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Together these sources support a dated network and limited reported digital-health context, not an observed referral pathway or system-wide interoperability.", "tags": [], "territory": "The Bahamas; network areas named in the RFI", "title": "Clinic and hospital network evidence boundary", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://cdn.bahamas.gov.bs/tenant/tenantministryofhealth/documents/All%20Documents/Request-for-Information-Healthcare-Information-System-and-Electronic-Medical-Record-System-20240430032513.pdf" }, { "kind": "source_reference", "source": "National Health System Strategic Plan 2010-2020, Consultation Draft", "url": "https://cdn.bahamas.gov.bs/tenant/tenantministryofhealth/documents/All%20Documents/NationalHealthStrategicPlan20102020-20240521043802.pdf" }, { "kind": "source_reference", "source": "Bahamas Country Overview, PAHO Programme Budget 2024-2025", "url": "https://pbdigital.paho.org/en/eob-2024-2025/country/bahamas" } ] }, { "analytical_mapping": { "mapping_basis": "reported_from_official_and_paho_sources", "mapping_group": "relationships_and_networks", "mapping_id": "candidate-mapping:BHS:relationships-networks:mixed-public-private-delivery", "source_projection_ids": [ "country-improvement-source:BHS:pha-health-information-rfi-2012", "country-improvement-source:BHS:paho-health-in-the-americas-2012", "country-improvement-source:BHS:who-country-cooperation-strategy-2017" ], "support_state": "candidate_supported", "target_slot": "dated-public-private-delivery-boundary", "target_view": "public-private", "typed_fields": { "private_delivery": "PAHO and WHO describe private for-profit facilities, hospitals and clinics", "public_delivery": "dated sources describe Ministry agencies and PHA services", "relationship_boundary": "no complete current ownership, contracting or competitive-effects register is supplied" } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "PHA RFI, 2012, physical page 7; PAHO, Health in the Americas, 2012, physical page 62; WHO cooperation brief, 2017, physical page 1.", "country_ids": [ "BHS" ], "coverage_domains": [ "authoritative_review", "governance", "hospital_organization", "market_structure", "networks", "ownership", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "PHA RFI section 1.2, physical page 7; PAHO Bahamas profile, physical page 62; WHO Health Situation, physical page 1." }, "material_id": "material:3a7a7ebd7411fee1e9d0cba0", "notes": [ "Do not infer national market concentration, purchasing relationships or patient choice from sector descriptions." ], "origin": "candidate-analytical-mappings", "period": "sources published 2012 and 2017; specific service descriptions are dated", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "89a74ddd6d15f728586515ad8e4e0a0fcdd97e23ccb63580e964a38e9e29d685", "page_count": 50, "response_sha256": "89a74ddd6d15f728586515ad8e4e0a0fcdd97e23ccb63580e964a38e9e29d685" }, "statement": "Official and PAHO materials describe public and private delivery components in The Bahamas. They support a mixed delivery-field mapping but not a current inventory of ownership, purchaser contracts, prices, market shares or patient choice.", "tags": [], "territory": "The Bahamas", "title": "Dated mixed public and private delivery", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://hia.paho.org/sites/default/files/2021-05/hia-2012-en.pdf" }, { "kind": "source_reference", "source": "Request for Information: Healthcare Information System and Electronic Medical Record System", "url": "https://cdn.bahamas.gov.bs/tenant/tenantministryofhealth/documents/All%20Documents/Request-for-Information-Healthcare-Information-System-and-Electronic-Medical-Record-System-20240430032513.pdf" }, { "kind": "source_reference", "source": "WHO Country Cooperation Strategy at a Glance: Bahamas", "url": "https://iris.who.int/server/api/core/bitstreams/da2f92ca-576d-47bb-841e-9e52acf45689/content" } ] }, { "analytical_mapping": { "mapping_basis": "reported_administrative_activity_count", "mapping_group": "delivery_and_referrals", "mapping_id": "candidate-mapping:BHS:delivery-referrals:dated-outpatient-utilization-and-flow-boundary", "source_projection_ids": [ "country-improvement-source:BHS:pha-health-information-rfi-2012", "country-improvement-source:BHS:paho-health-in-the-americas-2012" ], "support_state": "candidate_supported", "target_slot": "dated-outpatient-activity-and-patient-flow-boundary", "target_view": "delivery", "typed_fields": { "patient_flow_boundary": "aggregate outpatient activity does not identify sequence, referral source, completion, bypass or individual access", "reported_activity": "approximately 500,000 annual outpatient visits across named community clinics in the RFI", "time_boundary": "count is dated to the 2012 RFI" } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "PHA, Healthcare Information System RFI, 2012, physical page 7; PAHO, Health in the Americas, 2012, physical page 62.", "country_ids": [ "BHS" ], "coverage_domains": [ "authoritative_review", "facility_data", "hospital_organization", "patient_flows", "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": null, "institution": null, "locator": { "description": "PHA RFI section 1.2, physical page 7; PAHO Bahamas profile, physical page 62." }, "material_id": "material:74e622aec92f54698c4f8394", "notes": [ "Do not use this aggregate count to infer current utilization, individual pathways or referral completion." ], "origin": "candidate-analytical-mappings", "period": "RFI dated 2012", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "89a74ddd6d15f728586515ad8e4e0a0fcdd97e23ccb63580e964a38e9e29d685", "page_count": 50, "response_sha256": "89a74ddd6d15f728586515ad8e4e0a0fcdd97e23ccb63580e964a38e9e29d685" }, "statement": "The 2012 RFI reports approximately 500,000 annual outpatient visits across named community clinics. This is an aggregate, dated utilization observation and cannot be used as a referral-flow, access-equity or current-volume estimate.", "tags": [], "territory": "New Providence, Grand Bahama and Family Islands as stated in RFI", "title": "Dated outpatient activity and patient-flow boundary", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://cdn.bahamas.gov.bs/tenant/tenantministryofhealth/documents/All%20Documents/Request-for-Information-Healthcare-Information-System-and-Electronic-Medical-Record-System-20240430032513.pdf" }, { "kind": "source_reference", "source": "Health in the Americas: 2012 Edition, Bahamas country profile", "url": "https://hia.paho.org/sites/default/files/2021-05/hia-2012-en.