Global Health: Science and Practice (GHSP)
March 24, 2017, 5 (1)
Can We Expect Results-Based Financing to Improve Quality of Care?
Performance-based incentives as currently employed appear poorly adapted for improving quality of clinical processes. They mainly measure structural items that, while easier to measure, are remote from actual clinical quality, and they could even perversely lead to heightened attention to those factors at the expense of clinical quality.
Glob Health Sci Pract 2017;5(1):1-3. First published online March 15, 2017. http://dx.doi.org/10.9745/GHSP-D-17-00069
Quality of Care in Performance-Based Financing: How It Is Incorporated in 32 Programs Across 28 Countries
Structural aspects of quality such as equipment and infrastructure were the most frequently measured, with some measurement of processes of clinical care. Further examination is warranted to assess whether variations in how quality of care is incorporated into performance-based financing programs lead to differential effects.
Jessica Gergen, Erik Josephson, Martha Coe, Samantha Ski, Supriya Madhavan, Sebastian Bauhoff
Glob Health Sci Pract 2017;5(1):90-107. First published online March 15, 2017. http://dx.doi.org/10.9745/GHSP-D-16-00239