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Performance-Based Financing

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https://www.readbyqxmd.com/read/29113446/the-relationship-between-primary-healthcare-providers-and-their-external-supervisors-in-rwanda
#1
Michael Schriver, Vincent K Cubaka, Laetitia Nyirazinyoye, Sylvere Itangishaka, Per Kallestrup
BACKGROUND: External supervision of Rwandan primary healthcare facilities unfolds as an interaction between supervisors and healthcare providers. Their relationship has not been thoroughly studied in Rwanda, and rarely in Africa. AIM: To explore perceived characteristics and effects of the relationship between providers in public primary healthcare facilities and their external supervisors in Rwanda. SETTING: We conducted three focus group discussions with primary healthcare providers (n = 16), three with external supervisors (n = 15) and one mixed (n = 5)...
November 1, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29077844/pathways-to-high-and-low-performance-factors-differentiating-primary-care-facilities-under-performance-based-financing-in-nigeria
#2
Shunsuke Mabuchi, Temilade Sesan, Sara C Bennett
The determinants of primary health facility performance in developing countries have not been well studied. One of the most under-researched areas is health facility management. This study investigated health facilities under the pilot performance-based financing (PBF) scheme in Nigeria, and aimed to understand which factors differentiated primary health care centres (PHCCs) which had performed well, vs those which had not, with a focus on health facility management practices. We used a multiple case study where we compared two high-performing PHCCs and two low-performing PHCCs for each of the two PBF target states...
October 25, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29069378/the-effect-of-a-performance-based-financing-program-on-hiv-and-maternal-child-health-services-in-mozambique-an-impact-evaluation
#3
Yogesh Rajkotia, Omer Zang, Pierre Nguimkeu, Jessica Gergen, Iva Djurovic, Paula Vaz, Franscisco Mbofana, Kebba Jobarteh
Performance-based financing (PBF) is a mechanism by which health providers are paid on the basis of outputs or results delivered. A PBF program was implemented on the provision of HIV, prevention of mother-to child HIV transmission (PMTCT), and maternal/child health (MCH) services in two provinces of Mozambique. A retrospective case-control study design was used in which PBF provinces were matched with control provinces to evaluate the impact of PBF on 18 indicators. Due to regional heterogeneity, we evaluated the intervention sites (North and South) separately...
December 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29020993/assessment-of-a-business-to-consumer-b2c-model-for-telemonitoring-patients-with-chronic-heart-failure-chf
#4
Andrija S Grustam, Hubertus J M Vrijhoef, Ron Koymans, Philipp Hukal, Johan L Severens
BACKGROUND: The purpose of this study is to assess the Business-to-Consumer (B2C) model for telemonitoring patients with Chronic Heart Failure (CHF) by analysing the value it creates, both for organizations or ventures that provide telemonitoring services based on it, and for society. METHODS: The business model assessment was based on the following categories: caveats, venture type, six-factor alignment, strategic market assessment, financial viability, valuation analysis, sustainability, societal impact, and technology assessment...
October 11, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/29017454/productivity-losses-and-public-finance-burden-attributable-to-breast-cancer-in-poland-2010-2014
#5
Błażej Łyszczarz, Ewelina Nojszewska
BACKGROUND: Apart from the health and social burden of the disease, breast cancer (BC) has important economic implications for the sick, health system and whole economy. There has been a growing interest in the economic aspects of breast cancer and analyses of the disease costs seem to be the most explored topic. However, the results from these studies are hardly comparable. With this study we aim to contribute to the field by providing estimates of productivity losses and public finance burden attributable to BC in Poland...
October 10, 2017: BMC Cancer
https://www.readbyqxmd.com/read/28993378/characterisation-of-the-rural-indigent-population-in-burkina-faso-a-screening-tool-for-setting-priority-healthcare-services-in-sub-saharan-africa
#6
Samiratou Ouédraogo, Valéry Ridde, Nicole Atchessi, Aurélia Souares, Jean-Louis Koulidiati, Quentin Stoeffler, Maria-Victoria Zunzunegui
BACKGROUND: In Africa, health research on indigent people has focused on how to target them for services, but little research has been conducted to identify the social groups that compose indigence. Our aim was to identify what makes someone indigent beyond being recognised by the community as needing a card for free healthcare. METHODS: We used data from a survey conducted to evaluate a state-led intervention for performance-based financing of health services in two districts of Burkina Faso...
October 8, 2017: BMJ Open
https://www.readbyqxmd.com/read/28962656/equity-in-health-financing-of-guangxi-after-china-s-universal-health-coverage-evidence-based-on-health-expenditure-comparison-in-rural-guangxi-zhuang-autonomous-region-from-2009-to-2013
#7
Xianjing Qin, Hongye Luo, Jun Feng, Yanning Li, Bo Wei, Qiming Feng
BACKGROUND: Healthcare financing should be equitable. Fairness in financial contribution and protection against financial risk is based on the notion that every household should pay a fair share. Health policy makers have long been concerned with protecting people from the possibility that ill health will lead to catastrophic financial payments and subsequent impoverishment. A number of studies on health care financing equity have been conducted in some provinces of China, but in Guangxi, we found such observation is not enough...
