Evidently, Accountability for reasonableness (A4R) is a widely accepted ethical framework that has been used internationally in previous studies for evaluating legitimacy and fairness in priority setting in hospitals. According to ‘accountability for reasonableness’, a fair priority setting process meets four conditions: relevance, publicity, appeals, and enforcement. Like A4R, is there a widely accepted conceptual framework that has been used in priori studies to evaluate effectiveness in budget management (the whole budgetary process from budget preparation to implementation, and monitoring and evaluation) in case of hospitals? Thank you.
Dear Gedion,
I found interesting the publication from the World Bank that I am attaching. It does not fit with the detailed vision that you are asking, but maybe it could give some highlights about a global budget perspective for hospitals.
The author provides a guide for reforming global budgets in the hospital sector. Many countries with publicly funded systems adopted global budgets as a key funding mechanism, which could combine administrative simplicity with performance incentives. For countries with poor HIS, global budgets are less complex to implement and required less sophisticated data and reports. However, because that global budgets do not provide strong performance incentives as do some other output based payments systems. Policymakers who are aware of these constraints can use global budgets effectively in combination with other monitoring and evaluation instruments to access a more accurate effectiveness analysis of the budget management processes .
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