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Performance-Based Financing

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https://www.readbyqxmd.com/read/29758022/determinants-of-hardship-financing-in-coping-with-out-of-pocket-payment-for-care-seeking-of-under-five-children-in-selected-rural-areas-of-bangladesh
#1
Tazeen Tahsina, Nazia Binte Ali, Md Abu Bakkar Siddique, Sameen Ahmed, Mubashshira Rahman, Sajia Islam, Md Mezanur Rahman, Bushra Amena, D M Emdadul Hoque, Tanvir M Huda, Shams El Arifeen
BACKGROUND: Around 63% of total health care expenditure in Bangladesh is mitigated through out of pocket payment (OOP). Heavy reliance on OOP at the time of care seeking poses great threat for financial impoverishment of the households. Households employ different strategies to cope with the associated financial hardship. OBJECTIVE: The aim of this paper is to understand the determinants of hardship financing in coping with OOP adopted for health care seeking of under five childhood illnesses in rural setting of Bangladesh...
2018: PloS One
https://www.readbyqxmd.com/read/29751178/how-does-performance-based-financing-affect-health-workers-intrinsic-motivation-a-self-determination-theory-based-mixed-methods-study-in-malawi
#2
Julia Lohmann, Adamson S Muula, Nathalie Houlfort, Manuela De Allegri
"Intrinsic motivation crowding out", the erosion of high-quality, sustainable motivation through the introduction of financial incentives, is one of the most frequently discussed but yet little researched potential unfavorable consequence of Performance-based Financing (PBF). We used the opportunity of the introduction of PBF in Malawi to investigate whether and how PBF affected intrinsic motivation, using a mixed-methods research design theoretically grounded in Self-Determination Theory (SDT). The quantitative component served to estimate the impact of PBF on intrinsic motivation, relying on a controlled pre- and post-test design, with data collected from health workers in 23 intervention and 10 comparison facilities before (March/April 2013; n = 70) and approximately two years after (June/July 2015; n = 71) the start of the intervention...
April 30, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29746556/a-qualitative-study-on-perceptions-of-surgical-careers-in-rwanda-a-gender-based-approach
#3
Sojung Yi, Yihan Lin, Grace Kansayisa, Ainhoa Costas-Chavarri
Access to surgical care in low- and middle-income countries (LMICs) remains deficient without an adequate workforce. There is limited understanding of the gender gap in surgical trainees in LMICs. In Rwanda, females fill only one of 20 positions available. Understanding surgeons' experiences and perceptions of surgical careers may help facilitate support for females to contribute to the global surgical workforce. We performed qualitative analysis on perceptions of surgical careers through semi-structured interviews of all female surgeons (n = 6) and corresponding male surgeons (n = 6) who are training or have trained at University of Rwanda...
2018: PloS One
https://www.readbyqxmd.com/read/29741692/the-challenges-of-the-family-physician-policy-in-iran-a-systematic-review-and-meta-synthesis-of-qualitative-researches
#4
Masoud Behzadifar, Meysam Behzadifar, Sanaz Heidarvand, Hasan Abolghasem Gorji, Aidin Aryankhesal, Sharare Taheri Moghadam, Roghayeh Mohammadibakhsh, Nicola Luigi Bragazzi
Background: A good level of health requires the establishment of primary health care. Family physician policy (FPP) is probably one of such initiatives, which enables societies attaining the universal health coverage. Objective: The present study is the first systematic review and meta-synthesis that seeks to provide a more comprehensive understanding of the challenges for FPP in Iran. Method: Several international scholarly databases (namely, ISI/Web of Sciences, PubMed/MEDLINE via Ovid, Embase, PsycINFO, Scopus and CINAHL via EBSCO), as well as three Iranian databases [MagIran, Irandoc and Scientific Information Database (SID) databases], were mined from January 2006 to December 2017...
May 7, 2018: Family Practice
https://www.readbyqxmd.com/read/29726980/society-of-behavioral-medicine-sbm-position-statement-sbm-urges-congress-to-preserve-and-increase-the-financing-of-federally-funded-nutrition-assistance-programs-and-services
#5
Pamela Behrman, Jill Demirci, Betina Yanez, Nisha Beharie, Helena Laroche
Deep cuts have been proposed to federally funded nutrition assistance programs, including the Supplemental Nutrition Assistance Program (SNAP); the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC); and federally subsidized school breakfast and lunch programs. Yet, these programs help parents afford healthy meals for their families, pregnant and postpartum mothers access supplemental foods and health services for themselves and their infants and young children, and children obtain the nutrition necessary for optimal school performance...
