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66 Results

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African Participation and Partnership in Performance-Based Financing: A Case Study in Global Health Policy

Participation is a key policy concept in global health, and relates to the ability of stakeholders to engage with and shape health policy at four intersecting levels: local, national, regional and global. Such engagement remains the key normative aim behind debates about furthering more equitable health diplomacy and has, as a result, been increasingly integrated into the agenda […]
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TEDs Talks: Curing health care systems

The way healthcare is being delivered is broken in many countries. We don’t need new drugs or vaccines. We need to first cure the health care systems that deliver them. Ellen van de Poel brings a different view to health insurance, health care delivery, and health systems because of her research on the financing of […]
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Performance-based financing: the same is different

Although it is increasingly acknowledged within the Performance-Based Financing (PBF) research community that PBF is more than just payments based on outputs verified for quality, this narrow definition of PBF is still very present in many studies and evaluations. This leads to missed opportunities, misunderstandings and an unhelpful debate. Therefore, we reinforce the claim that […]
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Context matters (but how and why?) A hypothesis-led literature review of performance based financing in fragile and conflict-affected health systems

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, […]
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(How) does RBF strengthen strategic purchasing of health care? Comparing the experience of Uganda, Zimbabwe and the Democratic Republic of the Congo

Results-Based Financing (RBF) has proliferated in health sectors of low and middle income countries, especially fragile and conflict-affected ones, and has been presented as a way of reforming and  strengthening strategic purchasing. However, few studies have empirically examined how RBF impacts on health care purchasing in these settings. This article examines the effects of several […]
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Basic Economics of Results-Based Financing in Health

RBF programs are not new. High-income countries with health systems as varied as Spain, Sweden, the United Kingdom and the United States all use rewards to hospitals, providers, and insurers for meeting volume and quality targets. International efforts to improve health in developing countries are increasingly exploring ways to improve results through material incentives under […]
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How You Pay Health Workers Matters: A Primer on Health Worker Remuneration Methods

The way doctors and nurses are paid can provide strong incentives for improving health worker productivity and quality of care—issues that are pertinent in many developing country health systems. In many low-income countries, health workers in the public sector receive most of their compensation in the form of a salary. This note provides a brief […]