| Description |
1 online resource (lii, 235 pages) : color illustrations |
| Series |
Policy research report |
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Policy research report (Washington, D.C.)
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| Contents |
Front Cover -- Contents -- Foreword -- Acknowledgments -- About the Authors -- Overview -- Abbreviations -- Chapter 1 Introduction -- Introduction -- Conclusions -- References -- Chapter 2 Effective Coverage: A Framework Linking Coverage and Quality -- Introduction -- Coverage, quality, and effective coverage -- Empirical applications -- Expanding the work on effective coverage by using data collected in health facilities -- Conclusions -- Notes -- References -- Chapter 3 Quality of Care: A Framework for Measurement -- Introduction -- Theoretical framework for assessing quality of care |
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Measuring quality of care for research and policy -- Conclusions -- Notes -- References -- Chapter 4 Decomposing the Constraints to Quality of Care Using Data on Antenatal Care Consultations from Five Sub-Saharan African Countries -- Introduction -- Why antenatal care? -- Data -- Results -- Conclusions -- Annex 4A: Additional tables and figures -- Annex 4B: Data -- References -- Chapter 5 Performance-Based Financing Improves Coverage of Reproductive, Maternal, and Child Health Interventions -- Introduction -- PBF, health system performance, and health worker effort in theory |
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Evidence of the impact of PBF on the quality and quantity of health service delivery in LMICs -- Impact of PBF on health worker motivation and satisfaction in six countries -- Results -- PBF, quality of care, and idle capacity -- Conclusions -- Notes -- References -- Chapter 6 Policy Alternatives to Performance-Based Financing -- Introduction -- Systematic review and meta-analysis of demand- and supply-side financial incentives -- Comparing the PBF and DFF approaches -- PBF, DFF, and institutional deliveries -- PBF, DFF, and baseline effort -- Complementarities in the PBF and DFF approaches |
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Discussion and conclusions -- Annex 6A: Additional tables -- Notes -- References -- Chapter 7 Performance-Based Financing as a Health System Reform and Cautionary Evidence on Performance Pay and Irrelevant Care -- Introduction -- Provision of nonindicated treatment in the context of financial incentives -- PBF as a health system reform -- Conclusion -- Notes -- References -- Chapter 8 Conclusion and Operational Implications -- Message 1: Recognize that sustainability is about more than just money -- Message 2: Support the four facility financing tenets |
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Message 3: Understand PBF incentives in a broader health system context -- Message 4: Explore opportunities of maturing technologies -- Building a forward-looking research agenda -- References -- Boxes -- Box O.1 In Focus: Action items for task teams working on health financing reform -- Box 1.1 In Focus: A short history of performance-based financing and the related evaluation agenda -- Box 3.1 In Focus: Identifying misuse of care: A case study of malaria treatment in Mali -- Box 3.2 In Focus: Measuring quality of care and provider effort in antenatal and maternal care -- Box 4.1 In Focus: Exploring the drivers of variation in the content of care |
| Summary |
In many low- and middle-income countries, health coverage has improved dramatically in the past two decades, but health outcomes have not. As such, effective coverage-- a measure of service delivery that meets a minimum standard of quality-- remains unacceptably low. This publication examines one specific policy approach to improving effective coverage: financial incentives in the form of performance-based financing (PBF), a package reform that typically includes performance pay to frontline health workers as well as facility autonomy, transparency, and community engagement. This Policy Research Report draws on a rich set of rigorous studies and new analysis. When compared with business-as-usual, in low-income settings with centralized health systems, PBF can result in substantial gains in effective coverage. However, the relative benefits of PBF-- the performance pay component in particular-- are less clear when it is compared with two alternative approaches, direct facility financing, which provides operating budgets to frontline health services with facility autonomy on allocation, but not performance pay, and demand-side financial support for health services (that is, conditional cash transfers and vouchers). Although PBF often results in improvements on the margins, closing the substantial gaps in effective health coverage is not yet within reach for many countries. Nonetheless, important lessons and experiences from the rollout of PBF over the past decade can guide health financing into the future. In particular, to be successful, health financing reform may need to pivot from performance pay while retaining the elements of direct facility financing, autonomy, transparency, and community engagement |
| Bibliography |
Includes bibliographical references |
| Notes |
Description based on resource, viewed August 29, 2022 |
| Subject |
Managed care plans (Medical care) -- Finance.
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Health facilities -- Finance.
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Merit pay.
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Health facilities -- Finance.
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Managed care plans (Medical care) -- Finance.
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Merit pay.
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| Form |
Electronic book
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| Author |
Kandpal, Eeshani, author.
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Wagstaff, Adam, author.
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Friedman, Jed, author.
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Piatti-Fünfkirchen, Moritz, author
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Sautmann, Anja, author
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Shapira, Gil, author.
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Poel, Ellen van de, author
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| ISBN |
9781464818790 |
|
1464818797 |
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