TY - CHAP
T1 - Public financial management and health service delivery
T2 - a literature review
AU - Goryakin, Yevgeny
AU - Revill, Paul
AU - Mirelman, Andrew J.
AU - Sweeney, Rohan
AU - Ochalek, Jessica
AU - Suhrcke, Marc
PY - 2020
Y1 - 2020
N2 - This chapter provides a summary review of the existing academic literature, both theoretical and empirical, on the contributions of public financial management (PFM) systems and reforms to improving the effectiveness of health service delivery based on a literature review conducted by Goryakin et al. (2017). We consider both population health indicators as well as more proximate process indicators related to health system performance. The existing literature is limited and only 53 articles are reviewed, divided across three subthemes: first, "system quality" studies, on the impact of PFM quality and good governance generally; second, "health system strengthening" studies, including articles on medium-term expenditure frameworks (MTEFs), reforms related to budget transparency and participatory budgeting and decentralization; third, studies on the impact of donor-related reforms such as the introduction of sector-wide approaches (SWAps). The theoretical literature predicts that high-quality PFM systems will have a positive impact on various dimensions of performance; whereas evidence from empirical studies is more limited, though generally positive. Overall, evidence shows good governance has an important role in health service delivery. Increased public funding of health programmes is likely to be more effective in countries with better governance, but what this means in practice is highly context-specific.
AB - This chapter provides a summary review of the existing academic literature, both theoretical and empirical, on the contributions of public financial management (PFM) systems and reforms to improving the effectiveness of health service delivery based on a literature review conducted by Goryakin et al. (2017). We consider both population health indicators as well as more proximate process indicators related to health system performance. The existing literature is limited and only 53 articles are reviewed, divided across three subthemes: first, "system quality" studies, on the impact of PFM quality and good governance generally; second, "health system strengthening" studies, including articles on medium-term expenditure frameworks (MTEFs), reforms related to budget transparency and participatory budgeting and decentralization; third, studies on the impact of donor-related reforms such as the introduction of sector-wide approaches (SWAps). The theoretical literature predicts that high-quality PFM systems will have a positive impact on various dimensions of performance; whereas evidence from empirical studies is more limited, though generally positive. Overall, evidence shows good governance has an important role in health service delivery. Increased public funding of health programmes is likely to be more effective in countries with better governance, but what this means in practice is highly context-specific.
UR - http://www.scopus.com/inward/record.url?scp=85087778365&partnerID=8YFLogxK
M3 - Chapter (Book)
AN - SCOPUS:85087778365
SN - 9789813272361
T3 - World Scientific Series in Global Health Economics and Public Policy
SP - 191
EP - 215
BT - Global Health Economics
A2 - Revill, Paul
A2 - Suhrcke, Marc
A2 - Moreno-Serra, Rodrigo
A2 - Sculpher, Mark
PB - World Scientific Publishing
CY - Singapore Singapore
ER -