September 29, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28942205/the-unintended-consequences-of-community-verifications-for-performance-based-financing-in-burkina-faso
#8
Anne-Marie Turcotte-Tremblay, Idriss Ali Gali-Gali, Manuela De Allegri, Valéry Ridde
Performance-based financing (PBF) is being widely implemented to improve healthcare services in Africa. An essential component of PBF involves conducting community verifications, wherein investigators from local associations attempt to trace samples of patients. Community surveys are administered to patients to verify whether healthcare workers reported fictitious services to increase their revenue. At the same time, client satisfaction surveys are administered to assess whether patients are satisfied with the services received...
September 8, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28934320/household-costs-and-time-to-seek-care-for-pregnancy-related-complications-the-role-of-results-based-financing
#9
Jobiba Chinkhumba, Manuela De Allegri, Jacob Mazalale, Stephan Brenner, Don Mathanga, Adamson S Muula, Bjarne Robberstad
Results-based financing (RBF) schemes-including performance based financing (PBF) and conditional cash transfers (CCT)-are increasingly being used to encourage use and improve quality of institutional health care for pregnant women in order to reduce maternal and neonatal mortality in low-income countries. While there is emerging evidence that RBF can increase service use and quality, little is known on the impact of RBF on costs and time to seek care for obstetric complications, although the two represent important dimensions of access...
2017: PloS One
https://www.readbyqxmd.com/read/28923520/exploring-associations-between-state-education-initiatives-and-teachers-sleep-a-social-ecological-approach
#10
Kaori Fujishiro, Amy N Farley, Marie Kellemen, Christopher M Swoboda
Social policies that are not specifically aimed at impacting health can still have health consequences. State education reforms, such as standardized testing and stringent accountability for schools and teachers, may affect teacher health by changing their working conditions. This study explores associations between state education initiatives and teachers' sleep, an important predictor of productivity and chronic health conditions. The Behavioral Risk Factor Surveillance System 2013 and 2014 data sets provided sleep and demographic data for 7836 teachers in 29 states in the United States...
September 12, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28891363/exploring-the-association-of-dental-care-utilization-with-oral-impacts-on-daily-performances-oidp-a-prospective-study-of-ageing-people-in-norway-and-sweden
#11
Ferda Gülcan, Gunnar Ekbäck, Sven Ordell, Kristin S Klock, Stein Atle Lie, Anne Nordrehaug Åstrøm
OBJECTIVES: To explore the association of dental health care utilization with oral impacts on daily performances (OIDP) across time focusing ageing Norwegian and Swedish adults adjusting for predisposing, enabling, and need related-factors as defined by Andersen's model. METHODS: Data were based on Norwegian and Swedish 1942 birth-cohorts conducted in 2007 (age 65) and 2012 (age 70). In Norway, the response rates ranged from 54% to 58%. Corresponding figures in Sweden were from 72% to 73%...
September 10, 2017: Acta Odontologica Scandinavica
https://www.readbyqxmd.com/read/28891235/financial-arrangements-for-health-systems-in-low-income-countries-an-overview-of-systematic-reviews
#12
REVIEW
Charles S Wiysonge, Elizabeth Paulsen, Simon Lewin, Agustín Ciapponi, Cristian A Herrera, Newton Opiyo, Tomas Pantoja, Gabriel Rada, Andrew D Oxman
BACKGROUND: One target of the Sustainable Development Goals is to achieve "universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all". A fundamental concern of governments in striving for this goal is how to finance such a health system. This concern is very relevant for low-income countries. OBJECTIVES: To provide an overview of the evidence from up-to-date systematic reviews about the effects of financial arrangements for health systems in low-income countries...
September 11, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28885240/advancing-value-based-population-health-management-through-payer-provider-partnerships-improving-outcomes-for-children-with-complex-conditions
#13
Pamela Peele, Donna Keyser, John Lovelace, Deborah Moss
Population health management (PHM) approaches to improve cost and quality remain limited. To address this gap, stakeholders within an integrated delivery and financing system in Western Pennsylvania designed, implemented, and tested a value-based care model for children with medically complex conditions that could be scaled across the broader pediatric population. The model included: (1) a multilevel, interdisciplinary infrastructure; (2) actionable analytics reports to guide continuous quality improvement; (3) alternative provider payments; (4) consumer-directed spending accounts; and (5) shared savings with practices...
