{"id":35386,"date":"2021-10-06T10:04:26","date_gmt":"2021-10-06T14:04:26","guid":{"rendered":"https:\/\/gffklportal.org\/?post_type=knowledge&#038;p=35386"},"modified":"2023-11-21T08:47:53","modified_gmt":"2023-11-21T13:47:53","slug":"using-performance-incentives-to-improve-medical-care-productivity-and-health-outcomes","status":"publish","type":"knowledge","link":"https:\/\/gffklportal.org\/fr\/knowledge\/using-performance-incentives-to-improve-medical-care-productivity-and-health-outcomes\/","title":{"rendered":"Using Performance Incentives to Improve Medical Care Productivity and Health Outcomes"},"content":{"rendered":"<p>(Utilisation d&#8217;incitations \u00e0 la performance pour am\u00e9liorer la productivit\u00e9 des soins m\u00e9dicaux et les r\u00e9sultats de sant\u00e9)<\/p>\n<p>Dans ce document, nous fournissons des preuves quant \u00e0 l&#8217;effet des incitations sur la productivit\u00e9 des prestataires de service et sur les r\u00e9sultats de sant\u00e9 au Rwanda, o\u00f9 nous avons int\u00e9gr\u00e9 une exp\u00e9rience prospective sur le terrain, dans le d\u00e9ploiement national d&#8217;un syst\u00e8me d&#8217;incitation de P4P (r\u00e9mun\u00e9ration bas\u00e9e sur la performance). La P4P affecte la prestation de services de sant\u00e9 de deux fa\u00e7ons : d&#8217;abord, en incitant les prestataires de services \u00e0 intensifier leurs efforts dans des activit\u00e9s sp\u00e9cifiques et ensuite, en augmentant le montant de ressources financi\u00e8res disponibles. Pour pouvoir identifier l&#8217;effet incitatif s\u00e9par\u00e9ment de l&#8217;augmentation des ressources, les budgets traditionnels du groupe t\u00e9moin &#8211; bas\u00e9s sur les intrants &#8211; ont \u00e9t\u00e9 augment\u00e9s du montant moyen des paiements incitatifs vers\u00e9s aux \u00e9tablissements de traitement. Par cons\u00e9quent, bien que les \u00e9tablissements de traitement et de comparaison aient eu le m\u00eame budget, une partie du budget des \u00e9tablissements de traitement fut d\u00e9termin\u00e9e en fonction de leur performance, alors que les ressources des \u00e9tablissements de comparaison ne l&#8217;\u00e9taient pas. Ceci est important car si la P4P atteint ses r\u00e9sultats par une simple augmentation de ressources financi\u00e8res, alors les m\u00eames r\u00e9sultats pourraient \u00eatre obtenus par une simple augmentation de budget, sans encourir les co\u00fbts administratifs li\u00e9s \u00e0 la mise en \u0153uvre du syst\u00e8me d&#8217;incitation.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>(Utilisation d&#8217;incitations \u00e0 la performance pour am\u00e9liorer la productivit\u00e9 des soins m\u00e9dicaux et les r\u00e9sultats de sant\u00e9) Dans ce document, nous fournissons des preuves quant \u00e0 l&#8217;effet des incitations sur la productivit\u00e9 des prestataires de service et sur les r\u00e9sultats de sant\u00e9 au Rwanda, o\u00f9 nous avons int\u00e9gr\u00e9 une exp\u00e9rience prospective sur le terrain, dans [&hellip;]<\/p>\n","protected":false},"author":70,"featured_media":0,"menu_order":0,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"knowledge_topics":[1301,299,1303,302,384],"knowledge_categories":[],"knowledge_countries":[440],"knowledge_tags":[1179,777,783],"knowledge_tool_type":[455],"class_list":["post-35386","knowledge","type-knowledge","status-publish","hentry","knowledge_topics-old_fr_technical-topics","knowledge_topics-result-based-financing-fr","knowledge_topics-qualite-des-soins","knowledge_topics-results-monitoring-fr","knowledge_topics-evaluation-fr","knowledge_countries-rwanda-fr","knowledge_tags-financement-la-sante","knowledge_tags-efficacite","knowledge_tags-evaluation-fr","knowledge_tool_type-report-fr"],"acf":[],"_links":{"self":[{"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/knowledge\/35386","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/knowledge"}],"about":[{"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/types\/knowledge"}],"author":[{"embeddable":true,"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/users\/70"}],"replies":[{"embeddable":true,"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/comments?post=35386"}],"version-history":[{"count":4,"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/knowledge\/35386\/revisions"}],"predecessor-version":[{"id":38679,"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/knowledge\/35386\/revisions\/38679"}],"wp:attachment":[{"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/media?parent=35386"}],"wp:term":[{"taxonomy":"knowledge_topics","embeddable":true,"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/knowledge_topics?post=35386"},{"taxonomy":"knowledge_categories","embeddable":true,"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/knowledge_categories?post=35386"},{"taxonomy":"knowledge_countries","embeddable":true,"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/knowledge_countries?post=35386"},{"taxonomy":"knowledge_tags","embeddable":true,"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/knowledge_tags?post=35386"},{"taxonomy":"knowledge_tool_type","embeddable":true,"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/knowledge_tool_type?post=35386"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}