Understanding the municipal-level design and adaptation of pay-for-performance schemes across two states of Brazil.

ABSTRACT: The design of complex health systems interventions, such as pay for performance (P4P), can be critical to determining such programmes' success. In P4P programmes, the design of financial incentives is crucial in shaping how these programmes work. However, the design of such schemes is usually homogenous across providers within a given scheme. Consequently, there is a limited understanding of the strengths and weaknesses of P4P design elements from the implementers' perspective. This study takes advantage of the unique context of Brazil, where municipalities adapted the federal incentive design, resulting in variations in incentive design across municipalities. The study aims to understand why municipalities in Brazil chose certain P4P design features, the associated challenges and the loca

SUBMITTER: Fardousi N 

PROVIDER: S-EPMC11308603 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature