Strengthening performance-based financing as a health system approach for quality improvement

Zeng, Wu; Sun, Daxin; Nair, Dinesh; Nam, Jae Eun; Gheorghe, Adrian

doi:10.7189/jogh.08.020305

Cited by 3 publications

(4 citation statements)

References 10 publications

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“…3,28 The intervention of those actors would be the origin of the continuing contradictory debate between supporting researchers, and critic researchers stressing the weakening PBF practices within HSDC. 29,30 The transfer of financial incentives as part of MP is important for improving the performance of HSDC. However, the transfer process should be rethought with a view of adapting it to contexts and actors changes.…”

Section: Why Is There Mp Transfer In Hsdc?mentioning

confidence: 99%

“…In most cases, pilot projects result in increased use of services, health coverage and improved quality of services. 5,29 However, in some other cases, these phases can fail. 6,32 Nevertheless, opportunities are often supported by donors to rethink and adapt pilot projects activities based on the challenges encountered.…”

Section: What Are the Steps Of Tmmp In Hsdc?mentioning

confidence: 99%

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The diffusion of managerial practices in performance perspective: a review of transfer models in health systems

Ndayishimiye

Niyondiko

Bigawa

2020

Int J Community Med Public Health

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Managerial practices are widely held to be a vital component of efficient organizations, especially in public services where they are being transferred for the last decades. From a performance perspective, health systems of many developing countries were inspired by multiple existing transfer models to introduce these managerial practices according to new public management orientations. However, the used transfer models seem to ignore some action mechanisms as important aspects of this process. This paper aims at presenting the state of the art in transfer models of managerial practices in health systems. Ten main transfer models related to the research theme were identified. We organized the review around a number of questions that are raised explicitly or implicitly by the literature and observation on transfer models. The full implication became clear after using selected transfer models to answer to those questions. We found that existing transfer models highlighted key roles played by different actors involved and the importance of contextual factors in transfer processes. These transfer models lead to failure or success either in the same or in different settings. However, we realized that these transfer models ignore taking into account interactions which exist in transfer processes as well as the evolution of key actors and changes in contextual factors. There is a need to create new models for efficient transfer of managerial practices in health systems. We propose to develop, test, and discuss new transfer models that consider changes in transfer process and where interactions are highlighted in the perspective of performance improvement.

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Section: Why Is There Mp Transfer In Hsdc?mentioning

confidence: 99%

Section: What Are the Steps Of Tmmp In Hsdc?mentioning

confidence: 99%

The diffusion of managerial practices in performance perspective: a review of transfer models in health systems

Ndayishimiye

Niyondiko

Bigawa

2020

Int J Community Med Public Health

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“… 8 , 17 Global dialogue has increasingly called for PBF to be embedded in a country’s broader health financing system, and some studies have examined the interaction of PBF with the health system more broadly. 18 – 20 …”

Section: Introductionmentioning

confidence: 99%

Is Performance-Based Financing A Pathway to Strategic Purchasing in Sub-Saharan Africa? A Synthesis of the Evidence

Waithaka

Cashin

Barasa

2022

Health Systems & Reform

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Many countries in sub-Saharan Africa have implemented performance-based financing (PBF) to improve health system performance. Much of the debate and analysis relating to PBF has focused on whether PBF “works”—that is, whether it leads to improvements in indicators tied to incentive-based payments. Because PBF schemes embody key elements of strategic health purchasing, this study examines the question of whether and how PBF programs in sub-Saharan Africa influence strategic purchasing more broadly within country health financing arrangements. We searched PubMed, Scopus, EconLit, Cochrane Database of Systematic Reviews, Google Scholar, Google, and the World Health Organization and World Bank’s repositories for studies that focused on the implementation experience or effects of PBF in sub-Saharan African and published in English from 2000 to 2020. We identified 44 papers and used framework analysis to analyze the data and generate key findings. The evidence we reviewed shows that PBF has the potential to raise awareness about strategic purchasing, improve governance and institutional arrangements, and strengthen strategic purchasing functions. However, these effects are minimal in practice because PBF has been introduced as narrow, often pilot, projects that run parallel to and have little integration with the mainstream health financing system. We concluded that PBF has not systematically transformed health purchasing in countries in sub-Saharan Africa but that the experience with PBF can provide valuable lessons for how system-wide strategic purchasing can be implemented most effectively in that region—either in countries that currently have PBF schemes and aim to integrate them into broader purchasing systems, or in countries that are not currently implementing PBF. We also concluded that for countries to pursue more holistic approaches to strategic health purchasing and achieve better health outcomes, they need to implement health financing reforms within or aligned with existing financing systems.

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“…NQEM is an external quality assessment of facilities using a score as the basis of a performance-based financing (PBF) scheme where facilities and providers receive additional funds when they achieve certain scores. Established at different levels of Cambodia’s primary and secondary public health system, NQEM is associated with creating positive momentum toward improving healthcare quality 4 5. NQEM, conducted on a quarterly basis in provincial and district referral hospitals and health centres, assesses three dimensions of healthcare quality—structural, process and client satisfaction 4.…”

Section: Introductionmentioning

confidence: 99%

Lessons learnt from quality improvement collaboratives in Cambodia

Perry

Rakhmanova²,

Suos³

et al. 2022

BMJ Glob Health

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Currently, Cambodia uses performance-based financing (PBF) and a national quality enhancement monitoring system as key components of its strategy to achieve universal health coverage and the health-related Sustainable Development Goals. PBF is one among many strategies to improve the quality of healthcare services and its effects and limitations have been widely documented. We share lessons learnt from the use of quality improvement collaboratives, a facility-based quality improvement strategy, to amplify and complement PBF to address specific service delivery gaps, improve provider competency, and increase patient trust and satisfaction in the health system, a driver of healthcare utilisation.

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Strengthening performance-based financing as a health system approach for quality improvement

Cited by 3 publications

References 10 publications

The diffusion of managerial practices in performance perspective: a review of transfer models in health systems

The diffusion of managerial practices in performance perspective: a review of transfer models in health systems

Is Performance-Based Financing A Pathway to Strategic Purchasing in Sub-Saharan Africa? A Synthesis of the Evidence

Lessons learnt from quality improvement collaboratives in Cambodia

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