Table 1 Purchasing Functions Needed to Support the SHP System
Governance arrangements & information architecture | - Legal, regulatory and governance structures (including stakeholder groups and accountability_ |
- Mandate and autonomy of the purchasers, and purchasing power of the purchasing agency | |
- Provider autonomy and Public financial management rules | |
- Information system architecture | |
- HMIS capacity | |
The health care goods and services to purchase | - Benefits package |
- Service delivery standards, including gate-keeping and referral guidelines, and clinical guidelines | |
- Medicines and prescribing guidelines | |
The providers from whom goods and services are purchased | - Rules for selective contracting |
- Private sector engagement | |
How to purchase: contracting and provider payment | - Contracting |
- Provider payment | |
- Provider monitoring |