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "reported_from_official_administrative_description_cross_checked_against_paho_review", "mapping_group": "delivery_and_referrals", "mapping_id": "candidate-mapping:BHS:delivery-referrals:dated-primary-care-hospital-architecture", "source_projection_ids": [ "country-improvement-source:BHS:pha-health-information-rfi-2012", "country-improvement-source:BHS:paho-health-in-the-americas-2012" ], "support_state": "candidate_supported", "target_slot": "dated-primary-care-and-public-hospital-architecture", "target_view": "delivery", "typed_fields": { "hospital_care": "three public hospitals in RFI; PAHO identifies public hospitals within the reviewed network", "primary_care": "Department of Public Health clinic network in specified areas and PHA Grand Bahama clinics", "scope_boundary": "numbers and named arrangements are historical snapshots" } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "PHA RFI, 2012, physical pages 7 to 8; PAHO, Health in the Americas, 2012, physical page 62.", "country_ids": [ "BHS" ], "coverage_domains": [ "authoritative_review", "facility_data", "governance", "hospital_organization", "networks", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "PHA RFI section 1.2, physical pages 7 to 8; PAHO Bahamas profile, physical page 62." }, "material_id": "material:cf851682d3062532d2ba4127", "notes": [ "Do not aggregate dated facility descriptions into a current national service-capacity claim." ], "origin": "candidate-analytical-mappings", "period": "administrative description and review published 2012", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "89a74ddd6d15f728586515ad8e4e0a0fcdd97e23ccb63580e964a38e9e29d685", "page_count": 50, "response_sha256": "89a74ddd6d15f728586515ad8e4e0a0fcdd97e23ccb63580e964a38e9e29d685" }, "statement": "The dated RFI and PAHO review describe a clinic network alongside public hospitals, with differing administrative arrangements by island group. They support care-level architecture for their periods, not current capacity, service availability or a patient-level journey.", "tags": [], "territory": "The Bahamas; island groups specified in sources", "title": "Dated primary-care and public-hospital architecture", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://cdn.bahamas.gov.bs/tenant/tenantministryofhealth/documents/All%20Documents/Request-for-Information-Healthcare-Information-System-and-Electronic-Medical-Record-System-20240430032513.pdf" }, { "kind": "source_reference", "source": "Health in the Americas: 2012 Edition, Bahamas country profile", "url": "https://hia.paho.org/sites/default/files/2021-05/hia-2012-en.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "reported_from_official_administrative_description_cross_checked_against_paho_review", "mapping_group": "actors_and_functions", "mapping_id": "candidate-mapping:BHS:actors-functions:public-sector-management-architecture", "source_projection_ids": [ "country-improvement-source:BHS:pha-health-information-rfi-2012", "country-improvement-source:BHS:paho-health-in-the-americas-2012", "country-improvement-source:BHS:health-care-reform-historical-development-2000", "country-improvement-source:BHS:chief-medical-officer-report-2001-2003" ], "support_state": "candidate_supported", "target_slot": "ministry-department-and-public-hospitals-authority-roles", "target_view": "functions", "typed_fields": { "hospital_actor": "Public Hospitals Authority", "national_policy_actor": "Ministry of Health in the dated sources", "primary_care_actor": "Department of Public Health, except Grand Bahama in the cited descriptions", "scope_boundary": "the cited sources do not verify a current complete national actor register" } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "PHA, Healthcare Information System RFI, 2012, pages 7 to 8; PAHO, Health in the Americas, 2012, pages 61 to 62; Gray et al., 2000, pages 17 and 26; CMO Annual Report 2001-2003, pages 64 to 65.", "country_ids": [ "BHS" ], "coverage_domains": [ "actors", "authoritative_review", "governance", "government_responsibilities", "hospital_organization", "networks", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "PHA RFI, section 1.2, physical pages 7 to 8; PAHO Bahamas profile, physical pages 61 to 62; historical study, physical pages 17 and 26." }, "material_id": "material:9cc11dbc25a771e53846561b", "notes": [ "Confirm current ministry, department and PHA mandates before presenting this as a current institutional chart." ], "origin": "candidate-analytical-mappings", "period": "official organizational descriptions dated 2001 to 2003 and 2012; historical cross-check reports developments through 2000", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "89a74ddd6d15f728586515ad8e4e0a0fcdd97e23ccb63580e964a38e9e29d685", "page_count": 50, "response_sha256": "89a74ddd6d15f728586515ad8e4e0a0fcdd97e23ccb63580e964a38e9e29d685" }, "statement": "The cited sources distinguish Ministry and Department primary-care functions from PHA public-hospital management, with a separate Grand Bahama clinic arrangement in the 2012 descriptions. The CMO report provides a 2001 to 2003 official organizational cross-check. This is a dated organizational map, not confirmation of every current entity or