

Garcia-Escribano, M., Juarros, P., & Mogues, T. (2022). Patterns and drivers of health spending efficiency (Working Paper No. 2022/48). International Monetary Fund.
https://www.imf.org/en/Publications/WP/Issues/2022/03/04/Patterns-and-Drivers-of-Health-Spending-Efficiency-513694

Heller, P (2006), ―The Prospect of Creating ‗Fiscal Space‘ for the Health Sector,‖ Health Policy and Planning, 21(2): 7579.

International Monetary Fund (2018) Five country cases illustrate how best to improve tax collection, IMF Washington DC,
https://www.imf.org/-/media/Files/Publications/Fandd/Article/2018/March/akitoby.ashx

International Monetary Fund (2022) First Review Under The Stand-By Arrangement And Request For Modifications Of Performance Criteria And Structural Benchmarks, IMF Country Report 22/389, IMF Washington DC,
https://www.elibrary.imf.org/downloadpdf/journals/002/2022/389/002.2022.issue-389-en.xml     

Martens M, Danhieux K, Van Belle S, et al. (2021) Integration or fragmentation of health care? Examining policies and politics in a Belgian case study. Int J Health Policy Manag.. 10.34172/ijhpm.2021.58.

Mills, E. (2016). Identifying and reducing the health and safety impacts of fuel-based lighting. Energy for Sustainable Development, 30, 39-50.

Organisation for Economic Co-operation and Development (OECD) (2023) Health expenditure and financing – Government/compulsory schemes – current expenditure (all functions) – all providers – share of GDP
https://stats.oecd.org/Index.aspx?DataSetCode=SHA

Rajapaksa, L., De Silva, P., Abeykoon, A., Somatunga, L., Sathasivam, S., Perera, S. Fernando, F., De Silva, D., Perera, A., Perera, U., Weerasekara, Y., Gamage, A., Wellappuli, N., Widanapathirana, N., Fernando, R., Wijesundara, C., Seneviratne, R., & Weerasinghe, K. (2021). Sri Lanka health system review. World Health Organisation Regional Office for South-East Asia.

Sreeramareddy, C. T., & Sathyanarayana, T. (2019). Decentralised versus centralised governance of health services. The Cochrane Database of Systematic Reviews, 2019(9), CD010830.   
https://doi.org/10.1002/14651858.CD010830.pub2

Stachel, L. 2013. “Isha’s Dream – Lighting up lives in Sierra Leone.” WeCare Solar, http://wecaresolar.org/ishas-dream-lighting-up-health-care-in-sierra-leone/ [Accessed June 13, 2014]

Tandon, A., & Cashin, C. (2010). Assessing public expenditure on health from a fiscal space perspective. HNP Discussion Paper 56053          
https://www.academia.edu/download/92265375/560530WP0Box341penditureFiscalSpace.pdf

Tikkanen R, Osborn R, Elias Mossialos E, Djordjevic Wharton GA(2020) International Health Care System Profiles: Singapore, Commonwealth Fund   
https://www.commonwealthfund.org/international-health-policy-center/countries/singapore

van Vuuren, D. P., Zimm, C., Busch, S., Kriegler, E., Leininger, J., Messner, D., … & Soergel, B. (2022). Defining a sustainable development target space for 2030 and 2050. One Earth, 5(2), 142-156.

Back to the resources content page