May 3, 2018: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/29720168/challenges-for-health-care-providers-parents-and-patients-who-face-a-child-hood-cancer-diagnosis-in-zambia
#6
Mulima Walubita, Bornwell Sikateyo, Joseph M Zulu
BACKGROUND: Zambia is experiencing high prevalence of childhood cancer. However, very few children access and complete treatment for cancer. This study aimed to document the challenges for health care providers, parents and patients who face a child hood cancer diagnosis in Zambia, and their coping strategies. METHODS: This was an exploratory health facility-based qualitative study that was conducted at a Paediatric oncology ward at referral hospital in Zambia. In-depth individual interviews conducted with fifteen (15) caregivers and seven (7) key informants were analysed using thematic analysis...
May 2, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29689693/vortioxetine-improves-symptomatic-and-functional-outcomes-in-major-depressive-disorder-a-novel-dual-outcome-measure-in-depressive-disorders
#7
Michael Cronquist Christensen, Henrik Loft, Roger S McIntyre
BACKGROUND: With symptomatic remission and functional recovery as the overarching therapeutic objectives of antidepressant therapy, composite endpoint measures that conjointly consider both aspects of treatment are needed. This analysis evaluated the combined effect of vortioxetine on depressive symptoms and functional capacity in adults with MDD. METHODS: NCT01564862, a multinational, double-blind, placebo-controlled, duloxetine-referenced study, conducted between April 2012 and February 2014, in 602 adult outpatients (18-65 years) with moderate-to-severe MDD (Montgomery-Åsberg Depression Rating Scale (MADRS) ≥ 26), a major depressive episode of ≥ 3 months' duration, and self-reported cognitive symptoms were randomized to once-daily vortioxetine (10 or 20mg), duloxetine (60mg), or placebo for 8 weeks...
February 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29678341/trends-in-future-health-financing-and-coverage-future-health-spending-and-universal-health-coverage-in-188-countries-2016-40
#8
(no author information available yet)
BACKGROUND: Achieving universal health coverage (UHC) requires health financing systems that provide prepaid pooled resources for key health services without placing undue financial stress on households. Understanding current and future trajectories of health financing is vital for progress towards UHC. We used historical health financing data for 188 countries from 1995 to 2015 to estimate future scenarios of health spending and pooled health spending through to 2040. METHODS: We extracted historical data on gross domestic product (GDP) and health spending for 188 countries from 1995 to 2015, and projected annual GDP, development assistance for health, and government, out-of-pocket, and prepaid private health spending from 2015 through to 2040 as a reference scenario...
April 17, 2018: Lancet
https://www.readbyqxmd.com/read/29657453/periprosthetic-hip-fractures-a-review-of-the-economic-burden-based-on-length-of-stay
#9
Rebecca F Lyons, Robert P Piggott, William Curtin, Colin G Murphy
Introduction: With the increasing rates of total hip replacements being performed worldwide, there is an increasing incidence of periprosthetic fractures. As our patients' demographics change to include older patients with multiple medical co-morbidities, there is a concurrent increase in morbidity and mortality rates. This leads to longer hospital stays and increasing hospital costs. In the current economic climate, the cost of treating periprosthetic fractures must be addressed and appropriate resource and funding allocation for future provision of services should be planned...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29614115/context-matters-but-how-and-why-a-hypothesis-led-literature-review-of-performance-based-financing-in-fragile-and-conflict-affected-health-systems
#10
Maria Paola Bertone, Jean-Benoît Falisse, Giuliano Russo, Sophie Witter
Performance-based financing (PBF) schemes have been expanding rapidly across low and middle income countries in the past decade, with considerable external financing from multilateral, bilateral and global health initiatives. Many of these countries have been fragile and conflict-affected (FCAS), but while the influence of context is acknowledged to be important to the operation of PBF, there has been little examination of how it affects adoption and implementation of PBF. This article lays out initial hypotheses about how FCAS contexts may influence the adoption, adaption, implementation and health system effects of PBF...