delegation.", "tags": [], "territory": "The Bahamas; Grand Bahama distinction specified", "title": "Dated public-sector management architecture", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://cdn.bahamas.gov.bs/tenant/tenantministryofhealth/documents/All%20Documents/Request-for-Information-Healthcare-Information-System-and-Electronic-Medical-Record-System-20240430032513.pdf" }, { "kind": "source_reference", "source": "Health in the Americas: 2012 Edition, Bahamas country profile", "url": "https://hia.paho.org/sites/default/files/2021-05/hia-2012-en.pdf" }, { "kind": "source_reference", "source": "Health Care Reform: Policy Content and Process in the Caribbean, Study No. 1: The Historical Development of the Health System in The Bahamas", "url": "https://researchonline.lshtm.ac.uk/4882/1/The%20Historical%20Development%20of%20the%20Health%20System_GREEN%20AAM.pdf" }, { "kind": "source_reference", "source": "Annual Report of the Chief Medical Officer 2001-2003", "url": "https://cdn.bahamas.gov.bs/tenant/tenantministryofhealth/documents/All%20Documents/ChiefMedicalOfficersReport2001-2003-20240517182929.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "historical_research_description_of_reform", "mapping_group": "decision_rights_and_autonomy", "mapping_id": "candidate-mapping:BHS:decision-autonomy:historical-hospital-management-devolution", "source_projection_ids": [ "country-improvement-source:BHS:health-care-reform-historical-development-2000", "country-improvement-source:BHS:pha-health-information-rfi-2012", "country-improvement-source:BHS:chief-medical-officer-report-2001-2003" ], "support_state": "candidate_supported", "target_slot": "historical-public-hospital-management-autonomy-boundary", "target_view": "autonomy", "typed_fields": { "counterpart": "national health priorities and ministry oversight in the historical study and CMO report", "historical_authority": "hospital-services management devolved to PHA in 1999; 2001 to 2003 report describes PHA day-to-day operations", "provider_group": "Public hospitals", "scope_boundary": "no current financial, staffing, procurement or service-mix autonomy is established" } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Gray et al., Historical Development of the Health System in The Bahamas, 2000, physical pages 26 to 27; CMO Annual Report 2001-2003, physical page 65; PHA RFI, 2012, physical page 7.", "country_ids": [ "BHS" ], "coverage_domains": [ "authoritative_review", "autonomy", "decision_rights", "governance", "hospital_organization", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": null, "institution": null, "locator": { "description": "Health sector reform, physical pages 26 to 27; CMO report section 4.1.1, physical page 65; PHA RFI section 1.2, physical page 7." }, "material_id": "material:24fffbf2d46ca6b3c9e2320a", "notes": [ "This is historical context. Do not infer current PHA autonomy from a devolution event." ], "origin": "candidate-analytical-mappings", "period": "historical reform reported as effective July 1999; CMO description dated 2001 to 2003; PHA description dated 2012", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "0f57b4558a6b797504ee4c03b88020567aab08d18aea5832fa228e623692ca44", "page_count": 46, "response_sha256": "0f57b4558a6b797504ee4c03b88020567aab08d18aea5832fa228e623692ca44" }, "statement": "Historical research records hospital-services management devolution to the PHA in 1999, and the 2001 to 2003 CMO report describes PHA day-to-day operations at that time. Neither source identifies current PHA authority over workforce, finance, procurement, capital or service mix, so those dimensions remain unestablished here.", "tags": [], "territory": "The Bahamas", "title": "Historical PHA management autonomy boundary", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://researchonline.lshtm.ac.uk/4882/1/The%20Historical%20Development%20of%20the%20Health%20System_GREEN%20AAM.pdf" }, { "kind": "source_reference", "source": "Request for Information: Healthcare Information System and Electronic Medical Record System", "url": "https://cdn.bahamas.gov.bs/tenant/tenantministryofhealth/documents/All%20Documents/Request-for-Information-Healthcare-Information-System-and-Electronic-Medical-Record-System-20240430032513.pdf" }, { "kind": "source_reference", "source": "Annual Report of the Chief Medical Officer 2001-2003", "url": "https://cdn.bahamas.gov.bs/tenant/tenantministryofhealth/documents/All%20Documents/ChiefMedicalOfficersReport2001-2003-20240517182929.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "historical_research_and_formal_planning_record", "mapping_group": "time_and_reform", "mapping_id": "candidate-mapping:BHS:time-reform:historical-hospital-management-and-planning-timeline", "source_projection_ids": [ "country-improvement-source:BHS:health-care-reform-historical-development-2000", "country-improvement-source:BHS:national-health-system-strategic-plan-2010-2020", "country-improvement-source:BHS:pha-health-information-rfi-2012" ], "support_state": "candidate_supported", "target_slot": "hospital-management-and-national-planning-timeline", "target_view": "reforms", "typed_fields": { "implementation_boundary": "the timeline does not show that strategic objectives produced the later operational arrangements", "timeline": "hospital-services management devolution reported in 1999; consultation draft issued for 2010 to 2020; RFI describes 2012 administration" } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Gray et al., 2000, physical pages 26 and 39; National Health System Strategic Plan consultation draft, 2010, physical pages 1 and 6; PHA RFI, 2012, physical page 7.", "country_ids": [ "BHS" ], "coverage_domains": [ "actors", "authoritative_review", "autonomy", "decision_rights", "governance", "hospital_organization", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Historical study, physical pages 26 and 39; plan cover and implementation