Journal ArticleDOI
Performance-based financing experiment improved health care in the Democratic Republic of Congo.
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TLDR
It is found that providing performance-based subsidies resulted in lower direct payments to health facilities for patients, who received comparable or better services and quality of care than those provided at a control group of facilities that were not financed in this way.Abstract:
In some low-income countries such as Cambodia and Rwanda, experimental performance-based payment systems have led to rapid improvements in access to health care and the quality of that care. Under this type of payment scheme, funders—including foreign governments and international aid programs—subsidize local health care providers for achieving certain benchmarks. The benchmarks can include such measures as child immunizations or childbirth in a health facility. In this article we report the results of a performance-based payment experiment conducted in the Democratic Republic of Congo, which is one of the poorest countries in the world and has an extremely high level of child and maternal mortality. We found that providing performance-based subsidies resulted in lower direct payments to health facilities for patients, who received comparable or better services and quality of care than those provided at a control group of facilities that were not financed in this way. The disparity occurred despite the fa...read more
Citations
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Journal ArticleDOI
Paying for performance to improve the delivery of health interventions in low- and middle-income countries
TL;DR: The current evidence for the effects of paying for performance on the provision of health care and health outcomes in low- and middle-income countries is assessed and a narrative synthesis with separate results from each study is presented.
Journal ArticleDOI
Performance-based contracting: a literature review and future research directions
Kostas Selviaridis,Finn Wynstra +1 more
TL;DR: In this article, a systematic literature review of 241 peer-reviewed articles across disciplines, published between 1985 and 2014, is provided, addressing key aspects of PBC design and management: performance specification and evaluation, the design of incentives and their impact on supplier behaviour and risks allocation depending also on the risk attitudes of buyers and suppliers.
MonographDOI
Performance-based financing toolkit
TL;DR: This toolkit answers the most pressing issues related to the supply-side RBF programs of which PBF forms part.
ReportDOI
Pay-for-Performance Incentives in Low- and Middle-Income Country Health Programs
TL;DR: In this paper, the authors survey experience with performance pay in developing country health programs and focus on four key conceptual issues: (1) what to reward, (2) who to reward, (3) how to reward and (4) what unintended consequences might performance incentives create.
Journal ArticleDOI
Can performance-based financing be used to reform health systems in developing countries?
TL;DR: In this paper, the authors argue that results-based and economically driven interventions do not, on their own, adequately respond to patient and community needs, upon which health system reform should be based.
References
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Journal ArticleDOI
Mortality in the Democratic Republic of Congo: a nationwide survey.
Benjamin Coghlan,Richard J Brennan,Pascal Ngoy,David Dofara,Brad Otto,Mark S. Clements,Tony Stewart +6 more
TL;DR: The conflict in the Democratic Republic of Congo remains the world's deadliest humanitarian crisis and improvements in security and increased humanitarian assistance are urgently needed.
Journal ArticleDOI
User fees plus quality equals improved access to health care: results of a field experiment in Cameroon.
Jennie I. Litvack,Claude Bodart +1 more
TL;DR: This study found that probability of the poorest quintile seeking care increases at a rate proportionately greater than the rest of the population, since the poor are most responsive to price changes.
Journal ArticleDOI
Buying results? Contracting for health service delivery in developing countries.
TL;DR: The ten investigated examples indicate that contracting for the delivery of primary care can be very effective and that improvements can be rapid, and contracting for health service delivery should be expanded and future efforts must include rigorous evaluations.
Journal ArticleDOI
Improving government health services through contract management: a case from Cambodia
Robert Soeters,Fred Griffiths +1 more
TL;DR: Contracting is described as a possible tool for Ministries of Health to improve health service delivery more rapidly than the more traditional reform approaches and how the contractor addressed the deeply rooted problems of informal private activities of government health workers is discussed.
Journal ArticleDOI
Innovations in Rwanda's health system: looking to the future.
TL;DR: Three health system developments introduced by the Rwandan government that are improving barriers to care are described, the coordination of donors and external aid with government policy, and monitoring the effectiveness of aid; a country-wide independent community health insurance scheme; and the introduction of a performance-based pay initiative.