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ID:15681870
大小:84.00 KB
页数:11页
时间:2018-08-04
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1、标题:IntroductionOfPerformance-BasedFinancingInBurundiWasAssociatedWithImprovementsInCareAndQuality作者:Bonfrer,Igna;Soeters,Robert;VandePoel,Ellen;Basenya,Olivier;Longin,Gashubije;vandeLooij,Frank;vanDoorslaer,Eddy出版物名称:HealthAffairs;ChevyChase卷:33;期:12;页:2179-2187;;出版年份:2014Intro
2、ductionofPerformance-BasedFinancingInBurundiWasAssociatedWithImprovementsInCareAndQualityABSTRACTSeveralgovernmentsinlow-andmiddle-incomecountrieshaveadoptedperformance-basedfinancingtoincreasehealthcareuseandimprovethequalityofhealthservices.Weevaluatedtheeffectsofperformance-
3、basedfinancinginthecentralAfricannationofBurundibyexploitingthestaggeredrolloutofthisfinancingacrossprovincesduring2006-10.Wefoundthatperformance-basedfinancingincreasedtheshareofwomendeliveringtheirbabiesinaninstitutionby22percentagepoints,whichreflectsarelativeincreaseof36per
4、cent,andtheshareofwomenusingmodernfamilyplanningservicesby5percentagepoints,arelativechangeof55percent.Theoverallqualityscoreforhealthcarefacilitiesincreasedby45percentduringthestudyperiod,butperformance-basedfinancingwasfoundtohavenoeffectonthequalityofcareasreportedbypatients
5、.Wedidnotfindstrongevidenceofdifferentialeffectsofperformance-basedfinancingacrosssocioeconomicgroups.Theperformance-basedfinancingeffectsontheprobabilityofusingcarewhenillwerefoundtobeevensmallerforthepoor.Ourfindingssuggestthatasupply-sideinterventionsuchasperformance-basedfi
6、nancingwithoutaccompanyingaccessincentivesforpoorpeopleisunlikelytoimproveequity.Moreresearchintothecost-effectivenessofperformance-basedfinancingandhowbesttotargetvulnerablepopulationsiswarranted.Severalgovernmentsinlow-andmid-dle-incomecountrieshaveadoptedperformance-basedfin
7、ancinginthehealthcaresector-paymentmeth-odsthatrewardperformance.InAfricaalonemorethanthirty-fivecountriesareintheprocessofintroducingperformance-basedfinancing.1,2Performance-basedfinancingisastrategytoimprovetheperformanceofhealthcareprovidersthroughtheuseofexplicitfinan-cial
8、incentivesforreachingtargetsonpredefinedperformancemea
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