2018: PloS One
https://www.readbyqxmd.com/read/29607103/unraveling-pbf-effects-beyond-impact-evaluation-results-from-a-qualitative-study-in-cameroon
#11
Manuela De Allegri, Maria Paola Bertone, Shannon McMahon, Idrissou Mounpe Chare, Paul Jacob Robyn
Introduction: Performance-based financing (PBF) has acquired increased prominence as a means of reforming health system purchasing structures in low-income and middle-income countries. A number of impact evaluations have noted that PBF often produces mixed and heterogeneous effects. Still, little systematic effort has been channelled towards understanding what causes such heterogeneity, including looking more closely at implementation processes. Methods: Our qualitative study aimed at closing this gap in knowledge by attempting to unpack the mixed and heterogeneous effects detected by the PBF impact evaluation in Cameroon to inform further implementation as the country scales up the PBF approach...
2018: BMJ Global Health
https://www.readbyqxmd.com/read/29602185/stakeholder-perspectives-regarding-transfer-of-free-maternity-services-to-national-health-insurance-fund-in-kenya-implications-for-universal-health-coverage
#12
Timothy Abuya, Francis Obare, Dennis Matanda, Mardieh L Dennis, Ben Bellows
BACKGROUND: Kenya is developing strategies to finance health care through prepayment to achieve universal health coverage (UHC). Plans to transfer free maternity services (FMS) from the Ministry of Health to the National Health Insurance Fund (NHIF) are a step towards UHC. We examined views of health workers and women regarding the transition of FMS to NHIF to inform the process. METHODS: In-depth interviews among 14 facility-level managers and providers, 11 county-level managers, and 21 focus group discussions with women who gave birth before and after the introduction of FMS...
March 30, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29588640/contract-design-financial-options-and-risk
#13
Axel C Mühlbacher, Volker E Amelung, Christin Juhnke
Introduction: Integrated care systems as well as accountable care organisations (ACOs) in the US and similar concepts in other countries are advocated as an effective method of improving the performance of healthcare systems. These systems outline a payment and care delivery model that intends to tie provider reimbursements to predefined quality metrics. By this the total costs of care shall be reduced. When designing healthcare options contractors are faced with a variety of financial options...
January 12, 2018: International Journal of Integrated Care
https://www.readbyqxmd.com/read/29573826/development-of-voluntary-private-health-insurance-in-nordic-countries-an-exploratory-study-on-country-specific-contextual-factors
#14
Liina-Kaisa Tynkkynen, Nina Alexandersen, Oddvar Kaarbøe, Anders Anell, Juhani Lehto, Karsten Vrangbӕk
The Nordic countries are healthcare systems with tax-based financing and ambitions for universal access to comprehensive services. This implies that distribution of healthcare resources should be based on individual needs, not on the ability to pay. Despite this ideological orientation, significant expansion in voluntary private health insurance (VPHI) contracts has occurred in recent decades. The development and role of VPHIs are different across the Nordic countries. Complementary VPHI plays a significant role in Denmark and in Finland...
March 16, 2018: Health Policy
https://www.readbyqxmd.com/read/29573790/-market-access-agreements-definition-and-features-could-maa-be-defined-as-a-solution-for-immunotherapy-funding-by-french-health-system
#15
REVIEW
T Ceyrac, J Corny, C Raybaut, A Degrassat-Théas, P Paubel
Over the last few years, many therapeutic innovations have been approved and marketed in France, within a strained financial setting. Legal dispositions allowed manufacturers (LEEM - les enterprises du medicament) and the economic committee for health products (CEPS) to contract various confidential market access agreements to contain health product expenses. The purposes of this article are to define and describe these different existing market access agreements and to open discussion on their applicability to the problematic of immune-oncology drugs financing...