section, physical pages 1 and 6; PHA RFI section 1.2, physical page 7." }, "material_id": "material:98c64f16395359bfba0e9b4e", "notes": [ "Update with a source that confirms the legal and operational status of each milestone before describing the current system." ], "origin": "candidate-analytical-mappings", "period": "1999 through 2012 evidence milestones; plan horizon 2010 to 2020", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "0f57b4558a6b797504ee4c03b88020567aab08d18aea5832fa228e623692ca44", "page_count": 46, "response_sha256": "0f57b4558a6b797504ee4c03b88020567aab08d18aea5832fa228e623692ca44" }, "statement": "The evidence record separates a reported 1999 hospital-management devolution, a 2010 to 2020 planning draft and a 2012 administrative description. It does not establish causal links between these milestones or a current reform status.", "tags": [], "territory": "The Bahamas", "title": "Hospital-management and planning timeline", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://researchonline.lshtm.ac.uk/4882/1/The%20Historical%20Development%20of%20the%20Health%20System_GREEN%20AAM.pdf" }, { "kind": "source_reference", "source": "National Health System Strategic Plan 2010-2020, Consultation Draft", "url": "https://cdn.bahamas.gov.bs/tenant/tenantministryofhealth/documents/All%20Documents/NationalHealthStrategicPlan20102020-20240521043802.pdf" }, { "kind": "source_reference", "source": "Request for Information: Healthcare Information System and Electronic Medical Record System", "url": "https://cdn.bahamas.gov.bs/tenant/tenantministryofhealth/documents/All%20Documents/Request-for-Information-Healthcare-Information-System-and-Electronic-Medical-Record-System-20240430032513.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "reported_who_cooperation_priority_and_official_planning_intent", "mapping_group": "time_and_reform", "mapping_id": "candidate-mapping:BHS:time-reform:insurance-and-governance-priority-boundary", "source_projection_ids": [ "country-improvement-source:BHS:who-country-cooperation-strategy-2017", "country-improvement-source:BHS:national-health-system-strategic-plan-2010-2020", "country-improvement-source:BHS:vision-2040-working-draft-2017", "country-improvement-source:BHS:paho-health-in-the-americas-country-profile-2024", "country-improvement-source:BHS:paho-country-cooperation-strategy-2026-2031" ], "support_state": "candidate_supported", "target_slot": "insurance-rollout-and-governance-priority-boundary", "target_view": "reforms", "typed_fields": { "formal_planning_context": "the 2010 consultation draft sets national coordination objectives", "reported_reform_priority": "WHO 2017 names national health-insurance roll-out, regulatory oversight and governance", "scope_boundary": "neither source verifies insurance benefits, enrollment, provider contracting, utilization or resulting market effects" } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "WHO Country Cooperation Strategy at a Glance: Bahamas, 2017, physical pages 1 to 2; National Health System Strategic Plan consultation draft, 2010, physical pages 5 to 6; Vision 2040 working draft, pages 173 to 174; PAHO Health in the Americas Bahamas Profile, 2024; PAHO Country Cooperation Strategy 2026-2031.", "country_ids": [ "BHS" ], "coverage_domains": [ "actors", "decision_rights", "governance", "government_responsibilities", "market_structure", "networks", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "WHO Health Situation and Strategic Agenda, physical pages 1 to 2; plan implementation framework, physical pages 5 to 6; Vision 2040 Goal 5 and Strategy 5.1, pages 173 to 174; PAHO profile, Measures to achieve universal health coverage; PAHO CCS 2026-2031." }, "material_id": "material:5d818351f4277058d1482156", "notes": [ "Use a current statutory and implementation source before describing National Health Insurance as an achieved system-wide arrangement." ], "origin": "candidate-analytical-mappings", "period": "strategic plan horizon 2010 to 2020; Vision 2040 working draft published 2017; PAHO profile published 2024; PAHO cooperation strategy 2026 to 2031", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "3bd6516aadf775366b6c3c9c54e748dce1636578cfc710f5434d97d854789309", "page_count": 2, "response_sha256": "3bd6516aadf775366b6c3c9c54e748dce1636578cfc710f5434d97d854789309" }, "statement": "The 2010 to 2020 plan, 2017 Vision 2040 working draft and WHO/PAHO cooperation materials document successive insurance, governance, integrated-system and primary-care priorities. The sources document priorities, planning and technical-cooperation intent, not completed insurance reform, current coverage or effects on public and private delivery.", "tags": [], "territory": "The Bahamas", "title": "Insurance and governance priority boundary", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://iris.who.int/server/api/core/bitstreams/da2f92ca-576d-47bb-841e-9e52acf45689/content" }, { "kind": "source_reference", "source": "National Health System Strategic Plan 2010-2020, Consultation Draft", "url": "https://cdn.bahamas.gov.bs/tenant/tenantministryofhealth/documents/All%20Documents/NationalHealthStrategicPlan20102020-20240521043802.pdf" }, { "kind": "source_reference", "source": "2nd Working Draft of the National Development Plan of The Bahamas: Vision 2040", "url": "https://www.vision2040bahamas.org/media/uploads/2nd_Working_Draft_of_the_NDP_website_30.11.17c.pdf" }, { "kind": "source_reference", "source": "The Bahamas Country Profile", "url": "https://hia.paho.org/en/country-profiles/bahamas" }, { "kind": "source_reference", "source": "Country Cooperation Strategy with The Bahamas 2026-2031", "url": "https://www.paho.org/en/documents/country-cooperation-strategy-bahamas-2026-2031" } ] }, { "analytical_mapping": { "mapping_basis": "formal_intent_from_official_consultation_draft", "mapping_group": "decision_rights_and_autonomy", "mapping_id": "candidate-mapping:BHS:decision-autonomy:plan-implementation-and-governance", "source_projection_ids": [ "country-improvement-source:BHS:national-health-system-strategic-plan-2010-2020" ], "support_state": "candidate_supported", "target_slot": "strategic-plan-implementation-and-monitoring", "target_view": "decisions", "typed_fields": { "assigned_actor": "Ministry of Health", "decision": "Manage and monitor National Health System Strategic Plan implementation", "scope_boundary": "consultation draft only; implementation is unverified", "supporting_arrangement": "proposed multisectoral governance committee" } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "National Health System Strategic Plan 2010-2020, Consultation Draft, physical page 6.", "country_ids": [ "BHS" ], "coverage_domains": [ "actors", "decision_rights", "governance", "government_responsibilities", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Implementing and monitoring the plan, physical page 6." }, "material_id": "material:07fa4afb3af2d4875b5e8f5d", "notes": [ "Do not equate a consultation-draft assignment with current operational decision rights." ], "origin": "candidate-analytical-mappings", "period": "consultation draft, 2010 to 2020 planning horizon", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "3ab57017396ae9e77c93666534a5ac9d92037f04d9089e17e3d9dd2cf9bf3c58", "page_count": 50, "response_sha256": "3ab57017396ae9e77c93666534a5ac9d92037f04d9089e17e3d9dd2cf9bf3c58" }, "statement": "The 2010 consultation draft assigns the Ministry of Health responsibility for implementing and monitoring the plan and proposes multisectoral monitoring. This is formal planning intent, not evidence that the arrangement operated or remains in force.", "tags": [], "territory": "The Bahamas", "title": "Planned implementation and monitoring responsibility", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://cdn.bahamas.gov.bs/tenant/tenantministryofhealth/documents/All%20Documents/NationalHealthStrategicPlan20102020-20240521043802.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "formal_intent_from_official_consultation_draft", "mapping_group": "delivery_and_referrals", "mapping_id": "candidate-mapping:BHS:delivery-referrals:formal-referral-strengthening-objective", "source_projection_ids": [ "country-improvement-source:BHS:national-health-system-strategic-plan-2010-2020", "country-improvement-source:BHS:paho-health-in-the-americas-2012" ], "support_state": "candidate_supported", "target_slot": "formal-referral-strengthening-objective", "target_view": "referrals", "typed_fields": { "formal_objective": "strengthen referral mechanisms from any point of care", "review_context": "PAHO calls for referral-system strengthening", "scope_boundary": "no referral rule, denominator, completion measure or bypass measurement is supplied" } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "National Health System Strategic Plan consultation draft, 2010, physical page 20; PAHO, Health in the Americas, 2012, physical page 63.", "country_ids": [ "BHS" ], "coverage_domains": [ "authoritative_review", "governance", "networks", "observed_referral", "primary_care", "referral_design" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Goal 2 referral-mechanism objective, physical page 20; PAHO Bahamas profile, physical page 63." }, "material_id": "material:95b8c032c1a93ce9cb9e4860", "notes": [ "Keep the observed-referral domain as an explicit evidence gap rather than converting improvement language into performance evidence." ], "origin": "candidate-analytical-mappings", "period": "plan objective for 2010 to 2020; PAHO review published 2012", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "3ab57017396ae9e77c93666534a5ac9d92037f04d9089e17e3d9dd2cf9bf3c58", "page_count": 50, "response_sha256": "3ab57017396ae9e77c93666534a5ac9d92037f04d9089e17e3d9dd2cf9bf3c58" }, "statement": "The strategic-plan consultation draft proposes strengthening referral mechanisms, and PAHO reports referral-system strengthening as a need. These are formal and review statements about improvement, not evidence of a national gatekeeping rule, completed referrals or bypass behavior.", "tags": [], "territory": "The Bahamas", "title": "Referral-strengthening objective, not a measured pathway", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://cdn.bahamas.gov.bs/tenant/tenantministryofhealth/documents/All%20Documents/NationalHealthStrategicPlan20102020-20240521043802.pdf" }, { "kind": "source_reference", "source": "Health in the Americas: 2012 Edition, Bahamas country profile", "url": "https://hia.paho.org/sites/default/files/2021-05/hia-2012-en.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "National Development Plan Secretariat, Government of The Bahamas. 2nd Working Draft of the National Development Plan of The Bahamas: Vision 2040. 2017. https://www.vision2040bahamas.org/media/uploads/2nd_Working_Draft_of_the_NDP_website_30.11.17c.pdf", "country_ids": [ "BHS" ], "coverage_domains": [ "governance", "government_responsibilities", "hospital_organization", "market_structure", "patient_flows", "primary_care", "referral_design", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "Goal 5: Modern, Sustainable & Universally Accessible Health Care System", "institution": "National Development Plan Secretariat, Government of The Bahamas", "locator": { "locator_type": "physical_pdf_page_anchor", "source_word_anchor": "Goal 5: Modern, Sustainable & Universally Accessible Health Care System", "source_word_count": 10 }, "material_id": "material:eb80a580d4c5233ed02e89dc", "notes": [ "This is a working draft. Retain goal, proposal and planning-diagnosis language and do not treat its targets as achieved outcomes." ], "origin": "country-evidence-improvement-sources", "period": "second working draft published 2017; long-term Vision 2040 planning horizon", "publication_date": null, "publication_year": 2017, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "fffd368dffb755f9d39ee3f9fabada9a2638ce0aabd71ef61a2f4a98daf599b3", "page_count": 631, "response_sha256": "fffd368dffb755f9d39ee3f9fabada9a2638ce0aabd71ef61a2f4a98daf599b3" }, "statement": "The working draft sets a goal for a modern, sustainable and universally accessible health-care system and proposes universal access and accelerated national health-insurance implementation. Its discussion of people seeking primary care from hospitals is a planning diagnosis, not a measured current patient-flow estimate.", "tags": [], "territory": "The Bahamas", "title": "2nd Working Draft of the National Development Plan of The Bahamas: Vision 2040", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.vision2040bahamas.org/media/uploads/2nd_Working_Draft_of_the_NDP_website_30.11.17c.