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Pay For Performance in Health: A Framework and Evidence from the OECD and Selected Countries

This presentation from Richard Scheffler, University of California, Berkley Distinguished Professor of Health Economics and Public Policy, provides evidence from OECD and non-OECD countries on pay for performance, and highlights research designs for evaluating programs. From a World Bank meeting in February 2010.

October 8, 2021

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Options Guide: Performance-Based Incentives to Strengthen Public Health Supply Chains – Version 1

Performance-based incentives (PBIs) aim to motivate all the people and teams who together comprise a public supply chain to work hard and perform their function well. PBI is an innovative approach that explicitly links financial investment to results. While the PBI concept seems relatively straightforward, the mechanics of its implementation need to be planned very […]

October 8, 2021

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Contribution of the Contract and Verification Agencies in the Improvement of Health Facility Governance in Burkina Faso

This paper examines the implementation support and coaching roles played by contracting and verification agencies (CVA) in Burkina Faso, specifically exploring their contribution to creating a culture of “good” management and performance which improves both health worker engagement and performance.

October 6, 2021

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Coming Full Circle: How Health Worker Motivation and Performance in Results-Based Financing Arrangements Hinges on Strong and Adaptive Health Systems

This paper presents findings from a study which sought to understand why health workers in the results-based financing (RBF) arrangements in Zimbabwe reported being satisfied with the improvements in working conditions and compensation, but paradoxically reported lower motivation levels compared to those not working under RBF arrangements.

October 6, 2021

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Improving Health Worker Performance: The Patient-Perspective from a PBF Program in Rwanda

Over recent decades, paying healthcare providers against agreed performance targets has gained momentum in high income countries and more recently in low and middle income countries (LMIC). Poor performance in health systems is a worldwide concern and greater investment in the health sector do not necessarily translate to better health outcomes (World Health Organization, 2000). […]

October 5, 2021

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Capitation Combined with Pay-for-Performance Improves Antibiotic Prescribing Practices in Rural China

Pay-for-performance in health care holds promise as a policy lever to improve the quality and efficiency of care.  Although the approach has become increasingly popular in developing countries in recent years, most policy designs do not permit the rigorous evaluation of its impact. Thus, evidence of its effect is limited.   In collaboration with the government […]

October 5, 2021

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Performance-Based Financing Strengthens Public-Private Partnerships in the Health Sector – a Case Study from the Littoral Region of Cameroon

This study in Cameroon examines how Performance-Based Financing (PBF), as a contracting approach, can reinforce private-public partnerships, enhance public health goals, and contribute to the goal of Universal Health Coverage. The research compares data from private–for-profit, faith-based and public health facilities contracted under PBF. It also looks at such indicators as the package of health […]

October 4, 2021