September 1, 2017: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
https://www.readbyqxmd.com/read/28869518/combining-theory-driven-evaluation-and-causal-loop-diagramming-for-opening-the-black-box-of-an-intervention-in-the-health-sector-a-case-of-performance-based-financing-in-western-uganda
#14
Dimitri Renmans, Nathalie Holvoet, Bart Criel
Increased attention on "complexity" in health systems evaluation has resulted in many different methodological responses. Theory-driven evaluations and systems thinking are two such responses that aim for better understanding of the mechanisms underlying given outcomes. Here, we studied the implementation of a performance-based financing intervention by the Belgian Technical Cooperation in Western Uganda to illustrate a methodological strategy of combining these two approaches. We utilized a systems dynamics tool called causal loop diagramming (CLD) to generate hypotheses feeding into a theory-driven evaluation...
September 3, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28868141/we-need-a-nice-for-global-development-spending
#15
Kalipso Chalkidou, Anthony J Culyer, Amanda Glassman, Ryan Li
With aid budgets shrinking in richer countries and more money for healthcare becoming available from domestic sources in poorer ones, the rhetoric of value for money or improved efficiency of aid spending is increasing. Taking healthcare as one example, we discuss the need for and potential benefits of (and obstacles to) the establishment of a national institute for aid effectiveness. In the case of the UK, such an institute would help improve development spending decisions made by DFID, the country's aid agency, as well as by the various multilaterals, such as the Global Fund, through which British aid monies is channelled...
2017: F1000Research
https://www.readbyqxmd.com/read/28863012/critical-care-organizations-business-of-critical-care-and-value-performance-building
#16
Sharon Leung, Sara R Gregg, Craig M Coopersmith, A Joseph Layon, John Oropello, Daniel R Brown, Stephen M Pastores, Vladimir Kvetan
OBJECTIVE: New, value-based regulations and reimbursement structures are creating historic care management challenges, thinning the margins and threatening the viability of hospitals and health systems. The Society of Critical Care Medicine convened a taskforce of Academic Leaders in Critical Care Medicine on February 22, 2016, during the 45th Critical Care Congress to develop a toolkit drawing on the experience of successful leaders of critical care organizations in North America for advancing critical care organizations (Appendix 1)...
August 31, 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/28857284/fiscal-transfers-based-on-inputs-or-outcomes-lessons-from-the-twelfth-and-thirteenth-finance-commission-in-india
#17
Victoria Y Fan, Smriti Iyer, Avani Kapur, Rifaiyat Mahbub, Anit Mukherjee
BACKGROUND: There is limited empirical evidence about the efficacy of fiscal transfers for a specific purpose, including for health which represents an important source of funds for the delivery of public services especially in large populous countries such as India. OBJECTIVE: To examine two distinct methodologies for allocating specific-purpose centre-to-state transfers, one using an input-based formula focused on equity and the other using an outcome-based formula focused on performance...
August 30, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28854877/demand-side-financing-for-maternal-and-newborn-health-what-do-we-know-about-factors-that-affect-implementation-of-cash-transfers-and-voucher-programmes
#18
Benjamin M Hunter, Susan F Murray
BACKGROUND: Demand-side financing (DSF) interventions, including cash transfers and vouchers, have been introduced to promote maternal and newborn health in a range of low- and middle-income countries. These interventions vary in design but have typically been used to increase health service utilisation by offsetting some financial costs for users, or increasing household income and incentivising 'healthy behaviours'. This article documents experiences and implementation factors associated with use of DSF in maternal and newborn health...
August 31, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28851795/trends-in-disability-of-instrumental-activities-of-daily-living-among-older-chinese-adults-1997-2006-population-based-study
#19
Yajun Liang, Anna-Karin Welmer, Jette Möller, Chengxuan Qiu
BACKGROUND: Data on trends for disability in instrumental activity of daily living (IADL) are sparse in older Chinese adults. OBJECTIVES: To assess trends in prevalence and incidence of IADL disability among older Chinese adults and to explore contributing factors. DESIGN: Population based study. SETTING: 15 provinces and municipalities in China. SUBJECTS: Participants (age ≥60) were from four waves of the China Health and Nutrition Survey, conducted in 1997 (n=1533), 2000 (n=1581), 2004 (n=2028) and 2006 (n=2256), and from two cohorts constructed within the national survey: cohort 1997-2004 (n=712) and cohort 2000-2006 (n=823)...
August 28, 2017: BMJ Open
https://www.readbyqxmd.com/read/28841880/introducing-voluntary-private-health-insurance-in-a-mixed-medical-economy-are-hong-kong-citizens-willing-to-subscribe
#20
Alex Jingwei He
BACKGROUND: Struggling to correct the public-private imbalance in its health care system, the Hong Kong SAR Government seeks to introduce a government-regulated voluntary health insurance scheme, or VHIS, a distinctive financing instrument that combines the characteristics of private insurance with strong government regulation. This study examines citizens' responses to the new scheme and their willingness to subscribe. METHODS: First-hand data were collected from a telephone survey that randomly sampled 1793 Hong Kong adults from September 2014 to February 2015...
August 25, 2017: BMC Health Services Research
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