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministry of Health, Commonwealth of The Bahamas. Annual Report of the Chief Medical Officer 2001-2003. 2005. https://cdn.bahamas.gov.bs/tenant/tenantministryofhealth/documents/All%20Documents/ChiefMedicalOfficersReport2001-2003-20240517182929.pdf", "country_ids": [ "BHS" ], "coverage_domains": [ "actors", "autonomy", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "market_structure", "networks", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "The government health sector is comprised of four main clusters", "institution": "Ministry of Health, Commonwealth of The Bahamas", "locator": { "locator_type": "physical_pdf_page_anchor", "source_word_anchor": "The government health sector is comprised of four main clusters", "source_word_count": 10 }, "material_id": "material:87846e451241757c3d61efa2", "notes": [ "Use this as a 2001 to 2003 organizational description, not confirmation of current ministry, PHA or hospital arrangements." ], "origin": "country-evidence-improvement-sources", "period": "annual report covering 2001 to 2003; published 2005", "publication_date": null, "publication_year": 2005, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "67bd7429760bb69fd38dc0719028fd07d497394b09f9dc25b940a24c64629c93", "page_count": 121, "response_sha256": "67bd7429760bb69fd38dc0719028fd07d497394b09f9dc25b940a24c64629c93" }, "statement": "The Ministry's report describes four government-health-service clusters, including the Ministry, Department of Public Health and PHA. It reports that the PHA managed three government hospitals through a board accountable to the Minister, while describing arrangements for 2001 to 2003 only.", "tags": [], "territory": "The Bahamas; Family Islands are discussed in the organizational description", "title": "Annual Report of the Chief Medical Officer 2001-2003", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://cdn.bahamas.gov.bs/tenant/tenantministryofhealth/documents/All%20Documents/ChiefMedicalOfficersReport2001-2003-20240517182929.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Pan American Health Organization. Bahamas Country Overview, PAHO Programme Budget 2024-2025. 2025. https://pbdigital.paho.org/en/eob-2024-2025/country/bahamas", "country_ids": [ "BHS" ], "coverage_domains": [ "facility_data", "governance", "networks", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "implementing and scaling up the Perinatal Information System Plus", "institution": "Pan American Health Organization", "locator": { "locator_type": "web_section_anchor", "source_word_anchor": "implementing and scaling up the Perinatal Information System Plus", "source_word_count": 9 }, "material_id": "material:ae1c1db76ac3dd8c20041fbc", "notes": [ "Do not infer country-wide information-system interoperability, referral completion or service-use effects from support for this initiative." ], "origin": "country-evidence-improvement-sources", "period": "PAHO Programme Budget 2024 to 2025 reporting cycle; described support is dated 2024 to 2025", "publication_date": null, "publication_year": 2025, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "file_sha256": "22d922ca12fb10a63095c3e91d0ab43b7c05fff3a2ee9fd35a31347eda2d40e9", "response_sha256": "22d922ca12fb10a63095c3e91d0ab43b7c05fff3a2ee9fd35a31347eda2d40e9" }, "statement": "PAHO reports supporting the Ministry of Health and Wellness to implement and scale up the Perinatal Information System Plus within the national digital-health agenda. This reports support for a named initiative, not complete interoperability, national coverage or observed effects on referrals.", "tags": [], "territory": "The Bahamas", "title": "Bahamas Country Overview, PAHO Programme Budget 2024-2025", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://pbdigital.paho.org/en/eob-2024-2025/country/bahamas" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Pan American Health Organization. Country Cooperation Strategy with The Bahamas 2026-2031. 2026. https://www.paho.org/en/documents/country-cooperation-strategy-bahamas-2026-2031", "country_ids": [ "BHS" ], "coverage_domains": [ "governance", "government_responsibilities", "networks", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "Strengthened, integrated, evidence-based, people-centered health system", "institution": "Pan American Health Organization / World Health Organization", "locator": { "locator_type": "web_section_anchor", "source_word_anchor": "Strengthened, integrated, evidence-based, people-centered health system", "source_word_count": 6 }, "material_id": "material:6f16e0f37d5d4c1aba7bab51", "notes": [ "Do not represent PAHO/WHO cooperation priorities as an enacted national referral, financing or provider-governance arrangement." ], "origin": "country-evidence-improvement-sources", "period": "PAHO/WHO cooperation strategy for 2026 to 2031", "publication_date": null, "publication_year": 2026, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "file_sha256": "84b6298541c777705a9d8208f4261d288adecdb61adcf4644ead4dff685411f7", "response_sha256": "84b6298541c777705a9d8208f4261d288adecdb61adcf4644ead4dff685411f7" }, "statement": "PAHO/WHO's cooperation strategy sets priorities for technical cooperation with The Bahamas, including an integrated and people-centered health system and primary health care. It is a cooperation framework and does not establish that the priorities are operating as country-wide service arrangements.", "tags": [], "territory": "The Bahamas", "title": "Country Cooperation Strategy with The Bahamas 2026-2031", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.paho.org/en/documents/country-cooperation-strategy-bahamas-2026-2031" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Gray H, Storr M, Roberts R and Johnson P. Health Care Reform: Policy Content and Process in the Caribbean, Study No. 1: The Historical Development of the Health System in The Bahamas. London School of Hygiene and Tropical Medicine. 