A review of the experience of hospital autonomy in Pakistan

Int J Health Plann Manage. 2007 Jan-Mar;22(1):45-62. doi: 10.1002/hpm.855.


This paper examines the recent trends in public hospital autonomy as an integral part of health systems reforms. It reviews literature produced on the subject across a range of developing countries and explores varying viewpoints, arguments, and rationale for hospital autonomy developed over the past two decades. It then leads onto a discussion of two experiences of autonomy reforms in Pakistan: the provinces of Punjab and NWFP. Derived from the lessons learned from these initiatives, a set of guidelines is suggested as sustainable frameworks for reviewing the current measures and for designing future autonomy initiatives in Pakistan.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Hospitals, Public*
  • Pakistan
  • Professional Autonomy*