March 21, 2018: Annales Pharmaceutiques Françaises
https://www.readbyqxmd.com/read/29565977/global-screening-for-critical-habitat-in-the-terrestrial-realm
#16
Kerstin M Brauneder, Chloe Montes, Simon Blyth, Leon Bennun, Stuart H M Butchart, Michael Hoffmann, Neil D Burgess, Annabelle Cuttelod, Matt I Jones, Val Kapos, John Pilgrim, Melissa J Tolley, Emma C Underwood, Lauren V Weatherdon, Sharon E Brooks
Critical Habitat has become an increasingly important concept used by the finance sector and businesses to identify areas of high biodiversity value. The International Finance Corporation (IFC) defines Critical Habitat in their highly influential Performance Standard 6 (PS6), requiring projects in Critical Habitat to achieve a net gain of biodiversity. Here we present a global screening layer of Critical Habitat in the terrestrial realm, derived from global spatial datasets covering the distributions of 12 biodiversity features aligned with guidance provided by the IFC...
2018: PloS One
https://www.readbyqxmd.com/read/29564163/performance-based-financing-in-low-income-and-middle-income-countries-isn-t-it-time-for-a-rethink
#17
REVIEW
Elisabeth Paul, Lucien Albert, Badibanga N'Sambuka Bisala, Oriane Bodson, Emmanuel Bonnet, Paul Bossyns, Sandro Colombo, Vincent De Brouwere, Alexandre Dumont, Dieudonné Sèdjro Eclou, Karel Gyselinck, Fatoumata Hane, Bruno Marchal, Remo Meloni, Mathieu Noirhomme, Jean-Pierre Noterman, Gorik Ooms, Oumar Mallé Samb, Freddie Ssengooba, Laurence Touré, Anne-Marie Turcotte-Tremblay, Sara Van Belle, Philippe Vinard, Valéry Ridde
This paper questions the view that performance-based financing (PBF) in the health sector is an effective, efficient and equitable approach to improving the performance of health systems in low-income and middle-income countries (LMICs). PBF was conceived as an open approach adapted to specific country needs, having the potential to foster system-wide reforms. However, as with many strategies and tools, there is a gap between what was planned and what is actually implemented. This paper argues that PBF as it is currently implemented in many contexts does not satisfy the promises...
2018: BMJ Global Health
https://www.readbyqxmd.com/read/29534704/the-effect-of-contextual-factors-on-unintentional-injury-hospitalization-from-the-korea-national-hospital-discharge-survey
#18
Hye Ah Lee, Hyejin Han, Seonhwa Lee, Bomi Park, Bo Hyun Park, Won Kyung Lee, Ju Ok Park, Sungok Hong, Young Taek Kim, Hyesook Park
BACKGROUND: It has been suggested that health risks are affected by geographical area, but there are few studies on contextual effects using multilevel analysis, especially regarding unintentional injury. This study investigated trends in unintentional injury hospitalization rates over the past decade in Korea, and also examined community-level risk factors while controlling for individual-level factors. METHODS: Using data from the 2004 to 2013 Korea National Hospital Discharge Survey (KNHDS), trends in age-adjusted injury hospitalization rate were conducted using the Joinpoint Regression Program...
March 13, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29529444/drug-policy-in-estonia
#19
Kadri Mägi, Marika Lepaste, Monika Szkultecka-Dębek
The aim of this article was to present a general overview of the health care system as well as pricing and reimbursement environment in Estonia. In Estonia the main stakeholders in the pharmaceutical sector are the Ministry of Social Affairs, the State Agency of Medicine, and the Estonian Health Insurance Fund. The national health insurance scheme is public, and approximately 95% of the population is covered by it. It is a social insurance, and universal and equal access to health care based on national health insurance is granted...
March 9, 2018: Value in Health Regional Issues
https://www.readbyqxmd.com/read/29505584/prescribing-patterns-and-associated-factors-of-antibiotic-prescription-in-primary-health-care-facilities-of-kumbo-east-and-kumbo-west-health-districts-north-west-cameroon
#20
Elvis Dzelamonyuy Chem, Damian Nota Anong, Jane-Francis K T Akoachere
BACKGROUND: Inappropriate use of antibiotics is a global public health challenge and has been associated with antibiotic resistance. WHO reports show that efforts to promote rational antibiotic use in developing countries are poor. With the growing number of infections with antibiotic resistant bacteria, rational drug use becomes imperative and studies that promote rational drug use are highly necessary. Considering this, we investigated prescribing patterns and predictors of antibiotic prescription in primary health care facilities in Kumbo East (KE) and Kumbo West (KW) health districts in North West Cameroon, to contribute data which could influence policy on antibiotic use...
2018: PloS One
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