Performance incentives for health care providers

Perrot, Jean.; Roodenbeke, Eric de; Musango, Laurent; Fritsche, György Bèla; Elovainio, Riku

doi:10.4324/9781315130309-12

Cited by 2 publications

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“…They represent the structures through which people interact and incentives are shaped, and they outline the roles of its actors. Depending on the type of relations and actions they promote, institutions can generate positive or negative incentives [ 33 ].…”

Section: Resultsmentioning

confidence: 99%

An Incentive-Based Framework for Analyzing the Alignment of Institutional Interventions in the Public Primary Healthcare Sector: The Portuguese Case

Pereira

Marques

2021

Healthcare

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Over the years, the Portuguese National Health Service has undergone several reforms to face the challenges posed by internal and external factors on the access to and quality of its health services. One of its most recent reforms addressed the primary healthcare sector, where understanding the incentives behind the actors of the inherent institutional interventions and how they are aligned with the governing health policies is paramount for reformative success. With the purpose of acknowledging the alignment of the primary healthcare sector’s institutional interventions from an incentive-based perspective, we propose a framework resting on a SWOT (Strengths, Weaknesses, Opportunities, and Threats) analysis, which was built in cooperation with a panel of decision-making actors from the Portuguese Ministry of Health. In the end, we derive possible policy implications and strategies. This holistic approach highlighted the positive impact of the primary healthcare reform in the upgrade of physical resources and human capital but stressed the geosocial asymmetries and the lack of intra- and inter-sectorial coordination. The proposed framework serves also as a guideline for future primary healthcare reforms, both national- and internationally.

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Section: Resultsmentioning

confidence: 99%

An Incentive-Based Framework for Analyzing the Alignment of Institutional Interventions in the Public Primary Healthcare Sector: The Portuguese Case

Pereira

Marques

2021

Healthcare

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“…Commitment devices have been used effectively in the context of weight-loss and smoking cessation [ 42 ]. These incentives can be monetary (such as pay-for-performance or fines as described above), in-kind (earning points for redeemable gifts in wellness programs or foregoing a particularly enjoyable activity) or even intangible (such as the gain or loss of professional or social recognition) [ 43 ]. A comprehensive approach might even consider patient-targeted incentives in conjunction with provider-targeted incentives although we also note that incentive programs may not be limited to patients or providers alone [ 32 ].…”

Section: Resultsmentioning

confidence: 99%

Economic interventions to improve population health: a scoping study of systematic reviews

et al. 2016

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BackgroundRecognizing the close relationship between poverty and health, national program managers, policy-makers and donors are increasingly including economic interventions as part of their core strategies to improve population health. However, there is often confusion among stakeholders about the definitions and operational differences between distinct types of economic interventions and financial instruments, which can lead to important differences in interpretation and expectations.MethodsWe conducted a scoping study to define and clarify concepts underlying key economic interventions - price interventions (taxes and subsidies), income transfer programs, incentive programs, livelihood support programs and health-related financial services – and map the evidence currently available from systematic reviews.ResultsWe identified 195 systematic reviews on economic interventions published between 2005 and July 2015. Overall, there was an increase in the number of reviews published after 2010. The majority of reviews focused on price interventions, income transfer programs and incentive programs, with much less evidence available from systematic reviews on livelihood support programs and health-related financial services. We also identified a lack of evidence on: health outcomes in low income countries; unintended or perverse outcomes; implementation challenges; scalability and cost-effectiveness of economic interventions.ConclusionsWe conclude that while more research is clearly needed to assess suitability and effectiveness of economic interventions in different contexts, before interventions are tested and further systematic reviews conducted, a consistent and accurate understanding of the fundamental differences in terminology and approaches is essential among researchers, public health policy makers and program planners.

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Performance incentives for health care providers

Cited by 2 publications

References 0 publications

An Incentive-Based Framework for Analyzing the Alignment of Institutional Interventions in the Public Primary Healthcare Sector: The Portuguese Case

An Incentive-Based Framework for Analyzing the Alignment of Institutional Interventions in the Public Primary Healthcare Sector: The Portuguese Case

Economic interventions to improve population health: a scoping study of systematic reviews

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