2000. https://researchonline.lshtm.ac.uk/4882/1/The%20Historical%20Development%20of%20the%20Health%20System_GREEN%20AAM.pdf", "country_ids": [ "BHS" ], "coverage_domains": [ "actors", "authoritative_review", "autonomy", "decision_rights", "governance", "hospital_organization", "market_structure", "networks", "ownership", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "devolution of hospital services management to the Public Hospitals Authority", "institution": "London School of Hygiene and Tropical Medicine", "locator": { "locator_type": "physical_pdf_page_anchor", "source_word_anchor": "devolution of hospital services management to the Public Hospitals Authority", "source_word_count": 9 }, "material_id": "material:457a2e75e01e6a831e146eae", "notes": [ "Use the study for historical context only. Its 1990s measures and reported reforms are not current national evidence." ], "origin": "country-evidence-improvement-sources", "period": "historical study published 2000; institutional developments reported through 2000", "publication_date": null, "publication_year": 2000, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "0f57b4558a6b797504ee4c03b88020567aab08d18aea5832fa228e623692ca44", "page_count": 46, "response_sha256": "0f57b4558a6b797504ee4c03b88020567aab08d18aea5832fa228e623692ca44" }, "statement": "This historical research study reports the 1999 devolution of hospital-services management to the PHA and describes public hospital, primary-health-care and private-sector components. It supports historical reform context only and cannot establish current organizational authority or operational autonomy.", "tags": [], "territory": "The Bahamas", "title": "Health Care Reform: Policy Content and Process in the Caribbean, Study No. 1: The Historical Development of the Health System in The Bahamas", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://researchonline.lshtm.ac.uk/4882/1/The%20Historical%20Development%20of%20the%20Health%20System_GREEN%20AAM.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Pan American Health Organization. Health in the Americas: 2012 Edition, Bahamas country profile. Scientific and Technical Publication No. 636. 2012. https://hia.paho.org/sites/default/files/2021-05/hia-2012-en.pdf", "country_ids": [ "BHS" ], "coverage_domains": [ "actors", "authoritative_review", "facility_data", "governance", "government_responsibilities", "hospital_organization", "market_structure", "networks", "observed_referral", "ownership", "patient_flows", "primary_care", "referral_design", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "The health system consists of a public sector", "institution": "Pan American Health Organization", "locator": { "locator_type": "physical_pdf_page_anchor", "source_word_anchor": "The health system consists of a public sector", "source_word_count": 9 }, "material_id": "material:60a28c74a8488b8c72f76b9b", "notes": [ "Treat the profile as a historical review, not confirmation of current ownership, facility totals, service use or private-sector access.", "Referral strengthening is a reported need, not observed referral performance." ], "origin": "country-evidence-improvement-sources", "period": "profile published 2012, mainly reporting 2006 to 2010 data", "publication_date": null, "publication_year": 2012, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "review_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "a9c38a1f1f210e815bc16d5cc1edfed5a33ae2841bf7222e84e092ccd3fe7faf", "page_count": 227, "response_sha256": "a9c38a1f1f210e815bc16d5cc1edfed5a33ae2841bf7222e84e092ccd3fe7faf" }, "statement": "PAHO describes a public sector and a private for-profit sector, identifies the Ministry, Department of Public Health and PHA as key institutions, and reports a public network of clinics and hospitals. It records direct access to private clinics and calls for referral strengthening, not an observed national referral-completion estimate.", "tags": [], "territory": "The Bahamas; service locations are specified in the profile", "title": "Health in the Americas: 2012 Edition, Bahamas country profile", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://hia.paho.org/sites/default/files/2021-05/hia-2012-en.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministry of Health, Department of Public Health and Public Hospitals Authority, Commonwealth of The Bahamas. National Health System Strategic Plan 2010-2020, Consultation Draft. 