{"id":37465,"date":"2022-01-31T11:41:20","date_gmt":"2022-01-31T16:41:20","guid":{"rendered":"https:\/\/gffklportal.org\/?post_type=knowledge&#038;p=37465"},"modified":"2023-11-21T08:39:15","modified_gmt":"2023-11-21T13:39:15","slug":"performance-based-financing-versus-unconditional-direct-facility-financing-false-dichotomy","status":"publish","type":"knowledge","link":"https:\/\/gffklportal.org\/fr\/knowledge\/performance-based-financing-versus-unconditional-direct-facility-financing-false-dichotomy\/","title":{"rendered":"Performance-based Financing versus \u201cUnconditional\u201d Direct Facility Financing - False Dichotomy?"},"content":{"rendered":"<p><strong>[Financement bas\u00e9 sur la performance ou financement direct de l\u2019\u00e9tablissement \u00ab inconditionnel \u00bb &#8211; Fausse dichotomie?]<\/strong><\/p>\n<p>Par Sophie Witter,\u00a0Maria Paola\u00a0Bertone,\u00a0Karin Diaconu, et\u00a0Olga\u00a0Bornemisza<\/p>\n<p>Le d\u00e9bat sur la meilleure fa\u00e7on de financer les soins de sant\u00e9 essentiels dans les pays \u00e0 faible revenu et \u00e0 revenu interm\u00e9diaire dure depuis des d\u00e9cennies, les syst\u00e8mes de sant\u00e9 publique ne parvenant souvent pas \u00e0 fournir un financement fiable et ad\u00e9quat pour les soins de sant\u00e9 primaires en particulier. Depuis 2000, plusieurs personnes ont pr\u00e9conis\u00e9 et exp\u00e9riment\u00e9 le financement bas\u00e9 sur la performance comme une approche permettant de r\u00e9soudre ce probl\u00e8me. Plus r\u00e9cemment, \u00e0 la lumi\u00e8re des pr\u00e9occupations concernant les co\u00fbts de transaction \u00e9lev\u00e9s, les r\u00e9sultats mitig\u00e9s et les d\u00e9fis relatifs \u00e0 la durabilit\u00e9, une approche moins conditionnelle, parfois appel\u00e9e financement direct de l\u2019\u00e9tablissement, a \u00e9t\u00e9 privil\u00e9gi\u00e9e. Dans ce commentaire, nous examinons les preuves de l&#8217;efficacit\u00e9 de ces deux modalit\u00e9s et soutenons qu&#8217;elles partagent de nombreuses caract\u00e9ristiques et conditions d&#8217;efficacit\u00e9. Dans un contexte appropri\u00e9, elles peuvent toutes deux contribuer au renforcement du syst\u00e8me de sant\u00e9 et doivent \u00eatre consid\u00e9r\u00e9es comme potentiellement compl\u00e9mentaires, plut\u00f4t que rivales.<\/p>\n<p><span data-original-font-size=\"11\" data-original-line-height=\"15\">HEALTH SYSTEMS &amp; REFORM<\/span><span data-original-font-size=\"11\" data-original-line-height=\"15\">2021<\/span><span class=\"delimiter\" data-original-font-size=\"11\" data-original-line-height=\"15\">,\u00a0<\/span><span data-original-font-size=\"11\" data-original-line-height=\"15\">VOL.\u00a07<\/span><span class=\"delimiter\" data-original-font-size=\"11\" data-original-line-height=\"15\">,\u00a0<\/span><span data-original-font-size=\"11\" data-original-line-height=\"15\">NO.\u00a01<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>[Financement bas\u00e9 sur la performance ou financement direct de l\u2019\u00e9tablissement \u00ab inconditionnel \u00bb &#8211; Fausse dichotomie?] Par Sophie Witter,\u00a0Maria Paola\u00a0Bertone,\u00a0Karin Diaconu, et\u00a0Olga\u00a0Bornemisza Le d\u00e9bat sur la meilleure fa\u00e7on de financer les soins de sant\u00e9 essentiels dans les pays \u00e0 faible revenu et \u00e0 revenu interm\u00e9diaire dure depuis des d\u00e9cennies, les syst\u00e8mes de sant\u00e9 publique ne [&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":[1311,290,307,1209,1315,299],"knowledge_categories":[324],"knowledge_countries":[],"knowledge_tags":[1179,575,837,782],"knowledge_tool_type":[779],"class_list":["post-37465","knowledge","type-knowledge","status-publish","hentry","knowledge_topics-old_fr_health-financing","knowledge_topics-processes-fr","knowledge_topics-gff-leadership-national","knowledge_topics-alignement-fr","knowledge_topics-gouvernance-gestion-des-finances-publiques","knowledge_topics-result-based-financing-fr","knowledge_categories-featured-fr","knowledge_tags-financement-la-sante","knowledge_tags-financement-base-sur-les-resultats","knowledge_tags-reformes-du-financement-de-la-sante","knowledge_tags-renforcement-des-systemes-de-sante","knowledge_tool_type-article-fr"],"acf":[],"_links":{"self":[{"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/knowledge\/37465","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=37465"}],"version-history":[{"count":4,"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/knowledge\/37465\/revisions"}],"predecessor-version":[{"id":38787,"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/knowledge\/37465\/revisions\/38787"}],"wp:attachment":[{"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/media?parent=37465"}],"wp:term":[{"taxonomy":"knowledge_topics","embeddable":true,"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/knowledge_topics?post=37465"},{"taxonomy":"knowledge_categories","embeddable":true,"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/knowledge_categories?post=37465"},{"taxonomy":"knowledge_countries","embeddable":true,"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/knowledge_countries?post=37465"},{"taxonomy":"knowledge_tags","embeddable":true,"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/knowledge_tags?post=37465"},{"taxonomy":"knowledge_tool_type","embeddable":true,"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/knowledge_tool_type?post=37465"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}