Abstract
Strengthening performance-based financing as a health system approach for quality improvement
Highlights
As an approach to enhance quality of care (QoC) in low- and middle-income countries (LMICs), performance-based financing (PBF), which incentivizes health providers based on predetermined indicators, has been piloted or implemented in more than 30 countries
As an approach to enhance QoC in LMICs, performance-based financing (PBF), which incentivizes health providers based on predetermined indicators, has been piloted or implemented in more than 30 countries
This is of particular importance in the era when countries endeavor to progress towards Universal Health Coverage (UHC) and achieve Sustainable Development Goal (SDG) 3 ensuring “healthy lives and promote well-being for all and at all ages.”
Summary
QoC is measured, to some degree, in all PBF programmes with payments to health facilities including calculation of improvements in quality. PBF can have significant impact on overall health governance structures and policies, which may include but are not limited to: (1) splitting purchasers from providers; (2) increasing health facility autonomy in management over human resources and medical products / technologies; (3) defining a clear role for each stakeholder of the PBF program; and (4) enhancing accountability with explicit regulations and policies on using resources. This allows health facilities to swiftly respond to their community and the populations they serve. Accompanying with the decentralization is the enhanced facility management through leadership training, regular meetings, development of strategic plans, and community engagement
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