2010. https://cdn.bahamas.gov.bs/tenant/tenantministryofhealth/documents/All%20Documents/NationalHealthStrategicPlan20102020-20240521043802.pdf", "country_ids": [ "BHS" ], "coverage_domains": [ "actors", "autonomy", "decision_rights", "facility_data", "governance", "government_responsibilities", "hospital_organization", "market_structure", "networks", "primary_care", "referral_design", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "Managing and monitoring the implementation of the NHSSP", "institution": "Ministry of Health, Department of Public Health and Public Hospitals Authority, Commonwealth of The Bahamas", "locator": { "locator_type": "physical_pdf_page_anchor", "source_word_anchor": "Managing and monitoring the implementation of the NHSSP", "source_word_count": 8 }, "material_id": "material:1ffc1f940d35ef04c1aa8c69", "notes": [ "This is explicitly a consultation draft, so retain proposed, intended and planned language.", "The stated planning horizon ended in 2020 and does not establish current arrangements." ], "origin": "country-evidence-improvement-sources", "period": "consultation draft with a stated 2010 to 2020 planning horizon", "publication_date": null, "publication_year": 2010, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "3ab57017396ae9e77c93666534a5ac9d92037f04d9089e17e3d9dd2cf9bf3c58", "page_count": 50, "response_sha256": "3ab57017396ae9e77c93666534a5ac9d92037f04d9089e17e3d9dd2cf9bf3c58" }, "statement": "The consultation draft assigns Ministry of Health responsibility for managing and monitoring implementation and proposes a common planning framework across the Ministry, Department of Public Health, PHA, private and community sectors. It sets objectives to strengthen referral mechanisms and information systems, but it is not proof that those objectives were implemented.", "tags": [], "territory": "The Bahamas", "title": "National Health System Strategic Plan 2010-2020, Consultation Draft", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://cdn.bahamas.gov.bs/tenant/tenantministryofhealth/documents/All%20Documents/NationalHealthStrategicPlan20102020-20240521043802.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Public Hospitals Authority, Commonwealth of The Bahamas. Request for Information: Healthcare Information System and Electronic Medical Record System. 2012. https://cdn.bahamas.gov.bs/tenant/tenantministryofhealth/documents/All%20Documents/Request-for-Information-Healthcare-Information-System-and-Electronic-Medical-Record-System-20240430032513.pdf", "country_ids": [ "BHS" ], "coverage_domains": [ "actors", "facility_data", "governance", "government_responsibilities", "hospital_organization", "market_structure", "networks", "ownership", "patient_flows", "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "Public sector services fall under one of two management establishments", "institution": "Public Hospitals Authority, Commonwealth of The Bahamas", "locator": { "locator_type": "physical_pdf_page_anchor", "source_word_anchor": "Public sector services fall under one of two management establishments", "source_word_count": 10 }, "material_id": "material:1bbe3c01bc1078e621cf7093", "notes": [ "Do not use 2012 clinic, bed, outpatient or hospital counts as current national totals.", "Do not infer an observed referral pathway from the administrative network description." ], "origin": "country-evidence-improvement-sources", "period": "RFI dated 2012; service counts and organizational description are dated to that document", "publication_date": null, "publication_year": 2012, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "89a74ddd6d15f728586515ad8e4e0a0fcdd97e23ccb63580e964a38e9e29d685", "page_count": 50, "response_sha256": "89a74ddd6d15f728586515ad8e4e0a0fcdd97e23ccb63580e964a38e9e29d685" }, "statement": "The PHA's 2012 RFI describes public services as split between Ministry of Health agencies and PHA agencies. It reports Department of Public Health clinics in New Providence and Family Islands, PHA clinics in Grand Bahama, and three public hospitals. This is a dated administrative description, not a current facility register.", "tags": [], "territory": "The Bahamas; New Providence, Grand Bahama and Family Islands where specified", "title": "Request for Information: Healthcare Information System and Electronic Medical Record System", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://cdn.bahamas.gov.bs/tenant/tenantministryofhealth/documents/All%20Documents/Request-for-Information-Healthcare-Information-System-and-Electronic-Medical-Record-System-20240430032513.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Pan American Health Organization. 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WHO Country Cooperation Strategy at a Glance: Bahamas. 2017. https://iris.who.int/server/api/core/bitstreams/da2f92ca-576d-47bb-841e-9e52acf45689/content", "country_ids": [ "BHS" ], "coverage_domains": [ "actors", "governance", "government_responsibilities", "hospital_organization", "market_structure", "networks", "ownership", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "better regulatory oversight and stronger governance", "institution": "World Health Organization", "locator": { "locator_type": "physical_pdf_page_anchor", "source_word_anchor": "better regulatory oversight and stronger governance", "source_word_count": 6 }, "material_id": "material:f3745f25a1548835a3342d86", "notes": [ "Do not turn cooperation priorities or a stated roll-out into evidence of implementation, coverage, provider contracting or patient behavior." ], "origin": "country-evidence-improvement-sources", "period": "WHO cooperation agenda published 2017", "publication_date": null, "publication_year": 2017, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "3bd6516aadf775366b6c3c9c54e748dce1636578cfc710f5434d97d854789309", "page_count": 2, "response_sha256": "3bd6516aadf775366b6c3c9c54e748dce1636578cfc710f5434d97d854789309" }, "statement": "WHO's 2017 brief reports public rehabilitation services and private hospitals and clinics, and identifies the roll-out of national health insurance, regulatory oversight and governance as cooperation priorities. It is a cooperation agenda, not a verification of completed reform effects or current service use.", "tags": [], "territory": "The Bahamas", "title": "WHO Country Cooperation Strategy at a Glance: Bahamas", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://iris.who.int/server/api/core/bitstreams/da2f92ca-576d-47bb-841e-9e52acf45689/content" } ] }, { "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Health Organization. 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