Hospitals are a key component of health systems and health spending in Latin America and the Caribbean (LAC). Across the region, hospital care already accounts for about 1/3 of total health spending and is expected to increase in absolute and relative terms as populations age and medical technology improves. The public sector has a substantial role in providing and paying for … [Read more...] about Public Hospitals in the Region: What Is the Room for Improvement?
Sebastian Bauhoff
Dr. Bauhoff is a Principal Health Economist at the Inter-American Development Bank. He has worked on health policy for two decades in settings from Germany (his home country) to Colombia, with a focus on innovations in health care financing and service delivery that can increase access, efficiency, and quality of care. His recent work includes empirical impact evaluations of health insurance and results-based financing programs, and ways to use routine data to measure quality and target interventions. Dr. Bauhoff received a BSc from the London School of Economics, an MPA in International Development from the Harvard Kennedy School and a PhD in Health Policy/Economics from Harvard University. He previously held positions as Economist at the RAND Corporation, Senior Fellow at the Center for Global Development, and Assistant Professor of Global Health and Economics at the Harvard TH Chan School of Public Health.
Why Long Wait Times for Health Care Should Matter – and How to Reduce Them
Long waiting times for public health care services are common in Latin America, as confirmed by the available data. For instance, in 2022 the median waiting time for hip replacements – a common elective surgery – was 408 days in Chile and 632 in Costa Rica. And even for coronary bypass surgery, more than three in four patients have been on a waiting list for more than three … [Read more...] about Why Long Wait Times for Health Care Should Matter – and How to Reduce Them
Is it possible to achieve more health per dollar spent? Potential gains by improving health spending efficiency
Getting more for our current spending is a smart way to improve health system performance. That rings especially true in the current context: budgets are tight and health expenditures are projected to increase by 3% annually in real terms. Increasing the returns to health spending is good for health outcomes and it can support the argument for increasing the relatively low … [Read more...] about Is it possible to achieve more health per dollar spent? Potential gains by improving health spending efficiency
Beyond Diagnosis: Improving Treatment and Control of Chronic Conditions
Addressing the large and growing burden of non-communicable diseases in the Latin American and Caribbean (LAC) region requires better prevention and screening but also improving diagnosis, treatment, and control of the conditions once they have developed. This needs concerted action by health systems, healthcare providers and patients, as well as other stakeholders – such as … [Read more...] about Beyond Diagnosis: Improving Treatment and Control of Chronic Conditions
Preventing Unnecessary Deaths: Tackling Low Quality of Care
“In LAC, 70% of excess deaths that could have been avoided by adequate healthcare are due to low quality of care while 30% are due to lack of access to care.” This striking statistic is often used to highlight the importance of quality for health outcomes, including in the IDB’s Health Sector Framework. But what is the basis for this estimate, and what does it mean? What … [Read more...] about Preventing Unnecessary Deaths: Tackling Low Quality of Care